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Reliability and validity of Japanese versions of KIDSCREEN-27 and KIDSCREEN-10 questionnaires

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Environmental Health and Preventive Medicine Aims and scope

An Erratum to this article was published on 31 March 2016

Abstract

Objective

This study aimed to assess the reliability and validity of Japanese versions of the KIDSCREEN-27 (J-KIDSCREEN-27) and KIDSCREEN-10 (J-KIDSCREEN-10) questionnaires, which are shorter versions of the KIDSCREEN-52 (J-KIDSCREEN-52).

Methods

The present analyses are based on a pre-existing dataset of the J-KIDSCREEN-52 validation study, including 1564 children and adolescents aged 8–18 years and their 1326 parents. All were asked to complete the J-KIDSCREEN and Pediatric Quality of Life Inventory (PedsQL) questionnaires. Test–retest reliability was assessed with Intraclass Correlation Coefficients (ICCs) in a one-way random effects model, and internal consistency reliability was measured using Cronbach’s alpha coefficients. Agreement between child and parent scores was evaluated using ICCs in a two-way mixed effects model. To assess concurrent validity, a sub-sample of 535 parents evaluated their child’s mental health status using the Strengths and Difficulties Questionnaire (SDQ).

Results

For children, test–retest ICCs were ≥0.60 and Cronbach’s alpha ≥0.70 for every dimension of both instruments. Correlations of corresponding dimensions between the J-KIDSCREEN-27 or -10 and the PedsQL were acceptable. For parents, test–retest ICCs were ≥0.60, Cronbach’s alpha ≥0.70, and ICCs between child and parent scores ≥0.41 in every dimension of both instruments. In multivariate logistic regression models, after adjusting for confounders, lower health-related QOL in every dimension of both instruments, except Physical Well-being, was significantly associated with higher odds ratios for borderline and clinical ranges of the SDQ.

Conclusion

The child/adolescent and parent/proxy versions of the J-KIDSCREEN-27 and J-KIDSCREEN-10 demonstrated acceptable levels of reliability and validity.

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References

  1. Matza LS, Swensen AR, Flood EM, Secnik K, Leidy NK. Assessment of health-related quality of life in children: a review of conceptual, methodological, and regulatory issues. Value Health. 2004;1:79–92.

    Article  Google Scholar 

  2. Eiser C, Morse R. A review of measures of quality of life for children with chronic illness. Arch Dis Child. 2001;84(3):205–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Solans M, Pane S, Estrada MD, Serra-Sutton V, Berra S, Rajmil L, et al. Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health. 2008;11(4):742–64.

    Article  PubMed  Google Scholar 

  4. The KIDSCREEN Group Europe. The KIDSCREEN questionnaires—quality of life questionnaires for children and adolescents. Lengerich: Pabst Science Publishers; 2006.

    Google Scholar 

  5. Ravens-Sieberer U, Gosch A, Rajmil L, Erhart M, Bruil J, Duer W, et al. KIDSCREEN-52 quality-of-life measure for children and adolescents. Expert Rev Pharmacoecon Outcomes Res. 2005;5(3):353–64.

    Article  PubMed  Google Scholar 

  6. Ravens-Sieberer U, Gosch A, Rajmil L, Erhart M, Bruil J, Power M, et al. The KIDSCREEN-52 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Value Health. 2008;11(4):645–58.

    Article  PubMed  Google Scholar 

  7. Ravens-Sieberer U, Auquier P, Erhart M, Gosch A, Rajmil L, the European KIDSCREEN Group, et al. The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Qual Life Res. 2007;16:1347–56.

    Article  PubMed  Google Scholar 

  8. Robitail S, Ravens-Sieberer U, Simeoni MC, Rajmil L, Bruil J, the KIDSCREEN Group, et al. Testing the structural and cross-cultural validity of the KIDSCREEN-27 quality of life questionnaire. Qual Life Res. 2007;16:1335–45.

    Article  PubMed  Google Scholar 

  9. Ravens-Sieberer U, Erhart M, Rajmil L, Herdman M, Auquier P, the European KIDSCREEN Group, et al. 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. Qual Life Res. 2010;19:1487–500.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Ravens-Sieberer U, Herdman M, Devine J, Otto C, Bullinger M, Rose M, et al. The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Qual Life Res. 2014;23(3):791–803.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Erhart M, Ottova V, Gaspar T, Jericek H, Schnohr C, Alikasifoglu M, Morgan A, Ravens-Sieberer U, HBSC Positive Health Focus Group. Measuring mental health and well-being of school-children in 15 European countries using the KIDSCREEN-10 Index. Int J Public Health. 2009;54(Suppl 2):160–6.

    Article  PubMed  Google Scholar 

  12. Klanšček HJ, Ziberna J, Korošec A, Zurc J, Albreht T. Mental health inequalities in Slovenian 15-year-old adolescents explained by personal social position and family socioeconomic status. Int J Equity Health. 2014;28(13):26.

    Google Scholar 

  13. Gouveia MJ, Frontini R, Canavarro MC, Moreira H. Quality of life and psychological functioning in pediatric obesity: the role of body image dissatisfaction between girls and boys of different ages. Qual Life Res. 2014;23(9):2629–38.

