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[父母报告的西班牙学龄前儿童健康相关生活质量:儿童生活质量量表修订版(Kiddy-KINDL-R)的心理测量特性]

[Parent-reported Health-Related Quality of Life in Spanish pre-schoolers: Psychometric properties of the Kiddy-KINDL-R].

作者信息

Orgilés Mireia, Melero Silvia, Penosa Patricia, Espada José Pedro, Morales Alexandra

机构信息

Grupo de Investigación AITANA, Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche (Alicante), España.

Grupo de Investigación AITANA, Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche (Alicante), España.

出版信息

An Pediatr (Engl Ed). 2019 May;90(5):263-271. doi: 10.1016/j.anpedi.2018.04.019. Epub 2018 Jul 6.

DOI:10.1016/j.anpedi.2018.04.019
PMID:31056090
Abstract

INTRODUCTION

Although several tools have been developed to assess general HRQoL in children, parental reports are required to supplement this information, especially in very young children. The parents version of the Kiddy-KINDL-R was developed to assess HRQoL in children aged 3 to 7 years through the reports of their parents or legal guardians.

OBJECTIVE

The aim of this study was to validate the parents version of the Kiddy-KINDL-R questionnaire and assess its psychometric properties in a sample of Spanish preschool-aged children.

METHOD

Cross-sectional study in 283 parents or legal guardians of children aged 3 to 6 years that completed the Kiddy-KINDL-R questionnaire and an additional scale to assess anxiety problems. We performed confirmatory factor analysis to assess whether the original Kiddy-KINDL-R version fit the Spanish data; we assessed internal consistency by means of the ordinal alpha and the discriminant validity by means of the Preschool Anxiety Scale.

RESULTS

Although the original six-factor model showed a good fit, we propose a model consisting of 22 items and the same 6 factors for the Spanish version. The reliability was excellent, and the internal consistency values were adequate. Our results showed significant negative correlations between the Kiddy-KINDL-R and the external anxiety measure, which was evidence of discriminant validity.

CONCLUSION

We demonstrated that the Spanish version of the Kiddy-KINDL-R had good psychometric properties and that this questionnaire is an adequate assessment tool that could be useful in clinical practice.

摘要

引言

尽管已经开发了几种工具来评估儿童的总体健康相关生活质量,但仍需要家长报告来补充这些信息,尤其是对于非常年幼的儿童。Kiddy-KINDL-R家长版是为通过家长或法定监护人的报告来评估3至7岁儿童的健康相关生活质量而开发的。

目的

本研究的目的是验证Kiddy-KINDL-R问卷的家长版,并在西班牙学龄前儿童样本中评估其心理测量特性。

方法

对283名3至6岁儿童的家长或法定监护人进行横断面研究,他们完成了Kiddy-KINDL-R问卷和另一个评估焦虑问题的量表。我们进行了验证性因素分析,以评估原始的Kiddy-KINDL-R版本是否适合西班牙的数据;我们通过有序α系数评估内部一致性,并通过学龄前焦虑量表评估区分效度。

结果

尽管原始的六因素模型显示出良好的拟合度,但我们为西班牙版本提出了一个由22个项目和相同的6个因素组成的模型。信度极佳,内部一致性值也足够。我们的结果显示Kiddy-KINDL-R与外部焦虑测量之间存在显著的负相关,这是区分效度的证据。

结论

我们证明了Kiddy-KINDL-R的西班牙版本具有良好的心理测量特性,并且该问卷是一种适用于临床实践的充分评估工具。

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