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Quality of Life Research
Erschienen in: Quality of Life Research 8/2007

01.10.2007 | Original Paper

Testing the structural and cross-cultural validity of the KIDSCREEN-27 quality of life questionnaire

verfasst von: Stephane Robitail, Ulrike Ravens-Sieberer, Marie-Claude Simeoni, Luis Rajmil, Jeanet Bruil, Mick Power, Wolfgang Duer, Bernhard Cloetta, Ladislav Czemy, Joanna Mazur, Agnes Czimbalmos, Yannis Tountas, Curt Hagquist, Jean Kilroe, Pascal Auquier, the KIDSCREEN Group

Erschienen in: Quality of Life Research | Ausgabe 8/2007

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Abstract

Objectives

The aim of this study is to assess the structural and cross-cultural validity of the KIDSCREEN-27 questionnaire.

Methods

The 27-item version of the KIDSCREEN instrument was derived from a longer 52-item version and was administered to young people aged 8–18 years in 13 European countries in a cross-sectional survey. Structural and cross-cultural validity were tested using multitrait multi-item analysis, exploratory and confirmatory factor analysis, and Rasch analyses. Zumbo’s logistic regression method was applied to assess differential item functioning (DIF) across countries. Reliability was assessed using Cronbach’s alpha.

Results

Responses were obtained from n = 22,827 respondents (response rate 68.9%). For the combined sample from all countries, exploratory factor analysis with procrustean rotations revealed a five-factor structure which explained 56.9% of the variance. Confirmatory factor analysis indicated an acceptable model fit (RMSEA = 0.068, CFI = 0.960). The unidimensionality of all dimensions was confirmed (INFIT: 0.81–1.15). Differential item functioning (DIF) results across the 13 countries showed that 5 items presented uniform DIF whereas 10 displayed non-uniform DIF. Reliability was acceptable (Cronbach’s α = 0.78–0.84 for individual dimensions).

