PMID- 23340884 OWN - NLM STAT- MEDLINE DCOM- 20140203 LR - 20220321 IS - 1935-5548 (Electronic) IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 36 IP - 7 DP - 2013 Jul TI - Identification of minimal clinically important difference scores of the PedsQL in children, adolescents, and young adults with type 1 and type 2 diabetes. PG - 1891-7 LID - 10.2337/dc12-1708 [doi] AB - OBJECTIVE: To establish minimal clinically important difference (MCID) scores representing the smallest detectable change in quality of life (QOL), using the Pediatric Quality of Life Inventory (PedsQL) Generic Core and Diabetes Module among youth with diabetes and their parents, and to identify demographic and clinical correlates of QOL change over 1 year. RESEARCH DESIGN AND METHODS: Participants in the SEARCH for Diabetes in Youth Study aged >5 years and parents of youth aged <18 years completed PedsQL surveys at their initial and 12-month study visits. MCIDs for each PedsQL module were calculated using one standard error of measurement. Demographic and clinical characteristics associated with QOL change were identified through multiple linear and logistic regression analyses. RESULTS: The sample comprised 5,004 youth (mean age, 12.5 +/- 4.7 years; mean diabetes duration, 3.4 +/- 3.7 years). Of 100 possible points, PedsQL total score MCIDs for youth with type 1 and type 2 diabetes, respectively, were Generic Core, 4.88, 6.27 (parent) and 4.72, 5.41 (youth); Diabetes Module, 4.54, 6.06 (parent) and 5.27, 5.96 (youth). Among 1,402 youth with a follow-up visit, lower baseline QOL, male sex, private insurance, having type 1 diabetes, longer diabetes duration, and better glycemic control predicted improvements in youth- and parent-reported PedsQL total scores over 1 year. Clinically meaningful (>/=1 MCID) improvements in total score for at least one PedsQL module were predicted by private insurance, lower BMI, and lower A1C at baseline. CONCLUSIONS: These diabetes-specific reference points to interpret clinically meaningful change in PedsQL scores can be used in clinical care and research for youth with type 1 and type 2 diabetes. FAU - Hilliard, Marisa E AU - Hilliard ME AD - Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Lawrence, Jean M AU - Lawrence JM FAU - Modi, Avani C AU - Modi AC FAU - Anderson, Andrea AU - Anderson A FAU - Crume, Tessa AU - Crume T FAU - Dolan, Lawrence M AU - Dolan LM FAU - Merchant, Anwar T AU - Merchant AT FAU - Yi-Frazier, Joyce P AU - Yi-Frazier JP FAU - Hood, Korey K AU - Hood KK CN - SEARCH for Diabetes in Youth Study Group LA - eng GR - U01 DP000247/DP/NCCDPHP CDC HHS/United States GR - U18 DP002710/DP/NCCDPHP CDC HHS/United States GR - U48/CCU419249/PHS HHS/United States GR - M01 RR000069/RR/NCRR NIH HHS/United States GR - 200-2010-35171/PHS HHS/United States GR - U18 DP002714/DP/NCCDPHP CDC HHS/United States GR - U58CCU919256/PHS HHS/United States GR - U48/CCU519239/PHS HHS/United States GR - UL1 RR029882/RR/NCRR NIH HHS/United States GR - P30 DK-57516/DK/NIDDK NIH HHS/United States GR - U01 DP000250/DP/NCCDPHP CDC HHS/United States GR - HIR 10-001/HX/HSRD VA/United States GR - U01 DP-000245/DP/NCCDPHP CDC HHS/United States GR - P30 DK057516/DK/NIDDK NIH HHS/United States GR - 1UL1 RR-026314-01/RR/NCRR NIH HHS/United States GR - M01 RR-00037/RR/NCRR NIH HHS/United States GR - U48/CCU819241-3/PHS HHS/United States GR - U01 DP000245/DP/NCCDPHP CDC HHS/United States GR - DP-05-069/DP/NCCDPHP CDC HHS/United States GR - UL1 RR-029882/RR/NCRR NIH HHS/United States GR - U18 DP-002708-01/DP/NCCDPHP CDC HHS/United States GR - U01 DP-000247/DP/NCCDPHP CDC HHS/United States GR - U18 DP-000247-06A1/DP/NCCDPHP CDC HHS/United States GR - U01 DP-000250/DP/NCCDPHP CDC HHS/United States GR - U01 DP-000244/DP/NCCDPHP CDC HHS/United States GR - U01 DP000248/DP/NCCDPHP CDC HHS/United States GR - U48/CCU919219/PHS HHS/United States GR - M01 RR000037/RR/NCRR NIH HHS/United States GR - U01 DP-000254/DP/NCCDPHP CDC HHS/United States GR - U01 DP000244/DP/NCCDPHP CDC HHS/United States GR - DP-10-001/DP/NCCDPHP CDC HHS/United States GR - U18 DP-002714/DP/NCCDPHP CDC HHS/United States GR - U18 DP-002710-01/DP/NCCDPHP CDC HHS/United States GR - CC999999/Intramural CDC HHS/United States GR - U01 DP-000248/DP/NCCDPHP CDC HHS/United States GR - U58/CCU019235-4/PHS HHS/United States GR - U18 DP002709/DP/NCCDPHP CDC HHS/United States GR - U01 DP-000246/DP/NCCDPHP CDC HHS/United States GR - K23 DK089017/DK/NIDDK NIH HHS/United States GR - U18 DP-002709/DP/NCCDPHP CDC HHS/United States GR - M01 RR-00069/RR/NCRR NIH HHS/United States GR - U01 DP000246/DP/NCCDPHP CDC HHS/United States GR - U01 DP000254/DP/NCCDPHP CDC HHS/United States GR - UL1 RR026314/RR/NCRR NIH HHS/United States GR - U18 DP002708/DP/NCCDPHP CDC HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. DEP - 20130122 PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/*pathology MH - Diabetes Mellitus, Type 2/*pathology MH - Female MH - Humans MH - Male MH - Regression Analysis MH - Young Adult PMC - PMC3687260 FIR - Lawrence, Jean M IR - Lawrence JM FIR - Reynolds, Kristi IR - Reynolds K FIR - Hsu, Jin-Wen IR - Hsu JW FIR - Black, Mary Helen IR - Black MH FIR - Holmquist, Kim IR - Holmquist K FIR - Takhar, Harpreet S IR - Takhar HS FIR - Kershnar, Ann K IR - Kershnar AK FIR - Pettitt, David J IR - Pettitt DJ FIR - Dabelea, Dana IR - Dabelea D FIR - Hamman, Richard F IR - Hamman RF FIR - Testaverde, Lisa IR - Testaverde L FIR - Klingensmith, Georgeanna J IR - Klingensmith GJ FIR - Rewers, Marian J IR - Rewers MJ FIR - Maahs, David IR - Maahs D FIR - Wadwa, Paul IR - Wadwa P FIR - Daniels, Stephen IR - Daniels S FIR - Nadeau, Kristen IR - Nadeau K FIR - Bloch, Clifford A IR - Bloch CA FIR - Sorrelman, Carmelita IR - Sorrelman C FIR - Beartrack, Alfreda IR - Beartrack A FIR - Rodriguez, Beatriz L IR - Rodriguez BL FIR - Fujimoto, Wilfred IR - Fujimoto W FIR - Curb, J David IR - Curb JD FIR - Kennedy, Fiona IR - Kennedy F FIR - Uramoto, Greg IR - Uramoto G FIR - Waxman, Sorrell IR - Waxman S FIR - Chung, Richard IR - Chung R FIR - Waitzfelder, Beth IR - Waitzfelder B FIR - Hillier, Teresa IR - Hillier T FIR - Dolan, Lawrence M IR - Dolan LM FIR - Seid, Michael IR - Seid M FIR - Urbina, Elaine IR - Urbina E FIR - Standiford, Debra A IR - Standiford DA FIR - Mayer-Davis, Elizabeth J IR - Mayer-Davis EJ FIR - Thomas, Joan IR - Thomas J FIR - Merchant, Anwar IR - Merchant A FIR - Liese, Angela D IR - Liese AD FIR - Moran, Robert R IR - Moran RR FIR - Gaillard-McBride, Gladys IR - Gaillard-McBride G FIR - Lawler, Deborah IR - Lawler D FIR - Jackson, Malaka IR - Jackson M FIR - Bowlby, Deborah IR - Bowlby D FIR - Amrhein, James IR - Amrhein J FIR - Clark, Pam IR - Clark P FIR - Parker, Mark IR - Parker M FIR - Pihoker, Catherine IR - Pihoker C FIR - Afkarian, Maryam IR - Afkarian M FIR - Badaru, Angela IR - Badaru A FIR - Gilliam, Lisa IR - Gilliam L FIR - Hirsch, Irl IR - Hirsch I FIR - Liu, Lenna L IR - Liu LL FIR - Neff, John IR - Neff J FIR - Yi-Frazier, Joyce IR - Yi-Frazier J FIR - Loots, Beth IR - Loots B FIR - O'Connor, Rebecca IR - O'Connor R FIR - Kearns, Sue IR - Kearns S FIR - Klingsheim, Mary IR - Klingsheim M FIR - Buscaino, Emil IR - Buscaino E FIR - Cochrane, Katherine IR - Cochrane K FIR - Martinez, Onel IR - Martinez O FIR - Semana, Sharla IR - Semana S FIR - Greenbaum, Carla IR - Greenbaum C FIR - Imperatore, Giuseppina IR - Imperatore G FIR - Williams, Desmond E IR - Williams DE FIR - Kahn, Henry S IR - Kahn HS FIR - Moore, Bernice IR - Moore B FIR - Edward, Gregg W IR - Edward GW FIR - Saydah, Sharon H IR - Saydah SH FIR - Linder, Barbara IR - Linder B FIR - Marcovina, Santica M IR - Marcovina SM FIR - Gaur, Vinod P IR - Gaur VP FIR - Harting, Jessica IR - Harting J FIR - Bell, Ronny IR - Bell R FIR - D'Agostino, Ralph Jr IR - D'Agostino R Jr FIR - Beech, Bettina IR - Beech B FIR - Case, Douglas IR - Case D FIR - Divers, Jasmin IR - Divers J FIR - Morgan, Timothy IR - Morgan T FIR - Naughton, Michelle IR - Naughton M FIR - Henkin, Leora IR - Henkin L FIR - Moxley, Susan IR - Moxley S FIR - Hargis, Gena IR - Hargis G FIR - Kronner, Donna IR - Kronner D FIR - Goldstein, Maureen T IR - Goldstein MT FIR - Anderson, Andrea IR - Anderson A FIR - Andrews, Jeanette IR - Andrews J FIR - Lauer, Abigail IR - Lauer A FIR - Talton, Jennifer IR - Talton J EDAT- 2013/01/24 06:00 MHDA- 2014/02/04 06:00 PMCR- 2014/07/01 CRDT- 2013/01/24 06:00 PHST- 2013/01/24 06:00 [entrez] PHST- 2013/01/24 06:00 [pubmed] PHST- 2014/02/04 06:00 [medline] PHST- 2014/07/01 00:00 [pmc-release] AID - dc12-1708 [pii] AID - 1708 [pii] AID - 10.2337/dc12-1708 [doi] PST - ppublish SO - Diabetes Care. 2013 Jul;36(7):1891-7. doi: 10.2337/dc12-1708. Epub 2013 Jan 22.