Health-Related Quality of Life among Children with Language Impairment at the Division of Developmental and Behavioral Pediatrics Faculty of Medicine Vajira Hospital: a Cross-Sectional Descriptive Study
Main Article Content
Abstract
Objective: To explore the health-related quality of life (HRQoL) of children with language impairment (LI), and to identify the factors that affect HRQoL in children with LI.
Methods: This study was a cross-sectional descriptive study. The participants were 100 children with LI including specific language impairment (SLI), global developmental delay (GDD), autistic spectrum disorder (ASD), down syndrome (DS), and intellectual disability (ID), aged 2-7 years attending the Division of Developmental and Behavioral Pediatrics, Faculty of Medicine Vajira Hospital between November 2019 and October 2020. The HRQoL was assessed by the PedsQLTM 4.0– Thai version, parent proxy-report. Data were analyzed using the descriptive and inferential statistics.
Results: Most of the children with LI were male (59%) with mean age of 3.96 ± 1.72 years old. Most of them were diagnosed with SLI, GDD, and ASD, accounting for 65%, 24%, and 24% respectively. The HRQoL of the children with LI were at high levels, accounting for 54% (67.87±14.53). The highest HRQoL score was in social functioning (69.25±18.94). The lowest score was in school functioning (58.90±22.44). Factor associated with HRQoL of the children with LI was behavior problems.
Conclusion: Language impairment affects children’s HRQoL, especially in school functioning. Measuring HRQoL could serve as one of the methods used to provide the most appropriate and holistic care for children with LI.
Article Details
References
American Speech-Language-Hearing Association. Definitions of communication disorders and variations [Relevant Paper]. [cited 2020 Aug 2] Available from: www.asha.org/policy
Parker S, Zuckerman BS, Augustyn M, editors. Developmental and behavioral pediatrics: A handbook for primary care. Lippincott Williams & Wilkins; 2005.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC London, England: American Psychiatric Publishing; 2013.
Moeschler JB, Shevell M; American Academy of Pediatrics Committee on Genetics. Clinical genetic evaluation of the child with mental retardation or developmental delays. Pediatrics 2006;117(6):2304-16.
Helland WA, Helland T. Emotional and behavioural needs in children with specific language impairment and in children with autism spectrum disorder: The importance of pragmatic language impairment. Res Dev Disabil 2017;70:33-9.
van Daal J, Verhoeven L, van Balkom H. Behaviour problems in children with language impairment. J Child Psychol Psychiatry 2007;48(11):1139-47.
Durkin K, Toseeb U, Botting N, Pickles A, Conti-Ramsden G. Social Confidence in Early Adulthood Among Young People With and Without a History of Language Impairment. J Speech Lang Hear Res 2017;60(6):1635-47.
Kim SH, Bal VH, Lord C. Longitudinal follow-up of academic achievement in children with autism from age 2 to 18. J Child Psychol Psychiatry 2018;59(3):258-67.
Laing GJ, Law J, Levin A, Logan S. Evaluation of a structured test and a parent led method for screening for speech and language problems: prospective population based study. BMJ 2002;325(7373):1152. doi: 10.1136/bmj.325.7373.1152
Nicola K, Watter P. Health-related quality of life from the perspective of children with severe specific language impairment. Health Qual Life Outcomes 2015;13:127. doi: 10.1186/s12955-015-0326-1.
Hubert-Dibon G, Bru M, Gras Le Guen C, Launay E, Roy A. Health-Related Quality of Life for Children and Adolescents with Specific Language Impairment: A Cohort Study by a LearningDisabilities Reference Center. PLoS One 2016;11(11):e0166541. doi: 10.1371/journal.pone.0166541.
Hsieh RL, Hsueh YM, Huang HY, Lin MI, Tseng WC, Lee WC. Quality of life and impact of children with unclassified developmental delays. J Paediatr Child Health 2013;49(2):E116-21.
Jung HK, Chung E, Lee BH. A comparison of the function, activity and participation and quality of life between down syndrome children and typically developing children. J Phys Ther Sci 2017;29(8):1377-80.
Lau KM, Chow SM, Lo SK. Parents’ perception of the quality of life of preschool children at risk or having developmental disabilities. Qual Life Res 2006;15(7):1133-41.
Başgül SS, Uneri OS, Cakin-Memik N. Parents’ perception of the quality of life of children with intellectual disabilities. Turk J Pediatr 2011;53(5):541-6.
Lee LC, Harrington RA, Louie BB, Newschaffer CJ. Children with autism: quality of life and parental concerns. J Autism Dev Disord. 2008;38(6):1147-60.
Wanliang T. Association between Quality of Life among Children with Autistic Spectrum Disorders and Depression in Caregivers. Reg 11 Med J 2015; 23(2):255-63.
Aaronson NK, Meyerowitz BE, Bard M, Bloom JR, Fawzy FI, Feldstein M, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer 1991;67Suppl 3:839-43.
World Health Organization. The first ten years of the World Health Organization. World Health Organization; 1958.
Till JE, Osoba D, Pater JL, Young JR. Research on health-related quality of life: dissemination into practical applications. Qual Life Res 1994;3(4):279-83.
Vasilopoulou E, Nisbet J. The quality of life of parents of children with autism spectrum disorder: A systematic review. Res Autism Spectr Disord 2016;23:36-49.
Chiang HM, Wineman I. Factors associated with quality of life in individuals with autism spectrum disorders: A review of literature. Res Autism Spectr Disord 2014;8(8):974-86.
Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 6th ed. the United States of America: John Wiley&Sons, Inc;1995.
Le HND, Mensah F, Eadie P, McKean C, Sciberras E, Bavin EL, et al. Health-related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal populationbased study. J Child Psychol Psychiatry 2021;62(3):349-56.
Wanicharoen N, Noipayak P. Risk Factors Associated with Specific Language Impairment in Preschool Children at Division of Developmental and Behavioural Paediatrics Faculty of Medicine Vajira Hospital: A Matched Case-Control Study. Vajira Med J 2019;63(6):423-42.
Nugroho G, Hendrayana Y, Nugraha E. Quality of Life of Disabled Children Study in Special and Inclusive School. In 3rd International Conference on Sport Science, Health, and Physical Education (ICSSHPE 2018); Sep 2019: Atlantis Press; 2019.
Scheepstra AJ, Nakken H, Pijl SJ. Contacts with classmates: the social position of pupils with Down’s syndrome in Dutch mainstream education. Eur J Spec Needs Educ 1999;14(3):212-20.
Elkins J, Van Kraayenoord CE, Jobling A. Parents’ attitudes to inclusion of their children with special needs. J Res Spec Educ Needs 2003;3(2):122-9.
O’Connor U. Parental concerns on inclusion: The Northern Ireland perspective. Int J Incl Educ 2007;11(5-6):535-50.