PMID- 31899165 OWN - NLM STAT- MEDLINE DCOM- 20201116 LR - 20201116 IS - 1525-5069 (Electronic) IS - 1525-5050 (Linking) VI - 103 IP - Pt A DP - 2020 Feb TI - PedsQL Cognitive Functioning Scale in youth with epilepsy: Reliability and validity. PG - 106850 LID - S1525-5050(19)31079-0 [pii] LID - 10.1016/j.yebeh.2019.106850 [doi] AB - OBJECTIVE: The objective of the study was to report on the internal consistency reliability and discriminant, concurrent and construct validity of the Pediatric Quality of Life Inventory (PedsQL) Cognitive Functioning Scale as a brief generic cognitive functioning measure in youth with epilepsy. METHODS: The 6-item PedsQL Cognitive Functioning Scale and 23-item PedsQL 4.0 Generic Core Scales were completed by 221 pediatric patients ages 5-18 years with epilepsy and 336 parents of patients ages 2-18 years in a national field test study for the PedsQL Epilepsy Module. Parents also completed the 86-item Behavior Rating Inventory of Executive Function (BRIEF), a widely validated measure of executive functioning. RESULTS: The PedsQL Cognitive Functioning Scale evidenced excellent reliability (patient self-report alpha = 0.88; parent proxy-report alpha = 0.96), distinguished between youth with epilepsy and an age, gender, and race/ethnicity-matched healthy sample supporting discriminant validity with large effect sizes (~20-30 point score differences, P < 0.001), and demonstrated concurrent and construct validity, respectively, through large effect size intercorrelations with the BRIEF (Behavioral Regulation Index, Metacognition Index, Global Executive Composite Summary Scores rs = 0.43-0.67, P < 0.001) and the PedsQL Generic Core Scales (Total Scale Scores rs = 0.67-0.74, P < 0.001). Minimal clinically important difference (MCID) scores ranged from 5.92 to 8.80. CONCLUSIONS: The PedsQL Cognitive Functioning Scale demonstrated excellent internal consistency reliability, discriminant, concurrent, and construct validity in youth with epilepsy and may be suitable as a brief generic patient-reported outcome (PRO) measure for clinical research, clinical trials, and routine clinical practice in pediatric epilepsy. CI - Copyright (c) 2019. Published by Elsevier Inc. FAU - Varni, James W AU - Varni JW AD - Department of Pediatrics, College of Medicine, Texas A&M University, College Station, TX, USA; Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA. Electronic address: jvarni@tamu.edu. FAU - Junger, Katherine F AU - Junger KF AD - Department of Pediatrics, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA. FAU - Kellermann, Tanja AU - Kellermann T AD - Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA. FAU - Grossman, Lauren Barrett AU - Grossman LB AD - Division of Pediatric Psychology, Children's Hospital of Orange County, Orange, CA, USA. FAU - Wagner, Janelle AU - Wagner J AD - College of Nursing, Medical University of South Carolina, Charleston, SC, USA. FAU - Mucci, Grace A AU - Mucci GA AD - Division of Neurology, Children's Hospital of Orange County, Orange, CA, USA. FAU - Guilfoyle, Shanna M AU - Guilfoyle SM AD - Department of Pediatrics, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA. FAU - Smith, Gigi AU - Smith G AD - College of Nursing, Medical University of South Carolina, Charleston, SC, USA. FAU - Zupanc, Mary L AU - Zupanc ML AD - Division of Neurology, Children's Hospital of Orange County, Orange, CA, USA. FAU - Modi, Avani C AU - Modi AC AD - Department of Pediatrics, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191230 PL - United States TA - Epilepsy Behav JT - Epilepsy & behavior : E&B JID - 100892858 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Cognition/*physiology MH - Epilepsy/*diagnosis/*psychology MH - Executive Function/physiology MH - Female MH - Humans MH - Male MH - Mental Status and Dementia Tests/*standards MH - Parents/psychology MH - *Patient Reported Outcome Measures MH - Psychometrics MH - Quality of Life/*psychology MH - Reproducibility of Results OTO - NOTNLM OT - Cognitive functioning OT - Epilepsy OT - Executive functioning OT - Patient-reported outcomes OT - Pediatrics OT - PedsQL COIS- Declaration of competing interest Dr. Varni holds the copyright and the trademark for the PedsQL and receives financial compensation from the Mapi Research Trust, which is a nonprofit research institute that charges distribution fees to for-profit companies that use the Pediatric Quality of Life Inventory. The other authors report no competing interest related to this study. EDAT- 2020/01/04 06:00 MHDA- 2020/11/18 06:00 CRDT- 2020/01/04 06:00 PHST- 2019/10/08 00:00 [received] PHST- 2019/12/06 00:00 [revised] PHST- 2019/12/07 00:00 [accepted] PHST- 2020/01/04 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2020/01/04 06:00 [entrez] AID - S1525-5050(19)31079-0 [pii] AID - 10.1016/j.yebeh.2019.106850 [doi] PST - ppublish SO - Epilepsy Behav. 2020 Feb;103(Pt A):106850. doi: 10.1016/j.yebeh.2019.106850. Epub 2019 Dec 30.