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      Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents’ well-being and health-related quality of life

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          Abstract

          Background

          To assess the criterion and construct validity of the KIDSCREEN-10 well-being and health-related quality of life (HRQoL) score, a short version of the KIDSCREEN-52 and KIDSCREEN-27 instruments.

          Methods

          The child self-report and parent report versions of the KIDSCREEN-10 were tested in a sample of 22,830 European children and adolescents aged 8–18 and their parents ( n = 16,237). Correlation with the KIDSCREEN-52 and associations with other generic HRQoL measures, physical and mental health, and socioeconomic status were examined. Score differences by age, gender, and country were investigated.

          Results

          Correlations between the 10-item KIDSCREEN score and KIDSCREEN-52 scales ranged from r = 0.24 to 0.72 ( r = 0.27–0.72) for the self-report version (proxy-report version). Coefficients below r = 0.5 were observed for the KIDSCREEN-52 dimensions Financial Resources and Being Bullied only. Cronbach alpha was 0.82 (0.78), test–retest reliability was ICC = 0.70 (0.67) for the self- (proxy-)report version. Correlations between other children self-completed HRQoL questionnaires and KIDSCREEN-10 ranged from r = 0.43 to r = 0.63 for the KIDSCREEN children self-report and r = 0.22–0.40 for the KIDSCREEN parent proxy report. Known group differences in HRQoL between physically/mentally healthy and ill children were observed in the KIDSCREEN-10 self and proxy scores. Associations with self-reported psychosomatic complaints were r = −0.52 (−0.36) for the KIDSCREEN-10 self-report (proxy-report). Statistically significant differences in KIDSCREEN-10 self and proxy scores were found by socioeconomic status, age, and gender.

          Conclusions

          Our results indicate that the KIDSCREEN-10 provides a valid measure of a general HRQoL factor in children and adolescents, but the instrument does not represent well most of the single dimensions of the original KIDSCREEN-52. Test–retest reliability was slightly below a priori defined thresholds.

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          The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries.

          Ulrike Ravens-Sieberer, Pascal Auquier, Michael Erhart … (2007)
          To assess the construct and criterion validity of the KIDSCREEN-27 health-related quality of life (HRQoL) questionnaire, a shorter version of the KIDSCREEN-52. The five-dimensional KIDSCREEN-27 was tested in a sample of 22,827. For criterion validity the correlation with and the percentage explained variance of the scores of the KIDSCREEN-52 instrument were examined. Construct validity was assessed by testing a priori expected associations with other generic HRQoL measures (YQOL-S, PedsQL, CHIP), indicators of physical and mental health, and socioeconomic status. Age and gender differences were investigated. Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r2 ranged from 0.39 to 0.92. Correlations between other HRQoL questionnaires and KIDSCREEN-27 dimensions were moderate to high for those assessing similar constructs (r = 0.36 to 0.63). Statistically significant and sizeable differences between physically and mentally healthy and ill children were found in all KIDSCREEN-27 dimensions together with strong associations with psychosomatic complaints (r = -0.52). Most of the KIDSCREEN-27 dimensions showed a gradient according to socio-economic status, age and gender. The KIDSCREEN-27 seems to be a valid measure of HRQoL in children and adolescents. Further research is needed to assess longitudinal validity and sensitivity to change.
          Article 0 comments Cited 222 times – based on 0 reviews     Review now
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            Can parents rate their child's health-related quality of life? Results of a systematic review.

            C Eiser, R. Morse (2001)
            A systematic review was conducted to determine the relationship between ratings of children's health-related quality of life (HRQoL) made by parents and children. This was investigated in relation to four questions: is agreement greater for some domains (e.g. physical HRQoL) than others?; do parents perceive illness to have a greater impact than their child?; how is agreement affected by child age, gender and illness status?; and is the relationship between proxy ratings affected by the method of data collection? Fourteen studies were identified. Consistent with previous research, there was greater agreement for observable functioning (e.g. physical HRQoL), and less for non-observable functioning (e.g. emotional or social HRQoL). Three studies assessed whether parents perceive the illness to have a greater impact than their child, but no clear conclusions could be drawn given differences in measures used. Agreement is better between parents and chronically sick children compared with parents and their healthy children, but no effects were found for age or gender. All of these results may be dependent on the specific measure of HRQoL employed. There remain strong arguments for obtaining information from both parents and children whenever possible.
            Article 0 comments Cited 186 times – based on 0 reviews     Review now
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              The proxy problem: child report versus parent report in health-related quality of life research.

              N C Theunissen, T. G. C. Vogels, H. Koopman … (1998)
              This study evaluates the agreement between child and parent reports on children's health-related quality of life (HRQoL) in a representative sample of 1,105 Dutch children (age 8-11 years old). Both children and their parents completed a 56 item questionnaire (TACQOL). The questionnaire contains seven eight-item scales: physical complaints, motor functioning, autonomy, cognitive functioning, social functioning, positive emotions and negative emotions. The Pearson correlations between the child and parent reports were between 0.44 and 0.61 (p < 0.001). The intraclass correlations were between 0.39 and 0.62. On average, the children reported a significantly lower HRQoL than their parents on the physical complaints, motor functioning, autonomy, cognitive functioning and positive emotions scales (paired t-test: p < 0.05). Agreement on all of the scales was related to the magnitude of the HRQoL scores and to some background variables (gender, age, temporary illness and visiting a physician). According to multitrait-multimethod analyses, both the child and parent reports proved to be valid.
              Article 0 comments Cited 129 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                : +49-40-741057378 , +49-40-741055105 , Ravens-sieberer@uke.uni-hamburg.de
                Journal
                Journal ID (nlm-ta): Qual Life Res
                Title: Quality of Life Research
                Publisher: Springer Netherlands (Dordrecht )
                ISSN (Print): 0962-9343
                ISSN (Electronic): 1573-2649
                Publication date (Electronic): 30 July 2010
                Publication date PMC-release: 30 July 2010
                Publication date (Print): December 2010
                Volume: 19
                Issue: 10
                Pages: 1487-1500
                Affiliations
                [1 ]Child Public Health, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany
                [2 ]Agència d’Avaluació de Tecnologia i Recerca Mèdiques, Barcelona, Spain
                [3 ]Health Services Research Group, Institut Municipal d’Investigació Mèdica (IMIM-Hospital del Mar), Barcelona, Spain
                [4 ]CIBER en Epidemiologia y Salud Pública (CIBERESP), Barcelona, Spain
                [5 ]Department of Public Health, University Hospital of Marseille, Marseille, France
                [6 ]TNO, Prevention and Health and Leiden University, Leiden, The Netherlands
                [7 ]Department of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, Edinburgh, UK
                [8 ]Ludwig Boltzmann-Institute for Sociology of Health and Medicine, University of Vienna, Vienna, Austria
                [9 ]Social and Behavioural Health Research, Department of Social and Preventive Medicine, University of Berne, Berne, Switzerland
                [10 ]Prague Psychiatric Centre, Prague, Czech Republic
                [11 ]Department of Epidemiology, National Research Institute of Mother & Child, Warsaw, Poland
                [12 ]Child Health Department, Health Promotion and Development Centre, Budapest, Hungary
                [13 ]Institute of Social and Preventive Medicine, Athens, Greece
                [14 ]Karlstad University, Karlstad, Sweden
                [15 ]Programme of Action for Children, Dublin, Ireland
                [16 ]Department for Psychosomatics in Children and Adolescents, Center for Obstetrics and Pediatrics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany
                Article
                Publisher ID: 9706
                DOI: 10.1007/s11136-010-9706-5
                PMC ID: 2977059
                PubMed ID: 20668950
                SO-VID: e9f1dd38-8d5e-47eb-9e9f-60dbe16577a9
                Copyright © © The Author(s) 2010
                History
                Date accepted : 26 June 2010
                Categories
                Subject: Article
                Custom metadata
                issue-copyright-statement © Springer Science+Business Media B.V. 2010

                ScienceOpen disciplines: Public health
                Keywords: children’s and adolescent’s mental health and well-being,quality of life,cultural sensitivity,research methodology,measurement
                Data availability:
                ScienceOpen disciplines: Public health
                Keywords: children’s and adolescent’s mental health and well-being, quality of life, cultural sensitivity, research methodology, measurement

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