Conclusions

There was substantial evidence for the cross-cultural equivalence of the KIDSCREEN-27 across the countries studied and the factor structure was highly replicable in individual countries. Further research is needed to correct scores based on DIF results. The KIDSCREEN-27 is a new short and promising tool for use in clinical and epidemiological studies.
Literatur
1.
World Health Organization Regional Office for Europe (1996). The Ljubljana charter on reforming health care. Paper presented at the Ljubljana Conference, Ljubljana.
2.
Ravens-Sieberer, U., & Bullinger, M. (1998). Assessing health-related quality of life in chronically ill children with the German KINDL: First psychometric and content analytical results. Quality of Life Research, 7, 399–407.PubMedCrossRef
3.
Eiser, C., Havermans, T., Craft, A., & Kernahan, J. (1995). Development of a measure to assess the perceived illness experience after treatment for cancer. Archives of Disease in Childhood, 72, 302–307.PubMedCrossRef
4.
Vogels, T., Verrips, G. H. W., Verloove-Vanhorick, S. P., et al. (1998). Measuring health-related quality of life in children: the development of the TACQOL parent form. Quality of Life Research, 7, 457–465.PubMedCrossRef
5.
Simeoni, M. C., Auquier, P., Antoniotti, S., Sapin, C., & San Marco, J. L. (2000). Validation of a French health-related quality of life instrument for adolescents: The VSP-A. Quality of Life Research, 9, 393–403.PubMedCrossRef
6.
Rajmil, L., Serra-Sutton, V., Fernandez-Lopez, J. A., et al. (2004). [The Spanish version of the German health-related quality of life questionnaire for children and adolescents: The Kindl]. Anales de Pediatría (Barcelona), 60, 514–521.CrossRef
7.
Serra-Sutton, V., Herdman, M., Rajmil, L., et al. (2002). [Cross-cultural adaptation to Spanish of the Vecu et Sante Percue de l’Adolescent (VSP-A): A generic measure of the quality of life of adolescents]. Revista Española de Salud Pública, 76, 701–712.PubMedCrossRef
8.
Rajmil, L., Herdman, M., De Sanmamed, M. J. F., et al. (2004). Generic health-related quality of life instruments in children and adolescents: A qualitative analysis of content. Journal of Adolescent Health, 34, 37–45.PubMedCrossRef
9.
Patrick, D. L., & Chiang, Y. P. (2000). Measurement of health outcomes in treatment effectiveness evaluations: Conceptual and methodological challenges. Medical Care, 38, II14–25.PubMed
10.
Schmidt, S., & Bullinger, M. (2003). Current issues in cross-cultural quality of life instrument development. Archives of Physical Medicine and Rehabilitation, 84, S29–S34.PubMedCrossRef
11.
Herdman, M., Fox-Rushby, J., & Badia, X. (1998). A model of equivalence in the cultural adaptation of HRQoL instruments: The universalist approach. Quality of Life Research, 7, 323–335.PubMedCrossRef
12.
Ravens-Sieberer, U., Gosch, A., Abel, T., et al. (2001). Quality of life in children and adolescents: A European public health perspective. Sozial-Und Praventivmedizin, 46, 294–302.PubMedCrossRef
13.
Ravens-Sieberer, U., Auquier, P., Erhart, M., et al. The KIDSCREEN-27 quality of life measure for children and adolescents – psychometric results from a cross-cultural survey in 13 European countries. Quality of Life Research. doi: 10.​1007/​s11136-007-9240-2.
14.
Mokken, R. (1971). A theory and procedure of scale analysis. The Hague: Mouton, Berlin De Gruyter.
15.
Mokken, R., & Lewis, C. (1982). A nonparametric approach to the analysis of dichotomous item responses. Applied Psychological Measurement, 6, 417–430.
16.
Molenaar, I. (1982). Mokken sclaing revisited. Kwantitatieve Methoden, 3, 145–164.
17.
Wright, B., & Masters, G. (1982). Rating scale analysis. Chicago: MESA Press.
18.
Wright, B., & Stone, M. (1979). Best test design. Chicago: MESA Press.
19.
Zumbo, B. (1999). A handbook on the theory and methods of differential item functioning (DIF): Logistic regression modeling as a unitary framework for binary and Likert-type (Ordinal). Item scores. Ottawa, ON: Directorate of Human Resources Research and Evaluation, Department of National Defense.
20.
Ware, J., Harris, W., & Gandek, B. (1997). MAP-R for Windows: Multitrait:multi-item analysis program—Revised user’s guide. Boston, MA: Health Assessment Laboratory.
21.
Thompson, B. (2004). Exploratory and confirmatory factor analysis: Understanding concepts and applications. American Psychological Association.
22.
Rajmil, L., Berra, S., von-Rueden, U., Tebe, C., Erhart, M., Gosh, A., et al. (2004). Representativity of 12 national surveys of children and adolescents 8–18 years old included in the KIDSCREEN HRQOL study. Quality of Life Research, 13(9), 1576.
