Higher cognition scores and the ability to engage with touchscreen activities are associated with improved quality of life.
Cross-Sectional (n=242)
No
Absolute Event Rate: 67.5% vs 46.4%
Abstract Purpose Information on factors contributing to quality of life (QOL) informs meaningful patient-centred care. We evaluated factors influencing QOL in individuals with developmental and epileptic encephalopathy (DEE) and other severe neurodevelopmental encephalopathy conditions using hypothesis-free regression tree analysis. Methods A questionnaire was completed by 242 caregivers of individuals two years or older. QOL was measured using the Quality of Life Inventory-Disability (QI-Disability). Independent variables described health, functional abilities and daily activities. The R package rpart was used to build the regression trees to explore the most influential factors associated with QOL. Results Median age was 8.8y (interquartile range 4.6–14.9 y). Mean total QI-Disability score was 60.2 ± 14.1 out of a total possible score of 100. The subgroup with the lowest QOL scores comprised individuals with low (raw score < 4) cognition scores measured with the Developmental Profile-4 ( n = 52, mean score 46.4) whereas higher QOL scores were achieved by individuals with higher cognition scores and capacity to engage actively when using a touchscreen ( n = 123, mean score 67.5). Conclusion Regression tree analysis suggests that cognition and use of touchscreens were important factors for QOL. Findings suggest small neurodevelopmental and functional gains may meaningfully improve quality of life for individuals with severe neurodevelopmental encephalopathy.
Ludwig et al. (Wed,) conducted a cross-sectional in Developmental and epileptic encephalopathy and other severe neurodevelopmental encephalopathies (n=242). Higher cognition scores and the ability to engage with touchscreen activities are associated with improved quality of life.