M M Alghamdi, T Burrows, B Barclay, S Baines, C Chojenta
Culinary Nutrition Education Programs in Community-Dwelling Older Adults: A Scoping Review
The journal of nutrition, health & aging
aim study examine level agreement self proxyreporting healthrelated quality life hrqol children 18 years age using generic preferencebased measures systematic review primary studies reported agreement statistics self proxy assessments overall andor dimensionlevel paediatric hrqol using generic preferencebased measures conducted available data intraclass correlation coefficients iccs extracted summarise overall agreement levels cohens kappa used describe agreement across domains metaanalysis also performed synthesise studies estimate level agreement self proxyreported paediatric overall domainlevel hrqol 30 studies included 25 reported interrater agreement overall utilities 17 reported domainspecific agreement seven generic preferencebased measures identified applied health utilities index hui mark 2 3 eq5d measures child health utility 9 dimensions chu9d quality wellbeing qwb scale total 45 dyad samples included total pooled sample 3084 children 3300 proxies identified studies reported poor interrater agreement overall hrqol using iccs contrast observable hrqol domains relating physical health functioning interrater agreement low psychosocialrelated domains eg emotion cognition attributes hui2 hui3 feeling worried sad unhappy pain discomfort domains eq5d parents demonstrated higher level agreement children relative health professionals child self proxyreports hrqol showed lower agreement cancerrelated studies noncancerrelated studies overall icc metaanalysis estimated 049 95 confidence interval 034061 poor interrater agreement study provides evidence systematic review studies reporting dyad assessments demonstrate discrepancies interrater agreement child proxy reporting overall domainlevel paediatric hrqol using generic preferencebased measures research drive inclusion children selfreporting hrqol wherever possible limiting reliance proxy reporting childrens hrqol warranted