Riiser Kirsti, Helseth Sølvi, Christophersen Knut-Andreas, Haraldstad Kristin
Department of Physiotherapy, Faculty of Health, OsloMet - Oslo Metropolitan University, PO Box 4 St. Olavsplass, N-0130 Oslo, Norway.
Department of Nursing and Health Promotion, Faculty of Health, OsloMet - Oslo Metropolitan University, PO Box 4 St. Olavsplass, N-0130 Oslo, Norway.
Prev Med Rep. 2020 Sep 16;20:101210. doi: 10.1016/j.pmedr.2020.101210. eCollection 2020 Dec.
The aim of the study was to perform a confirmatory factor analysis (CFA) to investigate the psychometric properties of the proxy version of Kidscreen-27 in order to determine whether the instrument can be used to assess health-related quality of life (HRQoL) in young children (five to six years of age). Furthermore, we aimed to examine the relationships between the HRQoL dimensions and the body mass index (BMI), physical activity (PA), age, and gender. Altogether, 276 children from schools in eastern Norway were included (September 2016). HRQoL was measured using the Kidscreen-27 proxy version. CFA was conducted to examine the factorial validity of the five-dimension instrument. Structural equation modelling was used to estimate the relationship between the independent variables and the HRQoL subscales that showed an acceptable fit; physical well-being, social support and peers, and school environment. PA was positively, and BMI negatively associated with physical well-being (p < 0.5). Parents of the youngest children reported more negatively on the school environment subscale (p < 0.5). The full 27-item proxy version of Kidscreen should be used with caution for children as young as five to six years as two of the subscales were found to have unsatisfactory factor loadings. The physical well-being, the social support and peers, and the school environment subscales can provide valid and valuable data for research and practice. Even though the associations are small, it is worrying that adverse relationships between PA and BMI and physical well-being are detectable in such a young sample as included here.
本研究的目的是进行验证性因素分析（CFA），以调查儿童生活质量量表27（Kidscreen - 27）代理版本的心理测量特性，从而确定该工具是否可用于评估幼儿（5至6岁）的健康相关生活质量（HRQoL）。此外，我们旨在研究HRQoL维度与体重指数（BMI）、身体活动（PA）、年龄和性别的关系。总共纳入了挪威东部学校的276名儿童（2016年9月）。使用Kidscreen - 27代理版本测量HRQoL。进行CFA以检验五维度工具的因子效度。采用结构方程模型来估计自变量与显示出可接受拟合度的HRQoL子量表之间的关系；身体健康、社会支持与同伴以及学校环境。PA与身体健康呈正相关，BMI与身体健康呈负相关（p < 0.5）。年龄最小的儿童的父母在学校环境子量表上的报告更负面（p < 0.5）。对于5至6岁的儿童，应谨慎使用完整的27项Kidscreen代理版本，因为发现其中两个子量表的因子载荷不令人满意。身体健康、社会支持与同伴以及学校环境子量表可为研究和实践提供有效且有价值的数据。尽管关联较小，但在此纳入的如此年幼的样本中可检测到PA、BMI与身体健康之间的不利关系，这令人担忧。
