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Published in: Child's Nervous System 1/2007

01-01-2007 | Original Paper

Developing a health-related quality of life instrument for childhood brain tumor survivors

Authors: Jin-Shei Lai, David Cella, Tadanori Tomita, Rita K. Bode, Monica Newmark, Stewart Goldman

Published in: Child's Nervous System | Issue 1/2007

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Abstract

Objects

With improved treatment, many childhood brain tumor survivors live through adulthood. A psychometrically sound instrument, which can capture their unique experiences through the lifetime, is needed. This paper documents the development of the Pediatric Functional Assessment of Cancer Therapy–Childhood Brain Tumor Survivor (PedsFACT-BrS) for use with survivors for at least 1 year posttreatment.

Methods

The PedsFACT-BrS was developed in two phases. In phase I, items were generated via interviewing 20 survivors, 20 caregivers, and 12 clinicians/teachers. In phase II, Rasch analysis and classical test theory were used to evaluate the responses of 46 survivors and 46 caregivers.

Conclusion

The 34-item PedsFACT-BrS covers four domains: physical well-being, emotional well-being and illness experiences, social well-being, and brain tumor-specific concerns. Its scalability is supported by Rasch analysis and its content validity and reliability is documented. It is now ready to be validated to other subpopulations across the disease trajectory.
Literature
1.
go back to reference Butler RW, Mulhern RK (2005) Neurocognitive interventions for children and adolescents surviving cancer. J Pediatr Psychol 30:65–78PubMedCrossRef Butler RW, Mulhern RK (2005) Neurocognitive interventions for children and adolescents surviving cancer. J Pediatr Psychol 30:65–78PubMedCrossRef
2.
go back to reference American Cancer Society (2003) Cancer facts & figures 2003. American Cancer Society, Atlanta, GA American Cancer Society (2003) Cancer facts & figures 2003. American Cancer Society, Atlanta, GA
3.
go back to reference Reddickaij WE, Russell JM, Glass JO et al (2000) Subtle white matter volume differences in children treated for medulloblastoma with conventional or reduced dose craniospinal irradiation. Magn Reson Imaging 18:787–793CrossRef Reddickaij WE, Russell JM, Glass JO et al (2000) Subtle white matter volume differences in children treated for medulloblastoma with conventional or reduced dose craniospinal irradiation. Magn Reson Imaging 18:787–793CrossRef
4.
go back to reference Elkin TD, Phipps S, Mulhern RK, Fairclough D (1997) Psychological functioning of adolescent and young adult survivors of pediatric malignancy. Med Pediatr Oncol 29:582–588PubMedCrossRef Elkin TD, Phipps S, Mulhern RK, Fairclough D (1997) Psychological functioning of adolescent and young adult survivors of pediatric malignancy. Med Pediatr Oncol 29:582–588PubMedCrossRef
5.
go back to reference Parsons SK, Brown AP (1998) Evaluation of quality of life of childhood cancer survivors: a methodological conundrum. Med Pediatr Oncol Suppl 1:46–53CrossRef Parsons SK, Brown AP (1998) Evaluation of quality of life of childhood cancer survivors: a methodological conundrum. Med Pediatr Oncol Suppl 1:46–53CrossRef
6.
go back to reference Bergeron JA, Maddrey AM, McDonald NK et al (2001) Neuropsychological functioning of >10 year survivors of childhood medulloblastoma. In: Annual meeting of the American Society of Clinical Oncology program/proceeding, San Francisco, California, 2001 Bergeron JA, Maddrey AM, McDonald NK et al (2001) Neuropsychological functioning of >10 year survivors of childhood medulloblastoma. In: Annual meeting of the American Society of Clinical Oncology program/proceeding, San Francisco, California, 2001
7.
