Nukhba Zia1, Abdulgafoor M Bachani2, Dan Kajungu3, Edward Galiwango3, Mitchell Loeb4, Marie Diener-West5, Stephen Wegener6, George Pariyo7, Adnan A Hyder8. 1. Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: nukhba.zia@jhu.edu. 2. Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. 3. Iganga-Mayuge Health and Demographic Surveillance Site, Makerere University School of Public Health, Kampala, Uganda. 4. Washington Group on Disability Statistics, Hyattsville, MD, USA. 5. Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 6. Department of Physical Medicine and Rehabilitation, Division of Rehabilitation Psychology and Neuropsychology, Johns Hopkins School of Medicine, Baltimore, USA. 7. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 8. Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Abstract
INTRODUCTION: Empirical data is scare on assessment of concordance between caregiver-child responses on child functioning. OBJECTIVE: To assess correlation and agreement between children (11-17 years old) and their caregivers' responses to the UNICEF/Washington Group Child Functioning Module (CFM) at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Uganda. METHODS: CFM with 24-questions corresponding to 13 domains of functioning was administered to children between 11 and 17 years of age and their caregivers. Descriptive analyses of the child/caregiver responses were conducted. Correlation and agreement between caregiver and child responses were assessed. RESULTS: Of the 217 caregiver/child pairs eligible for this study, 181 pairs agreed to participate (83.4%). The mean age of children was 13.9 ± 1.9 years, and 56.4% were males. Cronbach's alpha was 0.892 and 0.886 for the caregiver and child versions of CFM respectively, showing good internal consistency in both. There was a significant overall agreement between mean score of caregiver (5.36 ± 5.63 out of 39) and child (5.45 ± 5.34) pairs. Spearman's rank correlation between the pairs was 0.806 (strong positive correlation). Bland-Altman plots for CFM scores showed greater agreement between caregiver and child at lower scores. Percentage agreement between the pairs for overall disability was greater for mild (83.53%) and moderate (79.37%) categories as compared to the severe (66.67%) category. There was substantial agreement (kappa 0.623) for overall disability between the pairs. CONCLUSION: This study indicates that there is significant correlation and agreement between self-reported caregiver-child pair responses, opening the way for considering children as CFM respondents, when possible.
INTRODUCTION: Empirical data is scare on assessment of concordance between caregiver-child responses on child functioning. OBJECTIVE: To assess correlation and agreement between children (11-17 years old) and their caregivers' responses to the UNICEF/Washington Group Child Functioning Module (CFM) at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Uganda. METHODS: CFM with 24-questions corresponding to 13 domains of functioning was administered to children between 11 and 17 years of age and their caregivers. Descriptive analyses of the child/caregiver responses were conducted. Correlation and agreement between caregiver and child responses were assessed. RESULTS: Of the 217 caregiver/child pairs eligible for this study, 181 pairs agreed to participate (83.4%). The mean age of children was 13.9 ± 1.9 years, and 56.4% were males. Cronbach's alpha was 0.892 and 0.886 for the caregiver and child versions of CFM respectively, showing good internal consistency in both. There was a significant overall agreement between mean score of caregiver (5.36 ± 5.63 out of 39) and child (5.45 ± 5.34) pairs. Spearman's rank correlation between the pairs was 0.806 (strong positive correlation). Bland-Altman plots for CFM scores showed greater agreement between caregiver and child at lower scores. Percentage agreement between the pairs for overall disability was greater for mild (83.53%) and moderate (79.37%) categories as compared to the severe (66.67%) category. There was substantial agreement (kappa 0.623) for overall disability between the pairs. CONCLUSION: This study indicates that there is significant correlation and agreement between self-reported caregiver-child pair responses, opening the way for considering children as CFM respondents, when possible.
Authors: Wendy J Ungar; Katherine Boydell; Sharon Dell; Brian M Feldman; Deborah Marshall; Andrew Willan; James G Wright Journal: Pharmacoeconomics Date: 2012-08-01 Impact factor: 4.981
Authors: Claudia Cappa; Daniel Mont; Mitchell Loeb; Christina Misunas; Jennifer Madans; Tijana Comic; Filipa de Castro Journal: Disabil Health J Date: 2018-07-18 Impact factor: 2.554
Authors: Nukhba Zia; Mitchell Loeb; Dan Kajungu; Edward Galiwango; Marie Diener-West; Stephan Wegener; George Pariyo; Adnan A Hyder; Abdulgafoor M Bachani Journal: BMC Public Health Date: 2020-09-01 Impact factor: 3.295
Authors: Nukhba Zia; Abdulgafoor M Bachani; Dan Kajungu; Edward Galiwango; Mitchell Loeb; Marie Diener-West; Stephen Wegener; George Pariyo; Adnan A Hyder Journal: PLoS One Date: 2022-04-15 Impact factor: 3.752