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01.10.2013 | Brief Communication

Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

verfasst von: Steven Hoffman, Matthew C. Lambert, Timothy D. Nelson, Alexandra L. Trout, Michael H. Epstein, Robert Pick

Erschienen in: Quality of Life Research | Ausgabe 8/2013

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Abstract

Purpose

The Pediatric Quality of Life assessment (PedsQL™) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL™ among youth receiving residential care.

Methods

High school–aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL™ 4.0 Teen Report.

Results

Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems).

Conclusions

The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL™ to assess their HRQoL.

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Titel: Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting
verfasst von: Steven Hoffman
Matthew C. Lambert
Timothy D. Nelson
Alexandra L. Trout
Michael H. Epstein
Robert Pick
Publikationsdatum: 01.10.2013
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 8/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-012-0327-z

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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