go back to reference Walter AW, Mulhern RK, Gajjar A et al (1999) Survival and neurodevelopmental outcome of young children with medulloblastoma at St Jude Children’s Research Hospital. J Clin Oncol 17:3720–3728PubMed Walter AW, Mulhern RK, Gajjar A et al (1999) Survival and neurodevelopmental outcome of young children with medulloblastoma at St Jude Children’s Research Hospital. J Clin Oncol 17:3720–3728PubMed
8.
go back to reference Packer RJ, Boyett JM, Janss AJ et al (2001) Growth hormone replacement therapy in children with medulloblastoma: use and effect on tumor control. J Clin Oncol 19:480–487PubMed Packer RJ, Boyett JM, Janss AJ et al (2001) Growth hormone replacement therapy in children with medulloblastoma: use and effect on tumor control. J Clin Oncol 19:480–487PubMed
9.
go back to reference Packer RJ, Meadows AT, Rorke LB, Goldwein JL, D’Angio G (1987) Long-term sequelae of cancer treatment on the central nervous system in childhood. Med Pediatr Oncol 15:241–253PubMed Packer RJ, Meadows AT, Rorke LB, Goldwein JL, D’Angio G (1987) Long-term sequelae of cancer treatment on the central nervous system in childhood. Med Pediatr Oncol 15:241–253PubMed
10.
go back to reference Mulhern RK, Wasserman AL, Friedman AG, Fairclough D (1989) Social competence and behavioral adjustment of children who are long-term survivors of cancer. Pediatrics 83:18–25PubMed Mulhern RK, Wasserman AL, Friedman AG, Fairclough D (1989) Social competence and behavioral adjustment of children who are long-term survivors of cancer. Pediatrics 83:18–25PubMed
11.
go back to reference O’Malley JE, Foster D, Koocher G, Slavin L (1980) Visible physical impairment and psychological adjustment among pediatric cancer survivors. Am J Psychiatry 137:94–96PubMed O’Malley JE, Foster D, Koocher G, Slavin L (1980) Visible physical impairment and psychological adjustment among pediatric cancer survivors. Am J Psychiatry 137:94–96PubMed
12.
go back to reference Koocher G, O’Malley J (1981) The Damocles syndrome, psychological consequences of surviving childhood cancer. McGraw-Hill, New York Koocher G, O’Malley J (1981) The Damocles syndrome, psychological consequences of surviving childhood cancer. McGraw-Hill, New York
13.
go back to reference Carpentieri SC, Mulhern RK, Douglas S, Hanna S et al (1993) Behavioral resiliency among children surviving brain tumors: a longitudinal study. J Clin Child Psychol 22:236–246CrossRef Carpentieri SC, Mulhern RK, Douglas S, Hanna S et al (1993) Behavioral resiliency among children surviving brain tumors: a longitudinal study. J Clin Child Psychol 22:236–246CrossRef
14.
go back to reference Vannatta K, Gartstein MA, Short A, Noll RB (1998) A controlled study of peer relationships of children surviving brain tumors: teacher, peer, and self ratings. J Pediatr Psychol 23:279–287PubMed Vannatta K, Gartstein MA, Short A, Noll RB (1998) A controlled study of peer relationships of children surviving brain tumors: teacher, peer, and self ratings. J Pediatr Psychol 23:279–287PubMed
15.
go back to reference Kennedy CR, Leyland K (1999) Comparison of screening instruments for disability and emotional/behavioral disorders with a generic measure of health-related quality of life in survivors of childhood brain tumors. Int J Cancer Suppl 12:106–111PubMedCrossRef Kennedy CR, Leyland K (1999) Comparison of screening instruments for disability and emotional/behavioral disorders with a generic measure of health-related quality of life in survivors of childhood brain tumors. Int J Cancer Suppl 12:106–111PubMedCrossRef
16.
go back to reference Butler RW, Copeland DR (2002) Attentional processes and their remediation in children treated for cancer: a literature review and the development of a therapeutic approach. J Int Neuropsychol Soc 8:115–124PubMedCrossRef Butler RW, Copeland DR (2002) Attentional processes and their remediation in children treated for cancer: a literature review and the development of a therapeutic approach. J Int Neuropsychol Soc 8:115–124PubMedCrossRef
17.
