Ab1592-HPR the Relationship Between Juvenile Idiopathic Arthritis Patients’ Self-Efficacy and Parent-Reported Quality of Life and Biopsychosocial Status

Background: Juvenil idiopathic arthritis (JIA), onset before the age of 16, lasting for more than 6 weeks, is a group of inflammatory joint disorders with no known cause. Symptoms include joint pain, swelling, stiffness, and fatigue 1. These children not only suffer from physical symptoms but also from emotional concerns such as depression, anxiety, low quality of life, and self-esteem. Furthermore, parents of children with JIA may experience depression and anxiety due to their child's chronic illness 2. In recent years, there has been an increasing interest in parent/patient-centered outcomes reported in JIA. These are crucial criteria in patient assessment as they reflect the perceptions of parents and children regarding disease management 3. Objectives: To investigate the relationship between patient's self-efficacy and parent-reported quality of life and biopsychosocial status. Methods: A total of 51 children and adolescents with JIA (mean age=13.34 ± 2.68 years, 21 male) were included in the study. After recording demographic data, the patient's self-efficacy was assessed using the Self-Efficacy for Managing Chronic Disease 6-item Scale (SE). Parents' quality of life was assessed using the parent form of Pediatric Quality of Life Inventory 3.0 Arthritis Module (PedsQL) including (a) pain and hurt, (b) daily activities, (c) treatment, (d) worry and (e) communication subgroups. Biopsychosocial status of parents was evaluated with the parent form of The Juvenile Arthritis Biopsychosocial and Clinical Questionnaire (JAB-Q), including (a) general evaluation, (b) school performance, (c) illness perception and (d) psychosocial situation subgroups. Bivariate analyses (Spearman or Pearson correlation) were performed to analyze the data. Correlation was categorized as low (0.10-0.29), moderate (0.30-0.49) and high (0.50-1.00). Results: The mean value of SE-patient, PedsQL-parent form total and JAB-Q-parent form total was 5.87±2.66, 356.73±113.74 and 11.09±6.89, respectively. SE-patient had low correlation with JAB-Q-parent form illness perception (r=-0.296, p=0.035), while moderate correlation with JAB-Q's school performance (r=-0.332, p=0.017), psychosocial situation (r=-0.419, p=0.002), total (r=-0.388, p=0.005), PedsQL's-parent form worry (r=0.324, p=0.02), communication (r=0.425, p=0.002) and total (r=0.352, p=0.011). Conclusion: The self-efficacy level of children with JIA is related to the perceived biopsychosocial condition and quality of life by their parents. Supporting the overall perception of the patient, caregiver, or family through coping with disease symptoms and self-management education may be beneficial. REFERENCES: 1 Petty RE, Southwood TR, Manners P, et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol. 2004;31(2):390-392. 2 Burbage ML, Mason MB, Nabors LA, Kichler JC. An evaluation of a juvenile idiopathic arthritis retreat for families. Pediatr Rheumatol Online J. 2015 Apr 21;13:12. doi: 10.1186/s12969-015-0010-3. PMID: 25896503; PMCID: PMC4408569. 3 Vanoni F, Suris JC, von Scheven-Gête A, Fonjallaz B, Hofer M. The difference of disease perception by juvenile idiopathic arthritis patients and their parents: analysis of the JAMAR questionnaire. Pediatr Rheumatol Online J. 2016 Jan 6;14(1):2. doi: 10.1186/s12969-015-0063-3. PMID: 26732177; PMCID: PMC4702328. Acknowledgements: NIL. Disclosure of Interests: None declared.