Julia Schuchard1, Courtney K Blackwell2, Jody M Ganiban3, Angelo P Giardino4, Monica McGrath5, Phillip Sherlock2, Dana M Dabelea6, Sean C L Deoni7, Catherine Karr8, Cindy T McEvoy9, Barron Patterson10, Sara Santarossa11, Sheela Sathyanarayana8, Irene Tung12, Christopher B Forrest13. 1. Department of Pediatrics (J Schuchard, CB Forrest), Children's Hospital of Philadelphia, Philadelphia, Pa. Electronic address: schuchardj@chop.edu. 2. Department of Medical Social Sciences (CK Blackwell, P Sherlock), Northwestern University Feinberg School of Medicine, Chicago, Ill. 3. Department of Psychological & Brain Sciences (JM Ganiban), George Washington University, Washington, DC. 4. Department of Pediatrics (AP Giardino), University of Utah School of Medicine, Salt Lake City, Utah. 5. Department of Epidemiology (M McGrath), Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md. 6. Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center (DM Dabelea), University of Colorado Anschutz, Aurora, Colo. 7. Department of Radiology and Pediatrics, Bill & Melinda Gates Foundation (SCL Deoni), Brown University, Pawtucket, RI. 8. Department of Pediatrics (C Karr, S Sathyanarayana), University of Washington, Seattle, Wash. 9. Department of Pediatrics (CT McEvoy), Oregon Health & Science University, Portland, Ore. 10. Department of Pediatrics (B Patterson), Vanderbilt University Medical Center, Nashville, Tenn. 11. Department of Public Health Sciences (S Santarossa), Henry Ford Health System, Detroit, Mich. 12. Department of Psychiatry (I Tung), University of Pittsburgh, Pittsburgh, Pa. 13. Department of Pediatrics (J Schuchard, CB Forrest), Children's Hospital of Philadelphia, Philadelphia, Pa.
Abstract
OBJECTIVE: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. METHODS: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. RESULTS: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. CONCLUSIONS: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.
OBJECTIVE: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. METHODS: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. RESULTS: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. CONCLUSIONS: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.
Authors: Courtney K Blackwell; Amy J Elliott; Jody Ganiban; Julie Herbstman; Kelly Hunt; Christopher B Forrest; Carlos A Camargo Journal: Pediatrics Date: 2019-05-06 Impact factor: 7.124
Authors: Julia Schuchard; Adam C Carle; Michael D Kappelman; Carole A Tucker; Christopher B Forrest Journal: Acad Pediatr Date: 2022-01-05 Impact factor: 2.993
Authors: Courtney K Blackwell; Lauren E Hartstein; Amy J Elliott; Christopher B Forrest; Jody Ganiban; Kelly J Hunt; Carlos A Camargo; Monique K LeBourgeois Journal: Qual Life Res Date: 2020-05-12 Impact factor: 4.147