Abstract
BackgroundThe negative consequences of acute otitis media (AOM) on the quality of life (QOL) of children and their families need to be measured to assess benefits of preventive interventions.MethodsA new questionnaire was specifically designed for use in telephone surveys. A random sample of Canadian families was selected using random-digit dialling. Caregivers of children 6-59 months of age who experienced at least one AOM episode during the last 12 months were interviewed. Multidimensional severity and global QOL scores were measured both for affected children and their caregivers. Internal consistency of scores was assessed using standard tests.ResultsOf the 502 eligible caregivers who completed the survey, 161 (32%) reported at least one AOM episode during the last 12 months and these cases were included in the analysis. Average severity was 2.6 for children and 2.4 for caregivers on a 1 to 4 scale (maximum severity). Cronbach alpha values were 0.78 and 0.81 for the severity score of children and caregivers respectively. Average QOL was 3.4 for children and 3.5 for caregivers on a 1 to 5 scale (best QOL). There was moderate to high correlation between severity and QOL scores, and between these scores and duration of AOM episodes.ConclusionsThe questionnaire was easy to use during telephone interviews and results suggest good reliability and validity of the different scores to measure AOM severity and QOL of children and their caregivers during an AOM episode.
Highlights
Acute otitis media (AOM) is one of the most common diseases of childhood and a leading cause of healthcare visits and antibiotic prescriptions [1]
The latest acute otitis media (AOM) episode in the household was selected for assessing the severity of the disease and its consequences on the quality of life (QOL) of the child and of the caregiver
The OM-6 contains a visual analog scale of happy and sad faces allowing the caregiver to rate their child QOL on a 10-point scale. This was replaced by a question on overall QOL of the child during the last AOM episode and responses were sought on a 5-point Likert scale ranging from 1 to 5
Summary
Setting and study population In May-June 2008, a telephone survey was conducted in a stratified sample of households in all Canadian provinces by a contracted company using random-digit dialling. The latest AOM episode in the household was selected for assessing the severity of the disease and its consequences on the QOL of the child and of the caregiver. The OM-6 is a disease-specific self-administered questionnaire covering 6 domains (physical suffering, hearing loss, speech impairment, emotional distress, activity limitations, and caregivers concerns), each one being assessed by a single question [8,18]. The OM-6 contains a visual analog scale of happy and sad faces allowing the caregiver to rate their child QOL on a 10-point scale This was replaced by a question on overall QOL of the child during the last AOM episode and responses were sought on a 5-point Likert scale ranging from 1 (very poor QOL) to 5 (very good QOL). A mean severity score was calculated representing the perceived consequences of the child’s last AOM episode for caregivers.
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