Abstract
Purpose
This investigation examines the reliability, validity, and sensitivity of the Chinese version Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales and 3.0 cerebral palsy (CP) Module in pediatric CP.
Methods
The study sample was comprised of 126 parents of children with CP between the ages of 2 and 12 years including 18 child respondents 5–12 years of age. Mean age of the 87 boys (69.0%) and 39 girls (31.0%) was 4 years 1 month (SD 2 years 2 month).
Results
Reliability was demonstrated for the PedsQL 4.0 (α = 0.86 child, 0.89 parent) and CP Module (α = 0.91 child, 0.96 parent). The PedsQL 4.0 distinguished between healthy children and children with CP. Construct validity of the CP Module was supported through an analysis of the intercorrelations between the Generic Core Scale scores and the CP Module Scale scores and exploratory factor analysis of PedsQL items.
Conclusions
The findings provide support for the measurement properties of the Chinese version PedsQL 4.0 Generic Core Scales and 3.0 CP Module in pediatric CP.
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Abbreviations
- CP:
-
Cerebral palsy
- PedsQL:
-
Pediatric quality of life inventory
- HRQOL:
-
Health-related quality of life
References
Miller, F. (2004). Cerebral palsy. New York: Springer Science and Business Media, Inc.
Winter, S., Autry, A., Boyle, C., & Yeargin-Allsopp, M. (2002). Trends in the prevalence of cerebral palsy in a population-based study. Pediatrics, 110(6), 1220–1225.
Rosenbaum, P. (2003). Cerebral palsy: What parents and doctors want to know. British Medical Journal, 326(7396), 970–974.
Fayers, P. M., & Machin, D. (2000). Quality of life: Assessment, analysis and interpretation. New York: Wiley.
Matza, L. S., Swensen, A. R., Flood, E. M., et al. (2004). Assessment of health-related quality of life in children: A review of conceptual, methodological, and regulatory issues. Value in Health, 7(1), 79–92.
Bjornson, K. F., & McLaughlin, J. F. (2001). The measurement of health related quality of life (HRQL) in children with CP. European Journal of Neurology, 5, 183–193.
Varni, J. W., Burwinkle, T. M., Sherman, S. A., et al. (2005). Health-related quality of life of children and adolescents with cerebral palsy: Hearing the voices of the children. Developmental Medicine and Child Neurology, 47(9), 592–597.
Eiser, C., & Morse, R. (2001). Can parents rate their child’s health-related quality of life?: Results from a systematic review. Quality of Life Research, 10(4), 347–357.
Uzark, K., Jones, K., Burwinkle, T. M., & Varni, J. W. (2003). The pediatric quality of life inventory in children with heart disease. Progress in Pediatric Cardiology, 18, 141–148.
Palmer, S. N., Meeske, K. A., Katz, E. R., et al. (2007). The PedsQL™ brain tumor module: Initial reliability and validity. Pediatric Blood and Cancer, 49(3), 287–293.
Varni, J. W., Burwinkle, T. M., Berrin, S. J., et al. (2006). The PedsQL™ in pediatric cerebral palsy: Reliability, validity, and sensitivity of the generic core scales and cerebral palsy module. Developmental Medicine and Child Neurology, 48(6), 442–449.
Varni, J. W., Burwinkle, T. M., Jacobs, J. R., et al. (2003). The PedsQL™ in type 1 and type 2 diabetes: Reliability and validity of the pediatric quality of life inventory™ generic core scales and type 1 diabetes module. Diabetes Care, 26(3), 631–637.
Varni, J. W., Burwinkle, T. M., Rapoff, M. A., et al. (2004). The PedsQL™ in pediatric asthma: Reliability and validity of the pediatric quality of life inventory™ generic core scales and asthma module. Journal of Behavioral Medicine, 27(3), 297–318.
Varni, J. W., Burwinkle, T. M., Katz, E. R., et al. (2002). The PedsQL™ in pediatric cancer: Reliability and validity of the pediatric quality of life inventory™ generic core scales, multidimensional fatigue scale, and cancer module. Cancer, 94(7), 2090–2106.
Iannaccone, S. T., Hynan, L. S., Morton, A., et al. (2009). The PedsQL™ in pediatric patients with spinal muscular atrophy: Feasibility, reliability, and validity of the pediatric quality of life inventory™ generic core scales and neuromuscular module. Neuromuscular Disorders, 19(12), 805–812.
Varni, J. W., & Limbers, C. A. (2008). The PedsQL™ multidimensional fatigue scale in young adults: Feasibility, reliability and validity in a university student population. Quality of Life Research, 17(1), 105–114.
Varni, J. W., Seid, M., & Rode, C. A. (1999). The PedsQL: Measurement model for the pediatric quality of life inventory. Medical Care, 37(2), 126–139.
