Health-related quality of life among adolescents with type 1 diabetes since the second wave of the COVID-19 pandemic in Germany.

IF 2.6 3区医学 Q1 PRIMARY HEALTH CARE Family Medicine and Community Health Pub Date : 2023-11-01 DOI:10.1136/fmch-2023-002415

Juliane Regina Framme, Su-Jong Kim-Dorner, Bettina Heidtmann, Thomas Michael Kapellen, Karin Lange, Olga Kordonouri, Heike Saßmann

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Abstract

Objective: The COVID-19 pandemic had an impact on everyday life and in general, reduced the health-related quality of life (HRQoL) of adolescents. In this study, we assess the HRQoL of adolescents with type 1 diabetes (T1D) in Germany since the second wave of the COVID-19 pandemic by using self-report and parent-proxy reports, to identify risk factors, to compare to peers and to examine the agreement of HRQoL between parents and their children.

Methods: A total of 445 adolescents (12-18 years) and 413 parents participated in an anonymous cross-sectional survey conducted at three German diabetes centres from January 2021 to June 2022. Inclusion criteria were diabetes duration ≥1 year and German-speaking. Teen HRQoL was assessed by using self-report and parent-proxy report versions of the KIDSCREEN-10 index.

Results: The majority of adolescents reported average (75.5%) HRQoL. Approximately 11.3% of teens reported high and 13.2% low HRQoL. Teen's female gender, older age, higher diabetes burden and parental depression symptoms contributed to lower self-reported HRQoL among teens. For parent-proxy reports, increasing diabetes burdens, parental depression symptoms, non-migrant status, high education and ketoacidosis contributed to lower scores on teen HRQoL. The mean scores of the KIDSCREEN-10 index for adolescents did not differ from the German norm. In comparison to healthy peers during the first wave of the pandemic, adolescents in the current study reported higher HRQoL. The overall teen-parent agreement was fair although parents reported significantly lower teen HRQoL than adolescents did.

Conclusions: HRQoL of most adolescents with T1D during the COVID-19 pandemic was average with parents reporting significantly lower scores. Self-reported and parent-proxy-reported HRQoL and the level of agreement due to different perspectives can provide important information for clinical care and intervention planning.

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自德国第二波COVID-19大流行以来，青少年1型糖尿病患者的健康相关生活质量

目的:2019冠状病毒病大流行对青少年的日常生活产生了影响，总体上降低了与健康相关的生活质量(HRQoL)。在本研究中，我们通过自我报告和父母代理报告评估了自第二波COVID-19大流行以来德国1型糖尿病青少年(T1D)的HRQoL，以确定危险因素，与同龄人进行比较，并检查父母与子女之间HRQoL的一致性。方法:共有445名青少年(12-18岁)和413名家长参加了2021年1月至2022年6月在德国三家糖尿病中心进行的匿名横断面调查。纳入标准为糖尿病病程≥1年和会讲德语。青少年HRQoL采用KIDSCREEN-10指数的自我报告和父母代理报告版本进行评估。结果:大多数青少年的HRQoL为平均水平(75.5%)。大约11.3%的青少年报告HRQoL高，13.2%报告HRQoL低。青少年女性、年龄较大、较高的糖尿病负担和父母抑郁症状导致青少年自我报告的HRQoL较低。在父母代理报告中，增加的糖尿病负担、父母抑郁症状、非移民身份、高学历和酮症酸中毒导致青少年HRQoL得分较低。青少年KIDSCREEN-10指数的平均得分与德国标准没有差异。与第一波大流行期间的健康同龄人相比，目前研究中的青少年报告了更高的HRQoL。尽管父母报告的青少年的HRQoL明显低于青少年，但总体上青少年与父母的共识是公平的。结论:在COVID-19大流行期间，大多数T1D青少年的HRQoL处于平均水平，父母报告的评分明显较低。自我报告和父母代理报告的HRQoL以及不同视角下的一致程度可以为临床护理和干预计划提供重要信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family Medicine and Community Health PRIMARY HEALTH CARE-

CiteScore

9.70

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.