Self-reported quality of life among inner-city youth with asthma: an empirical examination of the PedsQL 3.0 Asthma Module

Authors: Greenley, Rachel N.; Josie, Katherine L.e.i.g.h.; Drotar, Dennis

Source: Annals of Allergy, Asthma and Immunology, Volume 100, Number 2, February 2008 , pp. 106-111(6)

Publisher: American College of Allergy, Asthma, & Immunology

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Abstract:

Background: Asthma disproportionately affects African American youth and may significantly impair their daily functioning. Although a number of self-reported health-related quality of life (HRQoL) measures have been developed, many rely on parent proxy report rather than youth self-report. Few validity studies have been undertaken to evaluate youth self-report instruments, and studies of economically disadvantaged ethnic minority populations are particularly lacking.

Objective: To examine the psychometric properties of the PedsQL 3.0 Asthma Module, a widely available self-report index of HRQoL in a sample of inner-city African American youth.

Methods: Seventy African American youth with asthma (age range, 9-17 years) and their primary caregivers participated. Youth completed the PedsQL 3.0 Asthma Module (developed for youth aged 5-18 years), whereas caregivers provided reports of youth HRQoL, asthma symptoms, health care use, and school absences. Ratings of asthma severity were obtained via physician rating and spirometry.

Results: The PedsQL 3.0 Asthma Module total and subscale scores evidenced adequate internal consistency (α values >.70), convergent validity with parent proxy ratings of HRQoL and other indexes of functional impairment and differentiated between youth with greater and lesser disease severity.

Conclusion: HRQoL can be reliably assessed using the self-report form of the PedsQL 3.0 Asthma Module among 9- to 17-year-old African American youth from economically disadvantaged backgrounds.

Document Type: Original article

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