Parent-reported birth information: birth weight, birth length and gestational age. Validation study in the SENDO project
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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Laura Moreno-Galarraga1, Noelia Álvarez-Zallo2, Asier Oliver-Olid3
1Pediatrics Department, Complejo Hospital de Navarra, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain; IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.
Insights
Parent-reported birth weight and gestational age data are valid for epidemiological research, showing high correlations and excellent agreement even years after delivery. This study validates online questionnaires for collecting reliable birth information.
Area of Science:
- Pediatric Epidemiology
- Biostatistics
- Public Health
Background:
- Parent-reported data is often used in epidemiological studies.
- The validity of retrospective parent-reported birth data collected via online questionnaires requires robust evaluation.
Purpose of the Study:
- To assess the accuracy of parent-reported birth measurements (weight, length, gestational age) collected through an online questionnaire.
- To determine the validity of using parent-reported birth data in long-term epidemiological research.
Main Methods:
- Prospective cohort study (SENDO project) of Spanish children aged 4-6 years.
- Comparison of parent-reported birth data with objective medical birth records.
- Statistical analysis using intra-class correlation coefficients (ICC) and weighted Kappa index.
Main Results:
- High response rates for birth weight (>99%) and gestational age (>99%).
- Very high correlation for birth weight (ICC=0.95) and excellent agreement for gestational age (Kappa=0.90).
- High correlation for birth length (ICC=0.78) and substantial agreement.
Conclusions:
- Parent-reported birth data, particularly birth weight and gestational age, demonstrate high validity and agreement when collected via online questionnaires.
- These findings support the use of parent-reported birth data in epidemiological research, even when collected years after the event.
- Online self-administered questionnaires are a reliable tool for gathering accurate birth information for research purposes.
Objective:
To test the validity of parent-reported birth information obtained through an online, self-administered questionnaire.
Method:
The SENDO project is a prospective and dynamic paediatric cohort of Spanish children aged 4 to 6 years old at recruitment. Objective data from medical birth records were compared to parent-reported data getting intra-class correlation coefficients (ICC) for quantitative variables and weighted Kappa Index for qualitative ones. Percentage of responders and of total agreement was also evaluated.
Results:
Parental response rate was over 99% for birth weight and gestational age and 76% for birth length. ICC for birth weight was 0.95 (95% confidence interval [95%CI]: 0.94-0.96) and 0.78 (95%CI: 0.73-0.83) for birth length, both showing very high correlations. The total agreement percentage for gestational age was 97%, and Kappa weighted index was 0.90 (95%CI: 0.89-0.90), showing a very high agreement as well.
Conclusions:
We found high correlations and excellent agreement in parent-reported birth data 4 to 6 years after delivery. Our results show parent-reported birth data, especially birth weight, are valid for use in epidemiological research.
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