Validation of the Pediatric Eye Questionnaire in Children with Visual Impairment

David A Leske1, Sarah R Hatt1, Yolanda S Castañeda2

  • 1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.

Insights

The Pediatric Eye Questionnaire (PedEyeQ) effectively validated its use in visually impaired children, showing lower scores across key domains compared to normal-vision peers. This confirms PedEyeQ

Area of Science:

  • Ophthalmology and Vision Science
  • Pediatric Health
  • Psychometrics and Health Outcomes Measurement

Background:

  • Assessing the quality of life and functional vision in children with visual impairments is crucial for targeted interventions.
  • Existing tools may not adequately capture the unique experiences of visually impaired children and their families.
  • The Pediatric Eye Questionnaire (PedEyeQ) was developed to address this need.

Purpose of the Study:

  • To perform an initial validation of the newly developed Pediatric Eye Questionnaire (PedEyeQ).
  • To evaluate the PedEyeQ's performance in both visually impaired and visually normal pediatric populations.
  • To establish the known-group validity of the PedEyeQ.

Main Methods:

  • A cross-sectional questionnaire validation study involving 48 visually impaired children and 59 visually normal controls aged 5 to 17 years.
  • Children completed age-specific Child PedEyeQ versions (5-11 and 12-17 years).
  • Parents completed Proxy PedEyeQ (0-4, 5-11, 12-17 years) and Parent PedEyeQ versions. Rasch analysis was used to calculate domain scores, which were compared between groups.

Main Results:

  • Visually impaired children scored significantly lower (indicating worse outcomes) than controls across most Child PedEyeQ domains (P < .007).
  • Proxy and Parent PedEyeQ scores were also significantly lower for visually impaired children and their parents across all domains (P < .001).
  • The social domain in 5-11-year-olds was an exception, showing no significant difference between groups (P = .13).

Conclusions:

  • The PedEyeQ demonstrated known-group validity, accurately differentiating between visually impaired and visually normal children.
  • Lower scores in visually impaired children and their parents highlight the impact of visual impairment on functional vision and quality of life.
  • The findings support the PedEyeQ as a valuable tool for assessing eye-related quality of life in pediatric populations.
Abstract

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