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Related Concept Videos

Assessment of the Gastrointestinal System I: Subjective Data01:17

Assessment of the Gastrointestinal System I: Subjective Data

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PedsQL gastrointestinal symptoms module: feasibility, reliability, and validity.

James W Varni1, Cristiane B Bendo, Jolanda Denham

  • 1*Department of Pediatrics, College of Medicine, Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station †Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil ‡Division of Pediatric Gastroenterology, Nationwide Children's Hospital, Ohio State University School of Medicine, Columbus §Department of Pediatrics, Baylor College of Medicine, Children's Nutrition Research Center ||Departments of Psychiatry and Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston ¶Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, Aurora #Center for Motility and Functional Gastrointestinal Disorders, Boston Children's Hospital, Harvard Medical School, Boston, MA **Division of Pediatric Gastroenterology, Children's Medical Center of Dallas, University of Texas Southwestern Medical School, Dallas ††Division of Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH ‡‡Division of Gastroenterology, Hepatology, and Nutrition, Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL §§Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Goryeb Children's Hospital, Morristown Medical Center, Morristown, NJ ||||Department of Pediatric Gastroenterology, Primary Children's Hospital, University of Utah, Salt Lake City.

Journal of Pediatric Gastroenterology and Nutrition
|May 9, 2014
PubMed
Summary

The Pediatric Quality of Life Inventory (PedsQL) Gastrointestinal Symptoms Module shows strong reliability and validity for assessing GI symptoms in children. This tool aids in comparing symptoms across various pediatric gastrointestinal disorders.

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Area of Science:

  • Pediatric gastroenterology
  • Health outcomes research
  • Psychometrics

Background:

  • Pediatric functional gastrointestinal disorders (FGIDs) and organic GI diseases significantly impact children's quality of life.
  • Standardized and validated tools are essential for assessing GI symptoms in pediatric populations.
  • The Pediatric Quality of Life Inventory (PedsQL) Gastrointestinal Symptoms Module aims to address this need.

Purpose of the Study:

  • To evaluate the measurement properties of the PedsQL Gastrointestinal Symptoms Module.
  • To assess its utility for patient self-report (ages 5-18) and parent proxy-report (ages 2-18).
  • To determine its suitability for children with both functional and organic GI disorders.

Main Methods:

  • A 74-item PedsQL GI Module and 23-item PedsQL Generic Core Scales were administered.
  • Data collected from 584 patients (ages 2-18) and 682 parents across 9 study sites.
  • Patients diagnosed with various GI disorders including IBS, functional abdominal pain, and Crohn's disease.

Main Results:

  • Fourteen unidimensional scales were identified, covering symptoms like stomach pain, nausea, and constipation.
  • Excellent reliability was demonstrated for Total Scale Scores (patient self-report α=0.97, parent proxy-report α=0.97).
  • Good-to-excellent reliability was found for individual scales, with construct and known-groups validity generally supported.

Conclusions:

  • The PedsQL GI Module Scales exhibit acceptable-to-excellent measurement properties.
  • The module can serve as a common metric for comparing GI symptoms in clinical research and practice.
  • It is applicable across diverse pediatric patient groups with FGIDs and organic GI diseases.