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Quality of Life Profile – Adolescent Version: Assessing the relationship of covariates to scale scores using structural equation modeling

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Abstract

This study investigates the effects of covariates on adolescent quality of life (QOL) using structural equation modeling (SEM). The Quality of Life Profile – Adolescent Version, a generic 54 item self-reported questionnaire, was administered to 363 adolescents aged between 10 and 18 years who were enrolled in 20 secondary schools within metropolitan Perth, the capital of Western Australia. Previous results based on a second-order SEM provided preliminary support for measuring adolescent QOL in terms of physical health, psychological, social, environment and opportunities for growth and development. The second-order model is further enhanced in this study by incorporating covariates age, presence of a chronic condition, amount of control and perception of health. The amount of control the adolescent perceived had a significant positive impact on QOL, whereas poorer reports of health had a negative impact. However, the presence of a chronic condition was found to have little effect on QOL, while the modest inverse relationship between age and QOL was not statistically significant.

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References

  1. F. Cristovao (1999) ArticleTitleStress, coping and quality of life among chronic haemodialysis patients Edtna-Erca J 25 IssueID4 35–38 Occurrence Handle1:STN:280:DC%2BD3c3os12gtg%3D%3D

    CAS  Google Scholar 

  2. O Devinsky L Westbrook J Cramer M Glassman K Perrine C. Camfield (1999) ArticleTitleRisk factors for poor health-related quality of life in adolescents with epilepsy Epilepsia 40 IssueID12 1715–1720 Occurrence Handle1:STN:280:DC%2BD3c%2FnslGrsw%3D%3D Occurrence Handle10612334

    CAS  PubMed  Google Scholar 

  3. D Drotar (Eds) (1998) Measuring Health-Related Quality of Life in Children and Adolescents: Implications for Research and Practice Mahwah Lawrence Erlbaum Associates New Jersey

    Google Scholar 

  4. D Raphael E Rukholm I Brown P Hill-Bailey E. Donato (1996) ArticleTitleThe Quality of Life Profile – Adolescent Version: Background, description, and initial validation J Adoles Health 19 366–375 Occurrence Handle1:STN:280:ByiD1cfjs1Q%3D

    CAS  Google Scholar 

  5. A. Bowling (1997) Measuring Health: A Review of Quality of Life Measurement Scales Open University Press Milton Keyes.

    Google Scholar 

  6. C. Eiser (1997) ArticleTitleChildren’s quality of life measures Arch Dis Childhood 77 350–354 Occurrence Handle1:STN:280:DyaK1c%2FltVOrug%3D%3D

    CAS  Google Scholar 

  7. M Apajasalo H Sintonen C Holmberg et al. (1996) ArticleTitleQuality of life in early adolescence: A sixteen-dimensional health-related measure (16D) Qual Life Res 5 IssueID2 205–211 Occurrence Handle1:STN:280:ByiC3cvntVI%3D Occurrence Handle8998489

    CAS  PubMed  Google Scholar 

  8. J Collier D MacKinlay D. Phillips (2000) ArticleTitleNorm values for the generic children’s quality of life measure (GCQ) from a large school-based sample Qual Life Res 9 IssueID6 617–623 Occurrence Handle1:STN:280:DC%2BD3M3jtl2kuw%3D%3D Occurrence Handle11236852

    CAS  PubMed  Google Scholar 

  9. M Grey EA Boland C Yu S Sullivan-Bolyai WV. Tamborlane (1998) ArticleTitlePersonal and family factors associated with quality of life in adolescents with diabetes Diabetes Care 21 IssueID6 909–914 Occurrence Handle1:STN:280:DyaK1c3ns1Oqsg%3D%3D Occurrence Handle9614606

    CAS  PubMed  Google Scholar 

  10. LB Meuleners AH Lee CW Binns A. Lower (2003) ArticleTitleQuality of life for adolescents: Assessing measurement properties using structural equation modeling Qual Life Res 12 283–290 Occurrence Handle12769141

    PubMed  Google Scholar 

  11. EC Perrin P Newacheck IB Pless et al. (1993) ArticleTitleIssues involved in the definition and classification of chronic health conditions Pediatrics 91 IssueID4 787–793 Occurrence Handle1:STN:280:ByyB3Mbgt1E%3D Occurrence Handle8464668

    CAS  PubMed  Google Scholar 

  12. I Guggenmoos-Holzmann K Bloomfield H Brenner U. Flick (1995) Quality of Life and Health: Concepts, Methods, and Applications Blackwell Wissenchafts-Verlag Germany, Berlin

