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Archives of Disease in Childhood 2004;89:831-835; doi:10.1136/adc.2003.029470
Copyright © 2004 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2004;89:831-835
© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health

ORIGINAL ARTICLE

A comparison of findings on parents’ and teachers’ questionnaires, and detailed ophthalmic and psychological assessments

A R O’Connor1, T J Stephenson1, A Johnson2, S D Wright1, M J Tobin3, S Ratib4, A R Fielder5

1 Division of Child Health, University of Nottingham, UK
2 National Perinatal Epidemiology Unit, University of Oxford, UK
3 Department of Special Education, University of Birmingham, UK
4 Trent Institute for Health Services Research, University of Nottingham, UK
5 Department of Ophthalmology, Imperial College School of Medicine, London, UK

Correspondence to:
Correspondence to:
Dr A R O’Connor
Division of Orthoptics, Dept of Allied Health Professions, Thompson Yates Building, Quadrangle, Brownlow Hill, Liverpool L69 3GB, UK; annaoc{at}liverpool.ac.uk

Background: Questionnaires are important tools used to gain information about health and level of function in different domains.

Aims and Methods: To determine the degree of agreement between questionnaires, administered to parents and teachers, and ophthalmic and psychological examinations in a cohort of 309 low birth weight children (<1701 g) at age 10–13 years.

Results: A total of 90.9% of cases showed agreement between the question on distance vision and clinical assessment, and agreement for the near vision question was 83%. However, the correlation on an individual basis was only fair (kappa = 0.46, distance vision) to poor (kappa = 0.2, near vision). The overall agreement for the questions on cognitive ability was better than the correlation, whereas the questions on reading and mathematical ability showed low agreement and low correlation.

Conclusion: Questionnaire assessment of vision and cognitive ability is more suitable for studying the outcome of a large population than for identifying deficits in individuals.

Keywords: psychological; questionnaires; vision; low birth weight


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