    Article  PubMed  Google Scholar 

  14. Gutter T, Brouwer OF, de Weerd AW. Subjective sleep disturbances in children with partial epilepsy and their effects on quality of life. Epilepsy Behav. 2013;28(3):481–8.

    Article  PubMed  Google Scholar 

  15. Azevedo LB, Burges Watson D, Haighton C, Adams J. The effect of dance mat exergaming systems on physical activity and health-related outcomes in secondary schools: results from a natural experiment. BMC Public Health. 2014;12(14):951.

    Article  Google Scholar 

  16. Rajmil L, López AR, López-Aguilà S, Alonso J. Parent-child agreement on health-related quality of life (HRQOL): a longitudinal study. Health Qual Life Outcomes. 2013;20(11):101.

    Article  Google Scholar 

  17. Jud A, Landolt MA, Tatalias A, Lach LM, Lips U. Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample. Qual Life Res. 2013;22(6):1361–9.

    Article  PubMed  Google Scholar 

  18. Ravens-Sieberer U, Erhart M, Gosch A, Wille N, European KIDSCREEN Group. Mental health of children and adolescents in 12 European countries—results from the European KIDSCREEN study. Clin Psychol Psychothe. 2008;15(3):154–63.

    Article  Google Scholar 

  19. Dey M, Mohler-Kuo M, Landolt MA. Health-related quality of life among children with mental health problems: a population-based approach. Health Qual Life Outcomes. 2012;18(10):73.

    Article  Google Scholar 

  20. Weitkamp K, Daniels JK, Romer G, Wiegand-Grefe S. Health-related quality of life of children and adolescents with mental disorders. Health Qual Life Outcomes. 2013;11:129–35.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Sawyer MG, Whaites L, Rey JM, Hazell PL, Graetz BW, Baghurst P. Health-related quality of life of children and adolescents with mental disorders. J Am Acad Child Adolesc Psychiatry. 2002;41(5):530–7.

    Article  PubMed  Google Scholar 

  22. Stein DS, Blum NJ, Barbaresi WJ. Developmental and behavioral disorders through the life span. Pediatrics. 2011;128(2):364–73.

    Article  PubMed  Google Scholar 

  23. Shibata R, Nemoto Y, Matuzaki K, Tanaka D, Kawaguchi T, Kanda A, et al. A study of the kid-KINDL questionnaire for measuring quality of life in elementary school children in Japan. Jpn J Pediatrics. 2003;107:1521–6 (in Japanese).

    Google Scholar 

  24. Kobayashi K, Kamibeppu K. Measuring quality of life in Japanese children: development of the Japanese version of PedsQL. Pediatr Int. 2010;52(1):80–8.

    Article  PubMed  Google Scholar 

  25. Nezu S, Iwasaka H, Saeki K, Ishizuka R, Goma H, Kurumatani N, et al. Reliability and validity of the Japanese version of the KIDSCREEN-52 health-related quality of life questionnaire for children/adolescents and parents/proxies. Environ Health Prev Med. 2015;20:44–52.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Matsuishi T, Nagano M, Araki Y, Tanaka Y, Iwasaki M, Yamashita Y, et al. Scale properties of the Japanese version of the strengths and difficulties questionnaire (SDQ): a study of infant and school children in community samples. Brain Dev. 2008;30:410–5.

    Article  PubMed  Google Scholar 

  27. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39:800–12.

    Article  CAS  PubMed  Google Scholar 

  28. Goodman R. The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry. 1997;38:581–6.

    Article  CAS  PubMed  Google Scholar 

  29. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates; 1988.

    Google Scholar 

  30. Bartko JJ. The intraclass correlation coefficient as a measure of reliability. Psychol Rep. 1966;19(1):3–11.

    Article  CAS  PubMed  Google Scholar 

  31. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334.

    Article  Google Scholar 

  32. Michel G, Bisegger C, Fuhr DC, Abel T. KIDSCREEN group. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Qual Life Res. 2009;18(9):1147–57.

    Article  PubMed  Google Scholar 

  33. Hofstra MB, Van der Ende J, Verhulst FC. Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000;39(7):850–8.

    Article  CAS  PubMed  Google Scholar 

  34. Pliszka S, AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921.

    Article  PubMed  Google Scholar 

  35. Myers SM, Johnson CP. American academy of pediatrics council on children with disabilities. Management of children with autism spectrum disorders. Pediatrics. 2007;120(5):1162–82.

    Article  PubMed  Google Scholar 

  36. Iwasaka H. Behavioral therapy for developmental disorders. Jpn J Clin Psychopharmacol. 2008;11:369–74 (in Japanese).

    Google Scholar 

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Acknowledgments

We thank all volunteers who participated in this study. This research was partially supported by the JSPS Grant-in-Aid for Scientific Research (B), 2012–2015, (Hidemi Iwasaka 24330264).

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Correspondence to Norio Kurumatani.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Nezu, S., Iwasaka, H., Saeki, K. et al. Reliability and validity of Japanese versions of KIDSCREEN-27 and KIDSCREEN-10 questionnaires. Environ Health Prev Med 21, 154–163 (2016). https://doi.org/10.1007/s12199-016-0510-x

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  • DOI: https://doi.org/10.1007/s12199-016-0510-x

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