Parent‐ and Patient‐ Validated Content for Pediatric Epilepsy Quality‐of‐Life Assessment

Purpose: The purpose of this study was to assess the parent‐ and patient‐validated content of quality‐of‐life measurement for use in children with epilepsy. Methods: We asked the parents of 80 consecutive children and adolescents with epilepsy to list in order of importance their concerns about livi...

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Veröffentlicht in:Epilepsia (Copenhagen) 2000-11, Vol.41 (11), p.1474-1484
Hauptverfasser: Arunkumar, G., Wyllie, E., Kotagal, P., Ong, H. T., Gilliam, F.
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container_end_page 1484
container_issue 11
container_start_page 1474
container_title Epilepsia (Copenhagen)
container_volume 41
creator Arunkumar, G.
Wyllie, E.
Kotagal, P.
Ong, H. T.
Gilliam, F.
description Purpose: The purpose of this study was to assess the parent‐ and patient‐validated content of quality‐of‐life measurement for use in children with epilepsy. Methods: We asked the parents of 80 consecutive children and adolescents with epilepsy to list in order of importance their concerns about living with or caring for their children with epilepsy. Patients were 3 months to 18 years of age (mean, 10 years) and identified at the outpatient clinic or during hospital stay. To minimize investigator bias, parents and children listed their concerns in a private setting without staff involvement. Results: Twenty‐six distinct domains were generated by the parents and children. Concerns listed by more than 20 of parents included medication adverse effects (58), cognitive effects of epilepsy (46), prospects for the future (41), safety (35), independence (31), and brain damage caused by seizures (30). Concerns ranked by parents as most important included safety (18), brain damage from seizures (12), enigma of epilepsy (12), cognitive effects of epilepsy (11), and prospects for the future (10). Concerns listed by more than 20 of children included social problems (35), cognitive effects of epilepsy (29), driving (29), sports (27), medication adverse effects (25), and schooling (21). Concerns ranked by children as most important included issues related to medication adverse effects (13), cognitive effects of epilepsy (10), hatred of epilepsy (8), social embarrassment (6), fear of seizures (6), injury (6), and dislike of hospital visits (6). Conclusion: The effect of epilepsy on health‐related quality of life in pediatric patients is defined by a limited number of domains. A 20‐item inventory was chosen from the 26 domains generated by the parents and children. Our study provides insight into parents' and children's perception of seizures and the impact of epilepsy on everyday life.
doi_str_mv 10.1111/j.1528-1157.2000.tb00125.x
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Concerns listed by more than 20 of parents included medication adverse effects (58), cognitive effects of epilepsy (46), prospects for the future (41), safety (35), independence (31), and brain damage caused by seizures (30). Concerns ranked by parents as most important included safety (18), brain damage from seizures (12), enigma of epilepsy (12), cognitive effects of epilepsy (11), and prospects for the future (10). Concerns listed by more than 20 of children included social problems (35), cognitive effects of epilepsy (29), driving (29), sports (27), medication adverse effects (25), and schooling (21). Concerns ranked by children as most important included issues related to medication adverse effects (13), cognitive effects of epilepsy (10), hatred of epilepsy (8), social embarrassment (6), fear of seizures (6), injury (6), and dislike of hospital visits (6). 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Cerebral palsy ; Health Status Indicators ; Hospitalization ; Humans ; Infant ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Parents - psychology ; Quality of Life - psychology ; Quality‐of‐life measures ; Reproducibility of Results ; Sickness Impact Profile</subject><ispartof>Epilepsia (Copenhagen), 2000-11, Vol.41 (11), p.1474-1484</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5114-cccd5d448105d6e3e099e0aae0cd1c250f83aeaa86b8434072e9f92fa5fff39e3</citedby><cites>FETCH-LOGICAL-c5114-cccd5d448105d6e3e099e0aae0cd1c250f83aeaa86b8434072e9f92fa5fff39e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1157.2000.tb00125.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1157.2000.tb00125.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=796211$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11077463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arunkumar, G.</creatorcontrib><creatorcontrib>Wyllie, E.</creatorcontrib><creatorcontrib>Kotagal, P.</creatorcontrib><creatorcontrib>Ong, H. T.</creatorcontrib><creatorcontrib>Gilliam, F.