Abstract
This study aims to compare generic measures of HRQoL obtained with the KIDSCREEN-27 into subgroups of adolescents from different contexts including subgroup of outpatient treatment for mental disorders and subgroups of students from regions with low and high human development index in the direction of analyzing the discriminant properties of the instrument and its utility to monitor health outcomes in adolescents. Descriptive statistics are presented by group and gender. The statistical analyses aimed to check the reliability, convergent validity between self-report and proxy versions and discriminant validity between clinical and students contexts using KIDCREEN- 27 questionnaires. Most assumptions about the reliability, convergent and discriminant validity of the instrument KIDSCREEN-27 were established. This research highlighted lower scores of HRQOL in adolescents with mental illness in four of five dimensions, with an effect size ranging from 0.25 for Physical Well-Being to 0.46 for Autonomy & Parents. The results were acceptable, but the findings in this study were more modest than those obtained in the original validation of the instrument.
Highlights
In common sense, the term “quality of life” is often used interchangeably with well-being, life satisfaction, happiness, personal fulfillment, health status, functional status
ANOVA multiple comparisons performed with the post hoc Hochberg Test revealed that adolescents from clinical group (CG) had means ages significantly lower than PG and that of PrG
This exploratory study, inserted in a second phase of a multicenter research project performed in four Brazilian capital cities, aimed to compare generic Health-Related Quality of Life” (HRQoL) measures for subgroups of adolescents from schools and from outpatient mental health services to analyze discriminant properties of the KIDSCREEN-27 questionnaire
Summary
The term “quality of life” is often used interchangeably with well-being, life satisfaction, happiness, personal fulfillment, health status, functional status. Researchers point out that the term moves in a polysemic semantic field and encompasses many meanings which reflect the culture of a particular society at a particular historical moment and feature a social construction with the mark of cultural relativity. This term includes ideas that relate to the life conditions and lifestyles, sustainable development and human ecology, development and human rights and social standards of comfort and tolerance, established by the society (Minayo, Hartz, & Buss, 2000). The emergence of the term “Health-Related Quality of Life” (HRQoL) was based on ideas of all traditions to refer to the impact of health and disease on quality of life of the individual and thereby differentiate them from the meanings most popular relating to term quality of life (Eiser & Morse, 2001).
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