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Health-related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal population-based study

Title: Health-related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal population-based study
Authors: Le, Ha ND; Mensah, Fiona; Eadie, Patricia; McKean, Cristina; Sciberras, Emma; Bavin, Edith L; Reilly, Sheena; Gold, Lisa
Publisher Information: Wiley
Publication Year: 2020
Collection: Griffith University: Griffith Research Online
Description: Background: Low language abilities are known to be associated with significant adverse long-term outcomes. However, associations between low language and health-related quality of life (HRQoL) are unclear. We aimed to (a) examine the association between low language and HRQoL from 4 to 13 years and (b) classify the children’s trajectories of HRQoL and language and examine the association between language and HRQoL trajectories. Methods: Data were from an Australian community-based cohort of children. HRQoL was measured at ages 4–13 years using the parent-reported Pediatric Quality of Life Inventory 4.0. Language was assessed using the Clinical Evaluation of Language Fundamentals (CELF)-Preschool 2nd edition at 4 years and the CELF-4th edition at 5, 7 and 11 years. Multivariable linear regression and mixed effect modelling were used to estimate cross-sectional and longitudinal associations between low language and HRQoL from 4 to 13 years. A joint group-based trajectory model was used to characterize associations between HRQoL and language trajectories over childhood. Results: Children with low language had substantially lower HRQoL than children with typical language from 4 to 13 years. Higher language scores were associated with better HRQoL, particularly in social and school functioning. Three HRQoL trajectories were identified: stable-high (51% of children), reduced with slow decline (40%) and low with rapid decline (9%). Children with low language were less likely to follow a stable-high HRQoL trajectory (40%) while 26% and 34% followed the reduced with slow decline and low with rapid decline trajectories, respectively. Conclusions: Children with low language experienced reduced HRQoL from 4 to 13 years. More than half had declining trajectories in HRQoL highlighting the need to monitor these children over time. Interventions should not only aim to improve children’s language ability but also address the wider functional impacts of low language. ; Full Text
Document Type: article in journal/newspaper
Language: English
Relation: Journal of Child Psychology and Psychiatry; Le, HND; Mensah, F; Eadie, P; McKean, C; Sciberras, E; Bavin, EL; Reilly, S; Gold, L, Health-related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal population-based study,Journal of Child Psychology and Psychiatry, 2020; https://hdl.handle.net/10072/394739
DOI: 10.1111/jcpp.13277
Availability: https://hdl.handle.net/10072/394739; https://doi.org/10.1111/jcpp.13277
Rights: This work is covered by copyright. You must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a specified licence, refer to the licence for details of permitted re-use. If you believe that this work infringes copyright please make a copyright takedown request using the form at https://www.griffith.edu.au/copyright-matters. ; open access
Accession Number: edsbas.277E9146
Database: BASE