23.
Veldman, D. (1978). Fortran programming for the behavioural sciences. New York: Holt, Rinehart, & Winston.
24.
Jöreskog, K. (1990). New developments in LISREL: Analysis of ordinal variables using polychoric correlations and weighted least squares. Quality and Quantity, 24, 387–404.CrossRef
25.
Maruyama, G. (1998). Basic of structural equation modeling. Thousand Oaks, CA: Sage.
26.
Bollen, K., & Long, J. (1993). Alternative ways of assessing model fit. Testing structural equation models. Sage Publications.
27.
Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466–491.PubMedCrossRef
28.
Jöreskog, K. (1971). Simultaneous factor analysis in several populations. Psychometrika,36, 409–426.CrossRef
29.
Campbell, D., & Fiske, D. (1959). Convergent and discriminant validation by multitrait-multimethod matrix. Psychological Bulletin, 56, 81–105.PubMedCrossRef
30.
McHorney, C. A., Ware, J. E. Jr., Lu, J. F., & Sherbourne, C. D. (1994). The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32, 40–66.PubMedCrossRef
31.
Cronbach, L. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.CrossRef
32.
Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill, Inc.
33.
Masters, G. (1982). A Rasch model for partial credit scoring. Psychometrika, 47, 149–174.CrossRef
34.
Mellenbergh, G. (1982). Contingency table models for assessing item bias. Journal of Educational Statistics, 7, 105–107.CrossRef
35.
Martin, M., Blaisdell, B., Kwong, J. W., & Bjorner, J. B. (2004). The Short-Form Headache Impact Test (HIT-6) was psychometrically equivalent in nine languages. Journal of Clinical Epidemiology, 57, 1271–1278.PubMedCrossRef
36.
Linacre, J. (2003). A user guide to Winsteps. Rasch model computer program. Chicago, IL: MESA edition.
37.
Jöreskog, K., & Sörbom, D. (1996). LISREL 8:User’s reference guide. Chicago: Scientific Software International.
38.
Jöreskog, K., & Sörbom, D. (1988). PRELIS – A program for multivariate data screening and data summarization. A preprocessor for LISREL (2nd ed.). Chicago, Il: Scientific Software, Inc.
39.
Ravens-Sieberer, U., Gosch, A., Rajmil, L., et al. (2006). The KIDSCREEN-52 quality-of-life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries. Expert Review of Pharmacoeconomics & Outcomes Research, 5(3), 353–364.CrossRef
40.
Warschburger, P., Landgraf, J., Petermann, F., & Freidel, K. (2003). Health-related quality of life in children assessed by their parents: Evaluation of the psychometric properties of the CHQ-PF50 in two German clinical samples. Quality of Life Research, 12, 291–301.PubMedCrossRef
41.
Varni, J., Seid, M., & Kurtin, P. (2001). PedsQL 4.0: Reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39, 800–812.PubMedCrossRef
42.
Gorsuch, R. (1983). Factor analysis. Hillsdale, NJ: Erlbaum.
43.
Hu, L., & Bentler, P. (1995). Evaluating model fit. In R. Hoyle (Ed.), Structural equation modeling: Concepts, Issues, and Applications (pp. 76—99). Thousand Oaks, CA: Sage.
44.
McHorney, C., & Tarlov, A. (1995). Individual-patient monitoring in clinical practice: Are available health status surveys adequate? Quality of Life Research, 4, 293–307.PubMedCrossRef
45.
Scientific Advisory Committee of the Medical Outcomes Trust (2002). Assessing health status and quality-of-life instruments: Attributes and review criteria. Quality of Life Research, 11, 193–205.CrossRef
46.
Crane, P., Hart, D., Gibbons, L., & Cook, K. (2006). A 37-item shoulder functional status item pool had negligible differential item functioning. Journal of Clinical Epidemiology, 59, 478–484.PubMedCrossRef
47.
Erhart, M., Ravens-Sieberer, U., Hagquist, C., Robitail, S., & van Buuren, S. (2006). Does correcting for differential item functioning (DIF) using two different techniques enhances the validity and diagnostic quality of adolescents HRQoL test scores? Quality of Life Research, 15, A113–A114.
Metadaten
Titel
Testing the structural and cross-cultural validity of the KIDSCREEN-27 quality of life questionnaire
verfasst von
Stephane Robitail
Ulrike Ravens-Sieberer
Marie-Claude Simeoni
Luis Rajmil
Jeanet Bruil
Mick Power
Wolfgang Duer
Bernhard Cloetta
Ladislav Czemy
Joanna Mazur
Agnes Czimbalmos
Yannis Tountas
Curt Hagquist
Jean Kilroe
Pascal Auquier
the KIDSCREEN Group
Publikationsdatum
01.10.2007
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 8/2007
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9241-1

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