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Predictors of Long-Term Health-Related Quality of Life in Adolescent Solid Organ Transplant Recipients JOURNAL OF PEDIATRIC PSYCHOLOGY Devine, K. A., Reed-Knight, B., Loiselle, K. A., Simons, L. E., Mee, L. L., Blount, R. L. 2011; 36 (8): 891-901

Abstract

This study aimed to identify prospective predictors of health-related quality of life (HRQOL) for adolescent solid organ (kidney, liver, heart, lung) transplant recipients.Data regarding demographics, individual/transplant characteristics, and environmental characteristics were gathered from 66 adolescent transplant recipients and their families at baseline and used to predict the physical functioning, mental health, and general health perceptions domains of HRQOL 18 months later.Baseline levels of HRQOL explained the greatest amount of variance in levels of HRQOL at follow-up; however, specific demographic (i.e., income), individual/transplant (i.e., adherence, frequency of rescheduled clinic appointments, and presence of a rejection episode), and environmental factors (i.e., family conflict) contributed to the variance in HRQOL domains beyond baseline levels.This study identified certain modifiable individual and environmental factors and non-modifiable risk factors associated with lower future HRQOL. Transplant centers should begin screening and addressing these factors to potentially improve HRQOL.

View details for DOI 10.1093/jpepsy/jsr007

View details for Web of Science ID 000294121800006

View details for PubMedID 21343144