go back to reference National Cancer Institute (2001) Pediatric brain tumors. National Cancer Institute National Cancer Institute (2001) Pediatric brain tumors. National Cancer Institute
18.
go back to reference Mulhern RK, Wasserman AL, Friedman AG, Fairclough D (1989) Social competence and behavioral adjustment of children who are long-term survivors of cancer. Pediatrics 83:18–25PubMed Mulhern RK, Wasserman AL, Friedman AG, Fairclough D (1989) Social competence and behavioral adjustment of children who are long-term survivors of cancer. Pediatrics 83:18–25PubMed
19.
go back to reference Landgraf J, Abetz L, Ware J (1996) Child Health Questionnaire (CHQ): a user’s manual. Integrated Therapeutics Group, Boston, MA Landgraf J, Abetz L, Ware J (1996) Child Health Questionnaire (CHQ): a user’s manual. Integrated Therapeutics Group, Boston, MA
20.
go back to reference Carpentieri SC, Meyer EA, Delaney BL et al (2003) Psychosocial and behavioral functioning among pediatric brain tumor survivors. J Neurooncol 63:279–287PubMedCrossRef Carpentieri SC, Meyer EA, Delaney BL et al (2003) Psychosocial and behavioral functioning among pediatric brain tumor survivors. J Neurooncol 63:279–287PubMedCrossRef
21.
go back to reference Reynolds CR, Kemphaus RW (1992) Behavior assessment system for children (BASC) AGS, Minnesota Reynolds CR, Kemphaus RW (1992) Behavior assessment system for children (BASC) AGS, Minnesota
22.
go back to reference Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P (2002) The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module. Cancer 94:2090–2106PubMedCrossRef Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P (2002) The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module. Cancer 94:2090–2106PubMedCrossRef
23.
go back to reference Bhat SR, Goodwin TL, Burwinkle TM et al (2005) Profile of daily life in children with brain tumors: an assessment of health-related quality of life. J Clin Oncol 20:5493–5500CrossRef Bhat SR, Goodwin TL, Burwinkle TM et al (2005) Profile of daily life in children with brain tumors: an assessment of health-related quality of life. J Clin Oncol 20:5493–5500CrossRef
24.
go back to reference Maddrey AM, Bergeron JA, Lombardo ER et al (2005) Neuropsychological performance and quality of life of 10 year survivors of childhood medulloblastoma. J Neurooncol 72:245–253PubMedCrossRef Maddrey AM, Bergeron JA, Lombardo ER et al (2005) Neuropsychological performance and quality of life of 10 year survivors of childhood medulloblastoma. J Neurooncol 72:245–253PubMedCrossRef
25.
go back to reference Patenaude AF, Kupst MJ (2005) Psychosocial functioning in pediatric cancer. J Pediatr Psychol 30:9–27PubMedCrossRef Patenaude AF, Kupst MJ (2005) Psychosocial functioning in pediatric cancer. J Pediatr Psychol 30:9–27PubMedCrossRef
26.
go back to reference Cella D (1997) Manual of the Functional Assessment of Chronic Illness Therapy (FACIT Scales) Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare and Northwestern University, Evanston IL Cella D (1997) Manual of the Functional Assessment of Chronic Illness Therapy (FACIT Scales) Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare and Northwestern University, Evanston IL
27.
go back to reference Lai J-S, Cella D, Chang C-H, Bode R, Heinemann AW (2003) Item banking to improve, shorten and computerize self-reported fatigue: an illustration of steps to create a core item bank from the FACIT-Fatigue Scale. Qual Life Res 12:485–501PubMedCrossRef Lai J-S, Cella D, Chang C-H, Bode R, Heinemann AW (2003) Item banking to improve, shorten and computerize self-reported fatigue: an illustration of steps to create a core item bank from the FACIT-Fatigue Scale. Qual Life Res 12:485–501PubMedCrossRef
28.
go back to reference Baker FB (2001) The basics of item response theory. ERIC Clearinghouse on Assessment and Evaluation, College Park, MD Baker FB (2001) The basics of item response theory. ERIC Clearinghouse on Assessment and Evaluation, College Park, MD
