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The KIDSCREEN-27 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries

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Author: Ravens-Sieberer, U. · Auquier, P. · Erhart, M. · Gosch, A. · Rajmil, L. · Bruil, J. · Power, M. · Duer, W. · Cloetta, B. · Czemy, L. · Mazur, J. · Czimbalmos, A. · Tountas, Y. · Hagquist, C. · Kilroe, J. · Fuerth, K. · Czerny, L. · Simeoni, M.C. · Robitail, S. · Nickel, J. · Kurth, B.-M. · Rüden, U. von · Dimitrakakis, C. · Aszman, A. · Flannery, E. · Detmar, S. · Veripps, E. · Mierzejeswka, E. · Berra, S. · Tebé, C. · Herdman, M. · Alonso, J. · Abel, T. · Bisegger, C. · Farley, C. · Atherton, C. · Phillips, K.
Institution: TNO Kwaliteit van Leven
Source:Quality of Life Research, 8, 16, 1347-1356
Identifier: 240226
doi: doi:10.1007/s11136-007-9240-2
Keywords: Health · Children's and adolescent's health · Cultural sensitivity · Measurement · Research methodology · Adult · Analytic method · Construct validity · Controlled study · Correlation analysis · Health · Major clinical study · Mental health · School child · Scoring system · Social status · Validity · Adolescent · Child · Child Welfare · Cultural Competency · Cultural Diversity · Culture · Europe · Female · Health Surveys · Humans · Internationality · Male · Psychological Tests · Psychometrics · Quality of Life · Questionnaires · Research


Objective: To assess the construct and criterion validity of the KIDSCREEN-27 health-related quality of life (HRQoL) questionnaire, a shorter version of the KIDSCREEN-52. Methods: The five-dimensional KIDSCREEN-27 was tested in a sample of 22,827. For criterion validity the correlation with and the percentage explained variance of the scores of the KIDSCREEN-52 instrument were examined. Construct validity was assessed by testing a priori expected associations with other generic HRQoL measures (YQOL-S, PedsQL, CHIP), indicators of physical and mental health, and socioeconomic status. Age and gender differences were investigated. Results: Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r2 ranged from 0.39 to 0.92. Correlations between other HRQoL questionnaires and KIDSCREEN-27 dimensions were moderate to high for those assessing similar constructs (r = 0.36 to 0.63). Statistically significant and sizeable differences between physically and mentally healthy and ill children were found in all KIDSCREEN-27 dimensions together with strong associations with psychosomatic complaints (r = -0.52). Most of the KIDSCREEN-27 dimensions showed a gradient according to socio-economic status, age and gender. Conclusions: The KIDSCREEN-27 seems to be a valid measure of HRQoL in children and adolescents. Further research is needed to assess longitudinal validity and sensitivity to change. © 2007 Springer Science+Business Media B.V.