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Table 5 Health-related quality of life for parents (SF-36®) and their children [Child Health-Related Quality of Life (PedsQL™) and Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD®)] and Family-Centreedness of Care (MPOC©)

From: Integrated complex care coordination for children with medical complexity: A mixed-methods evaluation of tertiary care-community collaboration

 

Baselinea

6 Months

12 Months

*P value

*P value (T1-T2)

*P value (T2-T3)

*P value (T1-T3)

 

Mean (SD)

Median (IQR)

Mean (SD)

Median (IQR)

Mean (SD)

Median (IQR)

    

SF-36® a

          

Physical Functioning

88.5 (14.8 )

95 (20)

86.7 (23.8)

100 (20)

85.1 (22.8)

95 (20)

0.79

   

Role – Physical

75.9 (37.2 )

100 (50)

81.5 (36.1)

10 (0)

77.9 (37.4)

100 (50)

0.58

   

Bodily Pain

71.9 (26.5)

74 (49)

74.6 (30.0)

84 (39)

76.3 (24.3)

80 (39)

0.49

   

General Health

71.3 (21.9)

75 (33)

72.0 (22.1)

77 (25)

67.2 (25.8)

75 (25)

0.52

   

Vitality

52.9 (25.3)

55 (40)

54.8 (22.9)

60 (30)

51.7 (22.2)

50 (30)

0.88

   

Social Functioning

74.2 (29.9)

87.5 (37.5)

75.3 (29.6)

87.5 (50.0)

77.4 (24.7)

87.5 (37.5)

0.64

   

Role - Emotional

77.6 (38.0 )

100.0 (33.3)

80.9 (36.8)

100.0 (0)

77.0 (41.9)

100 (33.3)

0.91

   

Mental Health

72.7 (20.8)

80 (28)

72.7 (19.9)

76 (28)

71.4 (20.7)

76 (28)

0.98

   

PedsQL™ b 

          

Average

43.6 (14.3)

43.5 (18.1)

46.4 (18.7)

45.7 (30.2)

47.9 (20.3)

44.6 (28.8)

0.08

   

Physical

32.4 (26.9)

21.9 (45.3)

32.9 (29.6)

25.0 (40.6)

35.2 (32.9)

22.9 (46.9)

0.16

   

Emotional

63.4 (22.1)

70.0 (33.8)

66.1 (21.2)

65.0 (31.3)

68.7 (21.8)

70.0 (30.0)

0.02

0.003

0.83

0.48

Social

46.0 (19.0)

45.0 (27.5)

53.5(19.3)

50.0 (25.0)

52.7 (24.8)

50.0 (20.0)

0.006

0.011

0.98

0.09

School

38.5 (22.6)

35.0 (25.0)

41.8 (22.7)

40.0 (27.5)

42.8 (23.8)

40.0 (30.0)

0.97

   

CPCHILD® c

          

Personalized Care/Activities of Daily Living

43.4 (21.1)

44.4 (26.5)

45.7 (18.3)

44.4 (22.2)

42.4 (21.7)

37.0 (28.4)

0.48

   

Positioning, Transferring and Mobility

50.4 (26.6)

42.4 (41.3)

49.4 (26.4)

48.6 (37.5)

48.3 (28.0)

41.7 (38.5)

0.48

   

Comfort and Emotions

81.7 (15.8)

86.5 (21.0)

84.8 (15.4)

87.3 (17.5)

80.1 (20.6)

84.9 (21.8)

0.0006

0.21

0.002

0.03

Communication and Social Interaction

54.1 (21.7)

54.8 (27.4)

50.0 (25.4)

50.0 (39.9)

54.5 (25.0)

52.4 (33.3)

0.12

   

Health Standardized Section

61.0 (19.7)

60.0 (26.7)

63.7 (17.9)

60.0 (26.7)

63.1 (20.9)

66.7 (28.3)

0.02

0.1

0.99

0.04

Child's Overall Quality of Life

63.1 (21.5)

60.0 (20.0)

63.9 (22.2)

60.0 (40.0)

59.7 (25.9)

60.0 (40.0)

0.10

   

Total Score

58.2 (15.4)

57.0 (19.9)

59.0 (16.1)

57.6 (21.9)

58.4 (18.2)

56.1 (25.5)

0.0012

0.27

0.07

0.003

MPOC© d

          

Enabling and Partnership

5.4 (1.4)

5.5 (1.4)

5.5 (1.6)

6.0 (1.3)

5.9 (1.4)

6.0 (1.7)

0.03

0.85

0.65

0.01

Providing General Information

4.2 (1.5)

4.3 (2.3)

4.8 (1.8)

5.2 (2.4)

4.8 (1.8)

5.4 (2.0)

0.03

0.1

0.09

0.08

Providing Specific Information about the Child

5.3 (1.5)

5.7 (2.0)

5.4 (1.7)

6.0 (2.0)

5.6 (1.6)

6.0 (1.3)

0.08

   

Coordinated and Comprehensive care

5.5 (1.2)

5.9 (1.5)

5.9 (1.1)

6.3 (1.3)

6.0 (1.2)

6.3 (1.0)

0.002

0.13

0.42

0.004

Respectful and Supportive Care

5.6 (1.0)

5.8 (1.4)

6.0 (0.9)

6.0 (1.4)

6.0 (1.3)

6.2 (1.0)

0.001

0.02

0.07

0.01

  1. * Analysis using Friedman test; post-hoc testing on results where p<.05 with Sidak adjustments used to adjust the p value for multiple comparisons.
  2. a Data available for n=79 at baseline, n=76 at 6 months, n=77 at 12 months.
  3. b For children ≥ 2 years (data available for n=54 at baseline, n=61 at 6 months, n=58 at 12 months).
  4. c For children ≥ 1 year (data available for n=65 at baseline, n=72 at 6 months, n=72 at 12 months).
  5. d Data available for n=73 at baseline, n=76 at 6 months, n=78 at 12 months.