Construct and Criterion Validity of the PedsQL™ 4.0 Instrument (Pediatric Quality of Life Inventory) in Colombia

Ana Carolina Amaya-Arias, Juan Pablo Alzate, Javier H Eslava-Schmalbach, Ana Carolina Amaya-Arias, Juan Pablo Alzate, Javier H Eslava-Schmalbach

Abstract

Background: This study aimed at determining the validity of the Pediatric Quality of Life Inventory 4.0 (PedsQL™ 4.0) for the measurement of health-related quality of life (HRQOL) in Colombian children.

Methods: Validation study of measurement instruments. The PedsQL™ 4.0 was applied by convenience sampling to 375 pairs of children and adolescents between the ages of 5 and 17 and to their parents-caregivers, as well as to 125 parents-caregivers of children between the ages of 2 and 4 in five cities of Colombia (Bogota, Medellin, Cali, Barranquilla and Bucaramanga). Construct validity was assessed through the use of exploratory and confirmatory factor analysis, and criterion validity was assessed by correlations between the PedsQL™ 4.0 and the KIDSCREEN-27.

Results: The instrument was applied to 375 children (ages 5-18) and 125 parents of children between the ages of 2 and 4. Factor analysis revealed four factors considered suitable for the sample in both the child and parent reports, whereas Bartlett's test of sphericity showed inter-correlation between variables. Scale and subscales showed proper indicators of internal consistency. It is recommended not to include or review some of the items in the Colombian version of the scale.

Conclusions: The Spanish version for Colombia of the PedsQL™ 4.0 displays suitable indicators of criterion and construct validity, therefore becoming a valuable tool for measuring HRQOL in children in our country. Some modifications are recommended for the Colombian version of the scale.

Keywords: Child; PedsQL™4.0; outcome assessment (health care); psychiatric status rating scales; quality of life; validation studies.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Confirmatory factor analysis (children and parents); four multidimensional scale-based model for the “quality of life” construct

References

    1. Simón M. Manual de Psicología de la Salud: Fundamentos, Metodología y Aplicaciones. Madrid: Biblioteca Nueva; 1999.
    1. Gómez VM, Sabeh E. Calidad de Vida. Evolución del Concepto y su Influencia en la Investigación y la Práctica. Instituto Universitario de Integración en la Comunidad, Facultad de Psicología, Universidad de Salamanca. 1999:1–6.
    1. Varni JW, Seid M, Rode CA. The PedsQL: Measurement model for the pediatric quality of life inventory. Med Care. 1999;37:126–39.
    1. 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.
    1. González-Gil T, Mendoza-Soto A, Alonso-Lloret F, Castro-Murga R, Pose-Becerra C, Martín-Arribas MC. The Spanish version of the health-related quality of life questionnaire for children and adolescents with heart disease (PedsQL (TM)) Rev Esp Cardiol (Engl Ed) 2012;65:249–57.
    1. Roizen M, Rodríguez S, Bauer G, Medin G, Bevilacqua S, Varni JW, et al. Initial validation of the Argentinean Spanish version of the PedsQL 4.0 Generic Core Scales in children and adolescents with chronic diseases: Acceptability and comprehensibility in low-income settings. Health Qual Life Outcomes. 2008;6:59.
    1. Fernández G, Dallo M, Durán C, Caperchione F, Gutiérrez S, Dapueto JJ. Cuestionario sobre Calidad de Vida Pediátrica (PedsQL) versión 4.0: Fase inicial de la adaptación transcultural para Uruguay. Arch Pediatr Urug. 2010;81:91–9.
    1. Sánchez R, Echeverry J. Validating scales used for measuring factors in medicine. Rev Salud Publica (Bogota) 2004;6:302–18.
    1. Tinsley H, Tinsley D. Uses of factor analysis in counseling psychology research. J Couns Psychol. 1987;34:414–24.
    1. Quintero CA, Lugo LH, García HI, Sánchez A. Validación del cuestionario KIDSCREEN-27 de calidad de vida relacionada con la salud en niños y adolescentes de Medellín, Colombia. Rev Colomb Psiquiatr. 2011;40:470–87.
    1. Bonett D, Wright T. Sample size requirements for estimating pearson, kendall and spearma correlations. Psychometrika. 2010;65:23–8.
    1. Felder-Puig R, Frey E, Proksch K, Varni JW, Gadner H, Topf R. Validation of the German version of the pediatric quality of life inventory (PedsQL) in childhood cancer patients off treatment and children with epilepsy. Qual Life Res. 2004;13:223–34.
    1. Gheissari A, Farajzadegan Z, Heidary M, Salehi F, Masaeli A, Mazrooei A, et al. Validation of persian version of PedsQL™ 4.0™ generic core scales in toddlers and children. Int J Prev Med. 2012;3:341–50.
    1. Tsuji N, Kakee N, Ishida Y, Asami K, Tabuchi K, Nakadate H, et al. Validation of the Japanese version of the pediatric quality of life inventory (PedsQL) cancer module. Health Qual Life Outcomes. 2011;9:22.
    1. Lau JT, Yu XN, Chu Y, Shing MM, Wong EM, Leung TF, et al. Validation of the Chinese version of the pediatric quality of life inventory (PedsQL) cancer module. J Pediatr Psychol. 2010;35:99–109.
    1. Kook SH, Varni JW. Validation of the Korean version of the pediatric quality of life inventory 4.0 (PedsQL) generic core scales in school children and adolescents using the rasch model. Health Qual Life Outcomes. 2008;6:41.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren