The KIDSCREEN-52 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries
The KIDSCREEN-52 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries
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DOI：
10.1111/j.1524-4733.2007.00291.x
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发表时间：
2008-07-01
期刊：
影响因子：
4.5
通讯作者：
Kilroe, Jean
中科院分区：
文献类型：
--
作者：
Ravens-Sieberer, Ulrike;Gosch, Angela;Kilroe, Jean
目的：本研究评估欧洲KIDSCREEN-52儿童青少年健康相关生活质量（HRQoL）通用问卷的信度和效度。研究设计：KIDSCREEN-52从10个维度测量HRQoL，对13个欧洲国家的22,827名儿童和青少年（8至18岁）的代表性样本进行了研究。使用经典测试理论方法、Rasch分析和结构方程模型（SEM）评估心理测量特性。对KIDSCREEN量表与社会人口学和健康相关因素之间的先验预期关联进行了检验。在10个国家评估了重测信度。结果：对于整个样本，Cronbach’s alpha值范围为0.77 ~ 0.89。多性状分析程序（Multitrait Analysis Program）的标度成功率为97.8%，Rasch分析项目拟合（INFITmsq）范围为0.80 ~ 1.27。类内相关系数为0.56 ~ 0.77。没有发现年龄、性别或健康状况的显著差异项目功能（DIF）。四个项目显示了不同国家的DIF。指定的扫描电镜对数据拟合良好（近似均方根误差为0.06，比较拟合指数为0.98）。儿童生活质量量表、儿童健康和疾病概况-青少年版、青少年生活质量工具量表和评估类似结构的KIDSCREEN维度之间的相关系数中等（r = 0.44至0.61）。有和没有身心健康问题的儿童（特殊保健需要儿童筛查：d = 0.17至0.42，优势和困难问卷：d = 0.32至0.72）在所有维度上均存在统计学差异。各维度根据社会经济地位呈现梯度。结论：KIDSCREEN-52问卷具有可接受的信度和效度。需要进一步的工作来评估纵向有效性和对变化的敏感性。
Objective: This study assesses the reliability and validity of the European KIDSCREEN-52 generic health-related quality of life (HRQoL) questionnaire for children and adolescents. Research Design: The KIDSCREEN-52, which measures HRQoL in 10 dimensions, was administered to a representative sample of 22,827 children and adolescents (8 to 18 years) in 13 European countries. Psychometric proper-ties were assessed using the Classical Test Theory approach, Rasch analysis, and structural equation modeling (SEM). A priori expected associations between KIDSCREEN scales and sociodemographic and health-related factors were examined. Test-retest reliability was assessed in 10 countries.Results: For the overall sample, Cronbach's alpha values ranged from 0.77 to 0.89. Scaling success (Multitrait Analysis Program) was >97.8% for all dimensions and Rasch analysis item fit (INFITmsq) ranged from 0.80 to 1.27. The intraclass correlation coefficients ranged from 0.56 to 0.77. No sizeable differential item functioning (DIF) was found by age, sex or health status. Four items showed DIF across countries. The specified SEM fitted the data well (root mean square error of approximation: 0.06, comparative fit index: 0.98). Correlation coefficients between Pediatric Quality of Life Inventory, Child Health and Illness Profile-Adolescent Edition, and Youth Quality of Life Instrument scales and KIDSCREEN dimensions assessing similar constructs were moderate for those (r = 0.44 to 0.61). Statistically significant differences between children with and without physical and mental health problems (Children with Special Health Care Needs screener: d = 0.17 to 0.42, Strengths and Difficulties Questionnaire: d = 0.32 to 0.72) were found in all dimensions. All dimensions showed a gradient according to socioeconomic status.Conclusions: The KIDSCREEN-52 questionnaire has acceptable levels of reliability and validity. Further work is needed to assess longitudinal validity and sensitivity to change.