S Karande1, R Venkataraman. 1. Department of Pediatrics, Division of Pediatric Neurology, Learning Disability Clinic, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
Abstract
BACKGROUND: Specific learning disability (SpLD) often remains undetected, resulting in the afflicted child experiencing chronic poor school performance. AIMS: To measure and analyze the self-perceived health-related quality of life (HRQoL) of children with newly-diagnosed SpLD. SETTINGS AND DESIGN: Cross-sectional questionnaire-based study in our clinic. MATERIALS AND METHODS: From February to December 2008, 150 children consecutively diagnosed as having SpLD were enrolled and their HRQoL documented using the DISABKIDS chronic generic module self-report version instrument. STATISTICAL ANALYSIS: Multiple regression analysis was carried out for determining the 'independent' impact that each of the clinical and socio-demographic variables had on a poor facet score outcome and on a poor total score outcome. RESULTS: Clinically significant deficits were detected in all 6 facets, namely: 'large deficits (effect size ≥-0.8)' in "social exclusion", "emotion", "limitation", "treatment", and "independence"; and 'medium deficit (effect size -0.5 to <-0.8)' in "social inclusion"; and 'large deficit' in "total score". Multivariate analysis revealed that: (i) not belonging to the upper socio-economic strata of society was an independent predictor of a poor "independence" facet outcome (P=0.010, OR=1.99, 95% CI: 1.18 to 3.37); (ii) not having experienced class detainment was an independent predictor of a poor "emotion" facet outcome (P=0.008, OR=3.04, 95% CI: 1.34 to 6.85); (iii) first-born status was an independent predictor of a poor "limitation" facet outcome (P=0.022, OR=2.60, 95% CI: 1.15 to 5.90); and (iv) female gender was an independent predictor of a poor "social exclusion" facet outcome (P=0.024, OR=0.28, 95% CI: 0.09 to 0.85) and a poor "overall health" outcome (P=0.025, OR=0.32, 95% CI: 0.12 to 0.87). CONCLUSIONS: Children with newly-diagnosed SpLD perceive their psychosocial, physical, and overall HRQoL to be significantly compromised.
BACKGROUND: Specific learning disability (SpLD) often remains undetected, resulting in the afflicted child experiencing chronic poor school performance. AIMS: To measure and analyze the self-perceived health-related quality of life (HRQoL) of children with newly-diagnosed SpLD. SETTINGS AND DESIGN: Cross-sectional questionnaire-based study in our clinic. MATERIALS AND METHODS: From February to December 2008, 150 children consecutively diagnosed as having SpLD were enrolled and their HRQoL documented using the DISABKIDS chronic generic module self-report version instrument. STATISTICAL ANALYSIS: Multiple regression analysis was carried out for determining the 'independent' impact that each of the clinical and socio-demographic variables had on a poor facet score outcome and on a poor total score outcome. RESULTS: Clinically significant deficits were detected in all 6 facets, namely: 'large deficits (effect size ≥-0.8)' in "social exclusion", "emotion", "limitation", "treatment", and "independence"; and 'medium deficit (effect size -0.5 to <-0.8)' in "social inclusion"; and 'large deficit' in "total score". Multivariate analysis revealed that: (i) not belonging to the upper socio-economic strata of society was an independent predictor of a poor "independence" facet outcome (P=0.010, OR=1.99, 95% CI: 1.18 to 3.37); (ii) not having experienced class detainment was an independent predictor of a poor "emotion" facet outcome (P=0.008, OR=3.04, 95% CI: 1.34 to 6.85); (iii) first-born status was an independent predictor of a poor "limitation" facet outcome (P=0.022, OR=2.60, 95% CI: 1.15 to 5.90); and (iv) female gender was an independent predictor of a poor "social exclusion" facet outcome (P=0.024, OR=0.28, 95% CI: 0.09 to 0.85) and a poor "overall health" outcome (P=0.025, OR=0.32, 95% CI: 0.12 to 0.87). CONCLUSIONS:Children with newly-diagnosed SpLD perceive their psychosocial, physical, and overall HRQoL to be significantly compromised.
Authors: Mette-Marie Zacher Kjeldsen; Christina Malmose Stapelfeldt; Louise Lindholdt; Thomas Lund; Merete Labriola Journal: BMC Public Health Date: 2019-05-10 Impact factor: 3.295
Authors: Yanhong Huang; Meirong He; Anna Li; Yuhang Lin; Xuanzhi Zhang; Kusheng Wu Journal: Int J Environ Res Public Health Date: 2020-02-22 Impact factor: 3.390