29.
go back to reference Hambleton RK (1989) Principles and selected applications of item response theory. In: Linn R (ed) Educational measurement, 3rd edn. American Council on Education, New York, pp 147–200 Hambleton RK (1989) Principles and selected applications of item response theory. In: Linn R (ed) Educational measurement, 3rd edn. American Council on Education, New York, pp 147–200
30.
go back to reference Linacre JM (2002) WINSTEPS: Rasch analysis for all two-facet models. MESA Press, Chicago, IL Linacre JM (2002) WINSTEPS: Rasch analysis for all two-facet models. MESA Press, Chicago, IL
31.
go back to reference Wright BD, Tennant A (1996) Sample size again. Rasch Measurement Transactions 9:468 Wright BD, Tennant A (1996) Sample size again. Rasch Measurement Transactions 9:468
32.
go back to reference Linacre JM (1994) Sample size and item calibration stability. Rasch Measurement Transactions 7:328 Linacre JM (1994) Sample size and item calibration stability. Rasch Measurement Transactions 7:328
33.
go back to reference Andrich D (1978) A rating formulation for ordered response categories. Psychometrika 31:84–98 Andrich D (1978) A rating formulation for ordered response categories. Psychometrika 31:84–98
34.
go back to reference Nunnally JC, Bernstein IH (1994) Psychometric theory. McGraw-Hill, New York Nunnally JC, Bernstein IH (1994) Psychometric theory. McGraw-Hill, New York
35.
go back to reference MetaMetrics (1995) The LEXILE framework for reading. MetaMetrics, Durham, NC MetaMetrics (1995) The LEXILE framework for reading. MetaMetrics, Durham, NC
36.
go back to reference Lai J-S, Rosenbloom S, Cella D (2004) Using item response theory (IRT) to build illness impact item banks in cancer. Paper presented at ‘advances in health outcomes measurement: exploring the current state and the future applications of item response theory, item banks, and computer-adaptive testing,’ Bethesda, MD, 23–25 June 2004 (sponsored by Drug Information Association and National Cancer Institute) Lai J-S, Rosenbloom S, Cella D (2004) Using item response theory (IRT) to build illness impact item banks in cancer. Paper presented at ‘advances in health outcomes measurement: exploring the current state and the future applications of item response theory, item banks, and computer-adaptive testing,’ Bethesda, MD, 23–25 June 2004 (sponsored by Drug Information Association and National Cancer Institute)
37.
go back to reference Linacre JM (2001) Standardized mean-squares. Rasch Measurement Transactions 15:813 Linacre JM (2001) Standardized mean-squares. Rasch Measurement Transactions 15:813
38.
go back to reference Linacre JM (1996) Sample size again. Rasch Measurement Transactions 9:468 Linacre JM (1996) Sample size again. Rasch Measurement Transactions 9:468
39.
go back to reference Hinds PS, Hockenberry-Eaton M (2001) Developing a research program on fatigue in children and adolescents diagnosed with cancer. J Pediatr Oncol Nurs 18:3–12PubMed Hinds PS, Hockenberry-Eaton M (2001) Developing a research program on fatigue in children and adolescents diagnosed with cancer. J Pediatr Oncol Nurs 18:3–12PubMed
40.
go back to reference Hobbie WL, Stuber M, Meeske K et al (2000) Symptoms of posttraumatic stress in young adult survivors of childhood cancer. J Clin Oncol 18:4060–4066PubMed Hobbie WL, Stuber M, Meeske K et al (2000) Symptoms of posttraumatic stress in young adult survivors of childhood cancer. J Clin Oncol 18:4060–4066PubMed
Metadata
Title
Developing a health-related quality of life instrument for childhood brain tumor survivors
Authors
Jin-Shei Lai
David Cella
Tadanori Tomita
Rita K. Bode
Monica Newmark
Stewart Goldman
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 1/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0176-6

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