%0 Journal Article
%T Health-related quality of life in pediatric minor injury: reliability, validity, and responsiveness of the pediatric quality of life inventory in the emergency department
%J Archives of pediatrics and adolescent medicine
%D 2012
%A Stevens, Martha W.
%A Hainsworth, Keri R.
%A Weisman, Steven J.
%A Layde, Peter M.
%V 166
%N 1
%P 74-81
%X OBJECTIVE: To evaluate the feasibility, reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) in the first 2 weeks after pediatric emergency department care of minor injury. DESIGN: Prospective cohort study. SETTING: Pediatric hospital emergency department. PARTICIPANTS: Children and adolescents with minor injury (n = 334). MAIN OUTCOME MEASURES: Child- and parent-reported clinical outcomes and PedsQL scale scores. RESULTS: The PedsQL had good to excellent internal consistency reliability (α range, 0.73-0.93). For each day that the clinical symptoms persisted, there were consistent decreases in mean health-related quality of life (HRQOL) scores (validity testing). There were significantly greater negative changes in mean HRQOL scores for fractures vs soft-tissue injuries and for lower vs upper extremity injuries. Clinical outcomes categorized as poor had large negative changes in HRQOL not seen in good outcome groups. Distribution-based indicators of change supported good responsiveness (effect sizes for the physical summary score, 0.01-2.44; group differences at follow-up exceeded estimates of the minimal importance difference). CONCLUSIONS: The PedsQL is feasible, reliable, and demonstrates good construct and discriminant validity and responsiveness in measuring short-term outcome after minor injury care in the pediatric emergency department. Assessing short-term outcome from the patient perspective with HRQOL measures may greatly enhance our ability to evaluate the effectiveness of emergency department care.<p /> <p>Language: en</p>
%G en
%I American Medical Association
%@ 1072-4710
%U http://dx.doi.org/10.1001/archpediatrics.2011.694