Comparison of Caregiver- and Child-Reported Quality of Life in Children With Sleep-Disordered Breathing

Phoebe Kuo Yu, Kaitlyn Cook, Jiayan Liu, Raouf S. Amin, Craig Derkay, Lisa M. Elden, Susan L. Garetz, Alisha S. George, Sally Ibrahim, Stacey L. Ishman, Erin M. Kirkham, S. Kamal Naqvi, Jerilynn Radcliffe, Kristie R. Ross, Gopi B. Shah, Ignacio E. Tapia, H. Gerry Taylor, David A. Zopf, Susan Redline, Cristina M. Baldassari

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Objective: Caregivers frequently report poor quality of life (QOL) in children with sleep-disordered breathing (SDB). Our objective is to assess the correlation between caregiver- and child-reported QOL in children with mild SDB and identify factors associated with differences between caregiver and child report. Study Design: Analysis of baseline data from a multi-institutional randomized trial. Setting: Pediatric Adenotonsillectomy Trial for Snoring, where children with mild SDB (obstructive apnea-hypopnea index <3) were randomized to observation or adenotonsillectomy. Methods: The Pediatric Quality of Life Inventory (PedsQL) assessed baseline global QOL in participating children 5 to 12 years old and their caregivers. Caregiver and child scores were compared. Multivariable regression assessed whether clinical factors were associated with differences between caregiver and child report. Results: PedsQL scores were available for 309 families (mean child age, 7.0 years). The mean caregiver-reported PedsQL score was higher at 75.2 (indicating better QOL) than the mean child-reported score of 67.9 (P <.001). The agreement between caregiver and child total PedsQL scores was poor, with intraclass correlation coefficients of 0.03 (95% CI, –0.09 to 0.15) for children 5 to 7 years old and 0.21 (95% CI, 0.03-0.38) for children 8 to 12 years old. Higher child age and health literacy were associated with closer agreement between caregiver and child report. Conclusion: Caregiver- and child-reported global QOL in children with SDB was weakly correlated, more so for young children. In pediatric SDB, child-perceived QOL may be poorer than that reported by caregivers. Further research is needed to assess whether similar trends exist for disease-specific QOL metrics.

Original languageEnglish (US)
Pages (from-to)74-81
Number of pages8
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number1
StatePublished - Jan 2023


  • PedsQL
  • caregiver report
  • child report
  • quality of life
  • sleep-disordered breathing

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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