TABLE 3.
Outcomes of UNHS Versus Risk-Factor Screening
Outcome | Normative | Demographically Adjusted Meana | Fully Adjusted Meanb | ||||
---|---|---|---|---|---|---|---|
Mean (SD) | UNHS | Risk Factor | Mean Diff (95% CI) | P | Mean Diff (95% CI) | P | |
All childrenc | |||||||
Age diagnosed, mo | — | 7.9 | 15.9 | −8.0 (–12.3 to –3.7) | <.001 | −6.8 (–11.1 to –2.6) | .002 |
Language | |||||||
Receptive language | 100 (15)21 | 80.9 | 78.0 | 2.9 (–5.2 to 11.0) | .48 | 3.4 (–2.5, 9.3) | .26 |
Expressive language | 100 (15)21 | 81.1 | 76.0 | 5.1 (–3.3 to 13.5) | .23 | 5.3 (–1.1 to 11.7) | .11 |
Receptive vocabulary | 100 (15)22 | 79.7 | 73.9 | 5.8 (–4.9 to 16.6) | .29 | 6.2 (–0.3 to 12.7) | .06 |
Letter knowledge | — | 12.2 | 9.0 | 3.3 (–0.3 to 6.9) | .08 | 2.7 (–0.4 to 5.9) | .09 |
Behavior problems | 6.9 (5.1)29 | 9.6 | 9.6 | 0.0 (–2.3 to 2.4) | .97 | −0.1 (–2.6 to 2.5) | .94 |
Health-related quality of life | |||||||
PedsQL | 81.9 (12.6)25 | 76.7 | 75.5 | 1.2 (–5.1 to 7.6) | .70 | 2.3 (–4.3 to 9.0) | .49 |
HUI (child) | 0.90 (0.13)30 | 0.72 | 0.66 | 0.06 (–0.04 to 0.16) | .20 | 0.04 (–0.04 to 0.13) | .33 |
HUI (parent) | 0.86 (0.31)31 | 0.87 | 0.87 | 0.00 (–0.06 to 0.07) | .96 | 0.01 (–0.06 to 0.07) | .88 |
Without intellectual disabilityc | |||||||
Age diagnosed, months | — | 7.0 | 16.3 | −9.3 (–14.3 to –4.3) | <.001 | −8.4 (–13.1 to –3.7) | .001 |
Language | |||||||
Receptive language | 100 (15)21 | 87.5 | 82.7 | 4.8 (–3.2 to 12.9) | .24 | 5.2 (–1.9 to 12.3) | .15 |
Expressive language | 100 (15)21 | 87.8 | 80.0 | 7.7 (–0.9 to 16.4) | .08 | 8.2 (0.5 to 15.9) | .04 |
Receptive vocabulary | 100 (15)22 | 90.8 | 82.9 | 7.9 (0.0 to 15.7) | .05 | 8.1 (0.8 to 15.4) | .03 |
Letter knowledge | — | 13.2 | 10.9 | 2.3 (–1.6 to 6.2) | .25 | 1.8 (–1.9 to 5.5) | .34 |
Behavior problems | 6.9 (5.1)29 | 9.9 | 9.2 | 0.7 (–1.9 to 3.3) | .61 | 0.8 (–1.9 to 3.5) | .56 |
Health-related quality of life | |||||||
PedsQL | 81.9 (12.6)25 | 79.0 | 76.2 | 2.9 (–3.9 to 9.6) | .40 | 2.7 (–4.3 to 9.7) | .45 |
HUI (child) | 0.90 (0.13)30 | 0.76 | 0.72 | 0.04 (–0.04 to 0.12) | .33 | 0.04 (–0.04 to 0.12) | .29 |
HUI (parent) | 0.86 (0.31)31 | 0.87 | 0.87 | 0.00 (–0.07 to 0.07) | 1.00 | 0.00 (–0.08 to 0.07) | .91 |
HUI, Health Utilities Index; PedsQL, Pediatric Quality of Life Inventory; --, (Letter Knowledge): no standardized normative mean; --, (age of diagnosis): N/A.
Adjusted for parent education, English as a second language, disadvantage index, gender (and age, for letter knowledge).
With additional adjustment for nonverbal IQ and current hearing loss.
Sample n varied between 101 and 120 for demographically adjusted model, and 93 to 111 for fully adjusted model. When children with intellectual disability were excluded, the sample n varied from 87 to 96 for the demographically adjusted model and 85 to 93 for the fully adjusted model.