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

Springer Science and Business Media LLC - Tập 19 - Trang 1487-1500 - 2010
Ulrike Ravens-Sieberer1,2, Michael Erhart1, Luis Rajmil3,4,5, Michael Herdman3,4,5, Pascal Auquier6, Jeanet Bruil7, Mick Power8, Wolfgang Duer9, Thomas Abel10, Ladislav Czemy11, Joanna Mazur12, Agnes Czimbalmos13, Yannis Tountas14, Curt Hagquist15, Jean Kilroe16
1Child Public Health, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
2Department for Psychosomatics in Children and Adolescents, Center for Obstetrics and Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
3Agència d’Avaluació de Tecnologia i Recerca Mèdiques, Barcelona, Spain
4Health Services Research Group, Institut Municipal d’Investigació Mèdica (IMIM-Hospital del Mar), Barcelona, Spain
5CIBER en Epidemiologia y Salud Pública (CIBERESP), Barcelona, Spain
6Department of Public Health, University Hospital of Marseille, Marseille, France
7TNO, Prevention and Health and Leiden University, Leiden, The Netherlands
8Department of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, Edinburgh, UK
9Ludwig Boltzmann-Institute for Sociology of Health and Medicine, University of Vienna, Vienna, Austria
10Social and Behavioural Health Research, Department of Social and Preventive Medicine, University of Berne, Berne, Switzerland
11Prague Psychiatric Centre, Prague, Czech Republic
12Department of Epidemiology, National Research Institute of Mother & Child, Warsaw, Poland
13Child Health Department, Health Promotion and Development Centre, Budapest, Hungary
14Institute of Social and Preventive Medicine, Athens, Greece
15Karlstad University, Karlstad, Sweden
16Programme of Action for Children, Dublin, Ireland

Tóm tắt

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. 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. 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. 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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