Varni, J. W., Burwinkle, T. M., & Seid, M. (2006). The PedsQL 4.0 as a school population health measure: Feasibility, reliability, and validity. Quality of Life Research, 15(2), 203–215.
Varni, J. W., Seid, M., & Kurtin, P. S. (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(8), 800–812.
Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8, 591 children across age subgroups with the PedsQL 4.0 generic core scales. Health Qual Life Outcomes, 5, 1.
Varni, J. W., Burwinkle, T. M., Sherman, S. A., et al. (2005). Health-related quality of life of children and adolescents with cerebral palsy: Hearing the voices of the children. Developmental Medicine and Child Neurology, 47(9), 592–597.
Chen, Y. M., He, L. P., Mai, J. C., et al. (2008). Validity and reliability of pediatric quality of life inventory version 4.0 generic core scales in Chinese children and adolescents. Zhonghua Liu Xing Bing Xue Za Zhi, 29(6), 560–563.
Fairclough, D. L. (2002). Design and analysis of quality of life studies in clinical trials: Interdisciplinary statistics. New York: Chapman & Hall/CRC.
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(1), 40–66.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.
Nunnally, J. C., & Bernstein, I. R. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
Pedhazur, E. J., & Schmelkin, L. P. (1991). Measurement, design, and analysis: An integrated approach. New Jersey: Lawrence Erlbaum Associates.
Rosnow, R. L., & Rosenthal, R. (1996). Computing contrasts, effect sizes, and counternulls on other people’s published data: General procedures for research consumers. Pyschological Methods, 1, 331–340.
Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assess, 7, 286–299.
Bartko, J. J. (1966). The intraclass correlation coefficient as a measure of reliability. Psychological Reports, 19(1), 3–11.
McGraw, K. O., & Wong, S. P. (1996). Forming inferences about some intraclass correlation coefficients. Psychological Methods, 1, 30–46.
de Vet, H. C., Terwee, C. B., Knol, D. L., et al. (2006). When to use agreement versus reliability measures. Journal of Clinical Epidemiology, 59(10), 1033–1039.
Novick, M., & Lewis, G. (1967). Coefficient alpha and the reliability of composite measurements. Psychometrika, 32(1), 1–13.
Sprangers, M. A. G., & Aaronson, N. K. (1992). The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease: A review. Journal of Clinical Epidemiology, 45(7), 743–760.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232.
Eiser, C., & Morse, R. (2001). Can parents rate their child’s health-related quality of life?: Results from a systematic review. Quality of Life Research, 10(4), 347–357.
Campo, J. V., Comer, D. M., Jansen-McWilliams, L., et al. (2002). Recurrent pain, emotional distress, and health service use in childhood. Journal of Pediatrics, 141(1), 76–83.
Janicke, D. M., Finney, J. W., & Riley, A. W. (2001). Children’s health care use: A prospective investigation of factors related to care-seeking. Medical Care, 39(9), 990–1001.
Varni, J. W., & Setoguchi, Y. (1992). Screening for behavioral and emotional problems in children and adolescents with congenital or acquired limb deficiencies. American Journal of Disease of Children, 146(1), 103–107.
Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Parent proxy-report of their children’s health-related quality of life: An analysis of 13, 878 parents’ reliability and validity across age subgroups using the PedsQLTM 4.0 generic core scales. Health and Quality of Life Outcomes, 5, 2.
Reinfjell, T., Diseth, T. H., Veenstra, M., & Vikan, A. (2006). Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the pediatric quality of life inventory™ 4.0 (PedsQL) generic core scales. Health and Quality of Life Outcomes, 4, 61.
Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment Research and Evaluation, 10(7), 1–9.
Acknowledgments
This study was supported by the Rehabilitation Centre, Children’s Hospital of Chongqing Medical University. Dr Varni holds the copyright for the PedsQL. Professor Hu translated the PedsQL 3.0 CP Module Scale to Chinese with his group. Yu Deng helped the data statistic. All of them are gratefully acknowledged.
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This is the first study with the reliability and validity for Chinese version PedsQL 4.0 Generic Core Scales and 3.0 CP Module in pediatric patient with CP. The study was supported by the Rehabilitation Centre of the Children’s Hospital of Chongqing Medical University.
An erratum to this article can be found at http://dx.doi.org/10.1007/s11136-010-9802-6
Appendix I
Appendix I
See Table 7.
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Yang, X., Xiao, N. & Yan, J. The PedsQL in pediatric cerebral palsy: reliability and validity of the Chinese version pediatric quality of life inventory 4.0 generic core scales and 3.0 cerebral palsy module. Qual Life Res 20, 243–252 (2011). https://doi.org/10.1007/s11136-010-9751-0
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DOI: https://doi.org/10.1007/s11136-010-9751-0