Department of Pediatrics, University of Pennsylvania School of Medicine and Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Qual Life Res. 2012 Dec;21(10):1755-70. doi: 10.1007/s11136-012-0111-0.
To describe the development of the Healthy Pathways Parent-Report Scales, measures of health, illness, well-being, and achievement among youth in middle childhood and adolescence.
The Healthy Pathways Scales were derived from the Child Health and Illness Profile (CHIP) instruments. The CHIP domains of Comfort, Risk Avoidance, Satisfaction, and Resilience were modified to reflect advances in child health conceptualization. Classical test and modern psychometric analyses were conducted using data collected from 1,527 parents of children aged 9–14 years. Intra-class correlation and differential item functioning analyses were used to evaluate the extent of child–parent agreement on the Healthy Pathways Scales.
After minor revisions, 11 of the 12 scales were found to measure unidimensional parent-assessed outcomes comprehensively (full range of the latent trait) and efficiently (a minimal number of items). Scales were unbiased by age, gender, and geographic location. The construct validity of the scales was supported by their capacity to differentiate children with and without chronic illnesses and to detect expected age and gender differences. Child–parent agreement was poor to moderate at both the scale and item levels.
The Healthy Pathways Parent-Report Scales may be used to reliably, accurately, and efficiently assess unidimensional aspects of health, illness, well-being, and achievement in clinical and population-based research studies involving youth in middle childhood and adolescence.
描述健康途径家长报告量表的发展，这些量表用于衡量儿童中期和青少年的健康、疾病、幸福感和成就。
健康途径量表源自儿童健康和疾病概况量表（CHIP）工具。CHIP 的舒适度、风险回避、满意度和适应力等领域进行了修改，以反映儿童健康概念的进步。使用从 1527 名 9-14 岁儿童的父母那里收集的数据，进行了经典测试和现代心理测量学分析。使用内部一致性和差异项目功能分析来评估健康途径量表在儿童和家长之间的一致性程度。
经过微小的修订，12 个量表中的 11 个被发现全面（潜在特质的全范围）和高效（最少的项目数量）地衡量了父母评估的单一维度结果。这些量表不受年龄、性别和地理位置的影响。这些量表能够区分患有和不患有慢性疾病的儿童，以及检测预期的年龄和性别差异，从而支持了其结构有效性。量表和项目水平的儿童与家长之间的一致性较差至中等。
健康途径家长报告量表可用于在涉及儿童中期和青少年的临床和基于人群的研究中，可靠、准确和高效地评估健康、疾病、幸福感和成就的单一维度方面。
