Does the PedsQL reflect the real-time quality of life in autistic adolescents? A comparison with the experience sampling methodology.
Disabil Health J
; : 101690, 2024 Aug 22.
Article
in En
| MEDLINE
| ID: mdl-39174385
ABSTRACT
BACKGROUND:
The PedsQL is widely used to retrospectively evaluate quality of life (QoL) in autistic adolescents. However, concerns have arisen regarding its ability to reflect real-time QoL, considering their challenges in recollecting past experiences.OBJECTIVE:
We examined the overall and social QoLs of autistic adolescents compared to neurotypical peers using the PedsQL and the experience sampling method (ESM), an ecological momentary assessment of QoL in real-time. Additionally, we explored the relationship between these measures in each group.METHODS:
A total of 175 participants, including 117 autistic and 58 neurotypical adolescents aged 10-16, completed the PedsQL and an ESM protocol with a mobile device to record their real-time experiences seven times a day for seven days. We performed multiple linear regression and multilevel analyses to compare QoLs between groups and the association between the two measures.RESULTS:
Autistic adolescents scored significantly lower than neurotypical peers on PedsQL overall and social QoL but not on the real-time experiences collected with ESM. Among neurotypical adolescents, we found significant associations between the Social Functioning score of the PedsQL and various aspects of real-time social experiences recorded with ESM. For autistic adolescents, only the real-time experience of 'loneliness' during social engagement was associated with Social Functioning on the PedsQL.CONCLUSIONS:
The retrospective PedsQL does not entirely capture the real-time QoL via ESM. However, relying solely on ESM may overlook situations where participants opt out or could not complete surveys. Thus, using both retrospective and real-time assessments to examine QoL among autistic adolescents is recommended.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Disabil Health J
Journal subject:
REABILITACAO
/
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Affiliation country:
Taiwan
Country of publication:
United States