Pediatric rheumatology

Validation of the parent global assessment as a health-related quality of life measure in juvenile idiopathic arthritis: results from ReACCh-Out

Rheumatology (Oxford)Published Validation study

Authors' conclusion

Our results offer support for the parent global as a valid measure of HRQoL for JIA.

Study context

Population
Patients with JIA in the Research in Arthritis in Canadian Children emphasizing outcomes (ReACCh-Out) cohort
Participants
344 patients
Outcome
Measurement properties (construct validity, responsiveness, reliability) of the parent global assessment as an health-related quality of life (HRQoL) instrument
Follow-up
Enrolment and 6 months later
Methodological detailscohort study, prospective cohort (ReACCh-Out), structural equation modelling
  • Cohort study
  • Prospective cohort (ReACCh-Out)
  • Structural equation modelling

Performance

As reported in the abstract

Spearman correlation with JAQQ, HRQoML, PedsQL-Parent and CHQ-Physical
0.53-0.70
Spearman correlation with PedsQL-Child
0.44
Spearman correlation with CHQ-Psychosocial
0.31
Correlation with disease activity measures (physician global, active joint count, ESR)
0.14-0.49
Responsiveness to improvement by parent ratings (acceptable)
0.51
Responsiveness of other measures
0.32-0.71

Further findings

Reliability and measurement error

Unsatisfactory for all measures, likely due to prolonged time between assessments

Causal pathways (structural equation modelling)

Causal pathways for the parent global matched those previously reported for HRQoML

Original publication

Validation of the parent global assessment as a health-related quality of life measure in juvenile idiopathic arthritis: results from ReACCh-Out. Rheumatology (Oxford). Published 17 June 2022. doi:10.1093/rheumatology/keac350

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