Varni James W, Burwinkle Tasha M, Seid Michael
Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, 3137 TAMU, College Station, Texas 77843-3137, USA.
Qual Life Res. 2006 Mar;15(2):203-15. doi: 10.1007/s11136-005-1388-z.
The application of health-related quality of life (HRQOL) as a school population health measure may facilitate risk assessment and resource allocation, the tracking of student health at the school and district level, the identification of health disparities among schoolchildren, and the determination of health outcomes from interventions and policy decisions at the school, district, and county level.
To determine the feasibility, reliability, and validity of the 23-item PedsQL 4.0 (Pediatric Quality of Life Inventory) Generic Core Scales as a school population health measure for children and adolescents.
Survey conducted in 304 classes at 18 elementary schools, 4 middle schools, and 3 high schools within a large metropolitan school district.
The PedsQL 4.0 Generic Core Scales (Physical, Emotional, Social, School Functioning) were completed by 2437 children ages 8-18 and 4227 parents of children ages 5-18.
The PedsQL 4.0 evidenced minimal missing responses, achieved excellent reliability for the Total Scale Score (alpha = 0.89 child, 0.92, parent report), and distinguished between healthy children and children with chronic health conditions. The PedsQL 4.0 was related to indicators of socioeconomic status (SES) at the school and district level. The PedsQL School Functioning Scale was significantly correlated with standardized achievement scores based on the Stanford 9.
The results demonstrate the feasibility, reliability and validity of the PedsQL 4.0 Generic Core Scales as a school population health measure. The implications of measuring HRQOL in schoolchildren at the school, district, and county level for identifying and ameliorating health disparities are discussed.
将健康相关生活质量（HRQOL）作为学校人群健康指标应用，可能有助于风险评估和资源分配、在学校和学区层面追踪学生健康状况、识别学童中的健康差异，以及确定学校、学区和县层面干预措施及政策决策的健康结果。
确定23项儿童生活质量量表4.0（Pediatric Quality of Life Inventory）通用核心量表作为儿童和青少年学校人群健康指标的可行性、可靠性和有效性。
在一个大城市学区的18所小学、4所初中和3所高中的304个班级中进行调查。
2437名8 - 18岁儿童和4227名5 - 18岁儿童的家长完成了儿童生活质量量表4.0通用核心量表（身体、情感、社会、学校功能）。
儿童生活质量量表4.0显示出极少的缺失回答，总量表得分具有出色的可靠性（儿童自评α = 0.89，家长报告α = 0.92），并且能够区分健康儿童和患有慢性健康状况的儿童。儿童生活质量量表4.0与学校和学区层面的社会经济地位（SES）指标相关。儿童生活质量量表学校功能量表与基于斯坦福9的标准化成绩显著相关。
结果证明了儿童生活质量量表4.0通用核心量表作为学校人群健康指标的可行性、可靠性和有效性。讨论了在学校、学区和县层面测量学童HRQOL对于识别和改善健康差异的意义。
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