    Google Scholar 

  13. P Fayers D. Machin (2000) Quality of Life – Assessment, Analysis and Interpretation John Wiley & Sons West Sussex, England

    Google Scholar 

  14. KA Bollen J Scott Long (Eds) (1993) Testing Structural Equation Models Sage Publications CA: Newbury Park

    Google Scholar 

  15. B. Byrne (1998) Structural Equation Modeling with Lisrel, Prelis, and Simplis, Mahwah Lawrence Erlbaum Associates New Jersey

    Google Scholar 

  16. RB. Kline (1998) Principles and Practice of Structural Equation Modeling The Guilford Press New York

    Google Scholar 

  17. Rowe, KJ. Simultaneous estimation of interdependent effects among multilevel composite variables in psychosocial research: An annotated example of the application of multilevel structural equation modelling. In Duan N., Reise S. (eds), Multilevel Modeling: Methodological Advances, Issues and Applications. Hillsdale, New Jersey: Lawrence Erlbaum Associates, 2000.

  18. L Hu PM. Bentler (1998) ArticleTitleFit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification Psychol Meth 3 424–453

    Google Scholar 

  19. PJ Curran SG West JF. Finch (1996) ArticleTitleThe robustness of test statistics to nonnormality and specification error in confirmatory factor analysis Psychol Meth 1 IssueID1 16–29

    Google Scholar 

  20. KG Joreskog D. Sorbom (1996) Lisrel 8: User’s Reference Guide Scientific Software International Chicago

    Google Scholar 

  21. MS Smith KA Wallston CA. Smith (1995) ArticleTitleThe development and validation of the Perceived Health Competance Scale Health Educ Res 10 IssueID1 51–64 Occurrence Handle1:STN:280:ByqA383psFU%3D Occurrence Handle10150421

    CAS  PubMed  Google Scholar 

  22. Australian Institute of Health and Welfare. Australia’s Young People: Their Health and Well-being 1999, Canberra: AIHW, 1999

  23. B Lindstrom L. Kohler (1991) ArticleTitleYouth, disability and quality of life Pediatrician 18 IssueID2 121–128 Occurrence Handle1:STN:280:By6A28%2FksFE%3D Occurrence Handle1832224

    CAS  PubMed  Google Scholar 

  24. M Stawski JG Auerbach M Barasch Y Lerner R. Zimin MS. Miller (1995) ArticleTitleBehavioural problems of adolescents with chronic physical illness: A comparison of parent-report and self-report measures Eur Child Adolesc Psychiatry 4 IssueID1 14–20 Occurrence Handle1:STN:280:ByqA3cfislc%3D Occurrence Handle7788479

    CAS  PubMed  Google Scholar 

  25. D Staab K Wenninger N Gebert et al. (1998) ArticleTitleQuality of life in patients with cystic fibrosis and their parents: What is important besides disease severity? Thorax 53 IssueID9 727–731 Occurrence Handle1:STN:280:DyaK1M3lt1Kisw%3D%3D Occurrence Handle10319053

    CAS  PubMed  Google Scholar 

  26. M. Frey (1996) ArticleTitleBehavioral correlates of health and illness in youths with chronic illness Appl Nurs Res 9 IssueID4 167–176 Occurrence Handle1:STN:280:ByiC38%2FptVc%3D Occurrence Handle8961573

    CAS  PubMed  Google Scholar 

  27. WM Bukowski D. Sandberg (1999) ArticleTitlePeer relationships and quality of life Acta Paediatr Suppl 88 108–109 Occurrence Handle1:STN:280:DyaK1M3gt1aqtg%3D%3D Occurrence Handle10102066

    CAS  PubMed  Google Scholar 

  28. X Wang N Matsuda H Ma N. Shinfuku (2000) ArticleTitleComparative study of quality of life between the Chinese and Japanese adolescent populations Psychiatry Clin Neurosci 54 IssueID2 147–152 Occurrence Handle1:STN:280:DC%2BD3c3mtV2msA%3D%3D Occurrence Handle10803807

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth, WA, 6845, Australia

    Lynn B. Meuleners & Andy H. Lee

  2. Injury Research Centre, University of Western Australia, Crawley, WA, Australia

    Lynn B. Meuleners

Authors
  1. Lynn B. Meuleners
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  2. Andy H. Lee
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Correspondence to Andy H. Lee.

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Meuleners, L.B., Lee, A.H. Quality of Life Profile – Adolescent Version: Assessing the relationship of covariates to scale scores using structural equation modeling. Qual Life Res 14, 1057–1063 (2005). https://doi.org/10.1007/s11136-004-2573-1

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  • DOI: https://doi.org/10.1007/s11136-004-2573-1

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