Validity of Parental Report of a Child's Medical History in Otitis Media Research

The authors compared parental reports with medical records for 157 children enrolled in a prospective study of chronic otitis media with effusion between 1987 and 1991. Parents completed a questionnaire about the child's past health history, and the research nurse abstracted history information...

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Veröffentlicht in:American journal of epidemiology 1994-06, Vol.139 (11), p.1116-1121
Hauptverfasser: Daly, Kathleen A., Lindgren, Bruce, Giebink, G. Scott
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container_issue 11
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container_title American journal of epidemiology
container_volume 139
creator Daly, Kathleen A.
Lindgren, Bruce
Giebink, G. Scott
description The authors compared parental reports with medical records for 157 children enrolled in a prospective study of chronic otitis media with effusion between 1987 and 1991. Parents completed a questionnaire about the child's past health history, and the research nurse abstracted history information from the clinic's medical record. Previous insertion of a tympanostomy tube (kappa = 0.96) and premature birth (kappa = 0.68) were accurately reported, but there was a substantial proportion of missing data for age at first episode of otitis media, occurrence of otitis media the previous summer, and number of episodes in the previous 18 months. Data were significantly more likely to be missing for male children, children with siblings, and those with more episodes. Parents who reported six or more previous episodes for their child overestimated the number compared with the medical record (8.7 vs. 7.4, respectively; p = 0.01), while those who reported fewer episodes underestimated the number (3.1 vs. 4.6, respectively; p = 0.01). Episodes of otitis media during the 3 months between study visits were also accurately reported (kappa = 0.94). The accuracy and completeness of parental report of the child's health history was influenced by the chronicity of otitis media, the duration of recall, and the seriousness of the event being recalled.
doi_str_mv 10.1093/oxfordjournals.aje.a116955
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Previous insertion of a tympanostomy tube (kappa = 0.96) and premature birth (kappa = 0.68) were accurately reported, but there was a substantial proportion of missing data for age at first episode of otitis media, occurrence of otitis media the previous summer, and number of episodes in the previous 18 months. Data were significantly more likely to be missing for male children, children with siblings, and those with more episodes. Parents who reported six or more previous episodes for their child overestimated the number compared with the medical record (8.7 vs. 7.4, respectively; p = 0.01), while those who reported fewer episodes underestimated the number (3.1 vs. 4.6, respectively; p = 0.01). Episodes of otitis media during the 3 months between study visits were also accurately reported (kappa = 0.94). The accuracy and completeness of parental report of the child's health history was influenced by the chronicity of otitis media, the duration of recall, and the seriousness of the event being recalled.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>8192144</pmid><doi>10.1093/oxfordjournals.aje.a116955</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Oxford University Press Archive; Periodicals Index Online
subjects Biological and medical sciences
Child, Preschool
Chronic Disease
Epidemiologic Methods
Epidemiology
Female
General aspects
Humans
Male
Medical Records
Medical sciences
Mental Recall
Methodology
otitis media
Otitis Media with Effusion - epidemiology
Parents
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
questionnaires
Surveys and Questionnaires
title Validity of Parental Report of a Child's Medical History in Otitis Media Research
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