</creatorcontrib><title>Parent‐ and Patient‐ Validated Content for Pediatric Epilepsy Quality‐of‐Life Assessment</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: The purpose of this study was to assess the parent‐ and patient‐validated content of quality‐of‐life measurement for use in children with epilepsy. Methods: We asked the parents of 80 consecutive children and adolescents with epilepsy to list in order of importance their concerns about living with or caring for their children with epilepsy. Patients were 3 months to 18 years of age (mean, 10 years) and identified at the outpatient clinic or during hospital stay. To minimize investigator bias, parents and children listed their concerns in a private setting without staff involvement. Results: Twenty‐six distinct domains were generated by the parents and children. Concerns listed by more than 20 of parents included medication adverse effects (58), cognitive effects of epilepsy (46), prospects for the future (41), safety (35), independence (31), and brain damage caused by seizures (30). Concerns ranked by parents as most important included safety (18), brain damage from seizures (12), enigma of epilepsy (12), cognitive effects of epilepsy (11), and prospects for the future (10). Concerns listed by more than 20 of children included social problems (35), cognitive effects of epilepsy (29), driving (29), sports (27), medication adverse effects (25), and schooling (21). Concerns ranked by children as most important included issues related to medication adverse effects (13), cognitive effects of epilepsy (10), hatred of epilepsy (8), social embarrassment (6), fear of seizures (6), injury (6), and dislike of hospital visits (6). 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Cerebral palsy</subject><subject>Health Status Indicators</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Parents - psychology</subject><subject>Quality of Life - psychology</subject><subject>Quality‐of‐life measures</subject><subject>Reproducibility of Results</subject><subject>Sickness Impact Profile</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkcGO0zAQhi0EYruFV0ARSNwSPLEdJ1zQqirLSpUoEnA1U3sspUqTYqfa7Y1H4Bl5Ehw1giPCB1sef_949P-MvQReQFpv9gWoss4BlC5Kznkx7jiHUhUPj9hifqr0Y7ZIVZE3quZX7DrGfUJ1pcVTdgXAtZaVWLBvWwzUj79-_Mywd9kWx3a-fsWudTiSy1ZDP6Zi5oeQbcm1OIbWZutj29ExnrNPp0SO56QZfNo2rafsJkaK8ZBUz9gTj12k5_O5ZF_erz-vPuSbj7d3q5tNbhWAzK21Tjkpa-DKVSSINw1xROLWgS0V97VAQqyrXS2F5LqkxjelR-W9Fw2JJXt96XsMw_cTxdEc2mip67Cn4RSNLiUI3fB_glCDUpNzS_b2AtowxBjIm2NoDxjOBriZgjB7M7ltpiDMFISZgzAPSfxi_uW0O5D7K52dT8CrGcBosfMBe9vGP5xuqhKmGd5dqPtk9vk_BjDr7R1ILcVvJq2pYQ</recordid><startdate>200011</startdate><enddate>200011</enddate><creator>Arunkumar, G.</creator><creator>Wyllie, E.</creator><creator>Kotagal, P.</creator><creator>Ong, H. T.</creator><creator>Gilliam, F.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>200011</creationdate><title>Parent‐ and Patient‐ Validated Content for Pediatric Epilepsy Quality‐of‐Life Assessment</title><author>Arunkumar, G. ; Wyllie, E. ; Kotagal, P. ; Ong, H. T. ; Gilliam, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5114-cccd5d448105d6e3e099e0aae0cd1c250f83aeaa86b8434072e9f92fa5fff39e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ambulatory Care</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Epilepsy</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - psychology</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Health Status Indicators</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Parents - psychology</topic><topic>Quality of Life - psychology</topic><topic>Quality‐of‐life measures</topic><topic>Reproducibility of Results</topic><topic>Sickness Impact Profile</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arunkumar, G.</creatorcontrib><creatorcontrib>Wyllie, E.</creatorcontrib><creatorcontrib>Kotagal, P.</creatorcontrib><creatorcontrib>Ong, H. T.</creatorcontrib><creatorcontrib>Gilliam, F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arunkumar, G.</au><au>Wyllie, E.</au><au>Kotagal, P.</au><au>Ong, H. T.</au><au>Gilliam, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parent‐ and Patient‐ Validated Content for Pediatric Epilepsy Quality‐of‐Life Assessment</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2000-11</date><risdate>2000</risdate><volume>41</volume><issue>11</issue><spage>1474</spage><epage>1484</epage><pages>1474-1484</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: The purpose of this study was to assess the parent‐ and patient‐validated content of quality‐of‐life measurement for use in children with epilepsy. Methods: We asked the parents of 80 consecutive children and adolescents with epilepsy to list in order of importance their concerns about living with or caring for their children with epilepsy. Patients were 3 months to 18 years of age (mean, 10 years) and identified at the outpatient clinic or during hospital stay. 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Concerns ranked by children as most important included issues related to medication adverse effects (13), cognitive effects of epilepsy (10), hatred of epilepsy (8), social embarrassment (6), fear of seizures (6), injury (6), and dislike of hospital visits (6). Conclusion: The effect of epilepsy on health‐related quality of life in pediatric patients is defined by a limited number of domains. A 20‐item inventory was chosen from the 26 domains generated by the parents and children. Our study provides insight into parents' and children's perception of seizures and the impact of epilepsy on everyday life.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>11077463</pmid><doi>10.1111/j.1528-1157.2000.tb00125.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Ambulatory Care
Attitude to Health
Biological and medical sciences
Child
Child, Preschool
Children
Epilepsy
Epilepsy - diagnosis
Epilepsy - psychology
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Health Status Indicators
Hospitalization
Humans
Infant
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Parents - psychology
Quality of Life - psychology
Quality‐of‐life measures
Reproducibility of Results
Sickness Impact Profile
title Parent‐ and Patient‐ Validated Content for Pediatric Epilepsy Quality‐of‐Life Assessment
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