Concordance between paediatric self-reports and parent proxy reports on fatigue: A multicentre prospective longitudinal study

Eur J Oncol Nurs. 2020 Dec:49:101829. doi: 10.1016/j.ejon.2020.101829. Epub 2020 Sep 29.

Abstract

Purpose: To investigate the degree of concordance on fatigue assessment between children and adolescents with cancer and their parents, and its changes over time.

Method: Multicentre longitudinal study.

Results: Data from 134 dyads were analysed. The mean age of patients was 11.7 years; caregivers had a mean age of 44.1 years. Almost 90% of patients already reported mild or moderate fatigue at the time of diagnosis, decreasing to 69.7% after one year. Concordance on the total fatigue improved over time for the total sample, moving from moderate at the time of diagnosis to good concordance after one year.

Conclusions: This was the first study with a longitudinal design investigating concordance between paediatric self-reports and parent proxy reports on fatigue. It showed how concordance between proxies and patients changed over time reaching a good level after one year from the cancer diagnosis.

Keywords: Adolescent; Cancer; Child; Concordance; Fatigue.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Caregivers / psychology*
  • Child
  • Child, Preschool
  • Fatigue / psychology*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Neoplasms / psychology*
  • Parents / psychology*
  • Prospective Studies
  • Proxy / psychology*
  • Quality of Life / psychology*
  • Self Report*