The proxy problem: child report versus parent report in health-related quality of life research
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This study evaluates the agreement between child and parent reports on children's health-related quality of life (HRQoL) in a representative sample of 1,105 Dutch children (age 8–11 years old). Both children and their parents completed a 56 item questionnaire (TACQOL). The questionnaire contains seven eight-item scales: physical complaints, motor functioning, autonomy, cognitive functioning, social functioning, positive emotions and negative emotions. The Pearson correlations between the child and parent reports were between 0.44 and 0.61 (p<0.001). The intraclass correlations were between 0.39 and 0.62. On average, the children reported a significantly lower HRQoL than their parents on the physical complaints, motor functioning, autonomy, cognitive functioning and positive emotions scales (paired t-test: p<0.05). Agreement on all of the scales was related to the magnitude of the HRQoL scores and to some background variables (gender, age, temporary illness and visiting a physician). According to multitrait-multimethod analyses, both the child and parent reports proved to be valid.
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- The proxy problem: child report versus parent report in health-related quality of life research
Quality of Life Research
Volume 7, Issue 5 , pp 387-397
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- Health-related quality of life
- health status;
- child report;
- parent report.
- Industry Sectors
- Author Affiliations
- 1. Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands
- 2. TNO Prevention and Healthc[Leiden, The Netherlands
- 3. Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands