Table 3.

HRQOL measures used in studies of pediatric patients with SCD

Screening toolQuestionnaires available, metrics for completionSummary of domains evaluatedAdditional notesReferences
Child Health Questionnaire Parent-Report Form: 50 questions, 10-15 min Global general health Appropriate for parental reporting for children 5-18 y old. Child self-report validated for children ≥8-10 y old. 51,52  
 Global general behavior 1 mo recall, except change in health, which asks for 1 y recall. Responses vary from 4 to 6 level options. 
Parent-Report General health Parent report forms provide 2 summary scores for physical and psychosocial health. 
Short Form (CHQ_PF28): 28 questions, 5-10 min Bodily pain  
 Self-esteem 
Child Self-Report Form (CHQ_CF87): 87 questions, 14 min Physical functioning 
 Physical health summary 
Child Self-Report Psychosocial health summary 
Short Form (CHQ_CF45): 45 questions, 11 min Role functioning: physical 
 General behavior 
Role emotional: behavior 
Family activities 
Mental health 
Family cohesion 
Parental impact: emotional 
Parental impact: time 
Pediatric Quality of Life (PedsQL) Can be facilitated or read to patient or family member Generic Core Provides summary scores for overall, physical, and psychosocial health. 49,53  
 PedsQL Generic Core Scales: 23 items, 4 min Physical functioning Parent report and child self-report forms separated into developmentally appropriate questions available for children 2-18 y old (5-18 y old if self-reporting). 
 Emotional functioning Different referent timeframes in the SCD module, 1 mo vs 7 d (acute). 
PedsQL Generic Core Social functioning 
Short Form: 15 items School functioning  
 Sickle Cell Disease Module  
PedsQL Sickle Cell Disease Module PedsQL SCD: 43 items Pain  
 Pain-related functioning  
Pain management  
Health-related worries  
Treatment  
Communication with care providers  
Patient-Reported Outcomes Measurement Information System (PROMIS) PROMIS Parent-Report Global health measure including physical and mental health. Self-report measures appropriate for children 8-17 y old. Parent reports available for children 5-17 y old. 54-56  
PROMIS Child Self-Report Includes 22-25 domains related to physical, mental, and social health including: Shown to be responsive to acute pain in SCD. 
Physical functioning Available Proxy Profiles of varying length (25, 37, or 49 questions). 
Pain 
Fatigue 
Emotional distress – anxiety, depression, anger 
Social functioning 
Family and peer relationships 
Physical activity 
Screening toolQuestionnaires available, metrics for completionSummary of domains evaluatedAdditional notesReferences
Child Health Questionnaire Parent-Report Form: 50 questions, 10-15 min Global general health Appropriate for parental reporting for children 5-18 y old. Child self-report validated for children ≥8-10 y old. 51,52  
 Global general behavior 1 mo recall, except change in health, which asks for 1 y recall. Responses vary from 4 to 6 level options. 
Parent-Report General health Parent report forms provide 2 summary scores for physical and psychosocial health. 
Short Form (CHQ_PF28): 28 questions, 5-10 min Bodily pain  
 Self-esteem 
Child Self-Report Form (CHQ_CF87): 87 questions, 14 min Physical functioning 
 Physical health summary 
Child Self-Report Psychosocial health summary 
Short Form (CHQ_CF45): 45 questions, 11 min Role functioning: physical 
 General behavior 
Role emotional: behavior 
Family activities 
Mental health 
Family cohesion 
Parental impact: emotional 
Parental impact: time 
Pediatric Quality of Life (PedsQL) Can be facilitated or read to patient or family member Generic Core Provides summary scores for overall, physical, and psychosocial health. 49,53  
 PedsQL Generic Core Scales: 23 items, 4 min Physical functioning Parent report and child self-report forms separated into developmentally appropriate questions available for children 2-18 y old (5-18 y old if self-reporting). 
 Emotional functioning Different referent timeframes in the SCD module, 1 mo vs 7 d (acute). 
PedsQL Generic Core Social functioning 
Short Form: 15 items School functioning  
 Sickle Cell Disease Module  
PedsQL Sickle Cell Disease Module PedsQL SCD: 43 items Pain  
 Pain-related functioning  
Pain management  
Health-related worries  
Treatment  
Communication with care providers  
Patient-Reported Outcomes Measurement Information System (PROMIS) PROMIS Parent-Report Global health measure including physical and mental health. Self-report measures appropriate for children 8-17 y old. Parent reports available for children 5-17 y old. 54-56  
PROMIS Child Self-Report Includes 22-25 domains related to physical, mental, and social health including: Shown to be responsive to acute pain in SCD. 
Physical functioning Available Proxy Profiles of varying length (25, 37, or 49 questions). 
Pain 
Fatigue 
Emotional distress – anxiety, depression, anger 
Social functioning 
Family and peer relationships 
Physical activity 
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