Journal
AMERICAN JOURNAL OF AUDIOLOGY
Volume 26, Issue 3, Pages 393-407Publisher
AMER SPEECH-LANGUAGE-HEARING ASSOC
DOI: 10.1044/2017_AJA-17-0007
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Funding
- Institute of Education Sciences, U.S. Department of Education [R324A110266]
- National Institute of Child Health & Human Development [P30HD15052]
- Vanderbilt Institute for Clinical and Translational Research Grant from the National Center for Advancing Translational Sciences/National Institutes of Health [UL1 TR000445]
- Dan and Margaret Maddox Charitable Fund
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Purpose: The primary purposes of this study were to examine the effects of hearing loss and respondent type (self-vs. parent-proxy report) on subjective fatigue in children. We also examined associations between child-specific factors and fatigue ratings. Method: Subjective fatigue was assessed using the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL-MFS; Varni, Burwinkle, Katz, Meeske, & Dickinson, 2002). We compared self-and parent-proxy ratings from 60 children with hearing loss (CHL) and 43 children with normal hearing (CNH). The children ranged in age from 6 to 12 years. Results: School-age CHL experienced more overall and cognitive fatigue than CNH, although the differences were smaller than previously reported. Parent-proxy report was not strongly associated with child self-report, and parents tended to underestimate their child's fatigue, particularly sleep/rest fatigue. Language ability was also associated with subjective fatigue. For CHL and CNH, as language abilities increased, cognitive fatigue decreased. Conclusions: School-age CHL experience more subjective fatigue than CNH. The poor association between parent-proxy and child reports suggests that the parent-proxy version of the PedsQL-MFS should not be used in isolation when assessing fatigue in school-age children. Future research should examine how language abilities may modulate fatigue and its potential academic consequences in CHL.
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