测量患有身体疾病幼儿的健康相关生活质量：家长报告的儿童生活质量量表27项版的心理测量特性
Measuring health-related quality of life in young children with physical illness: psychometric properties of the parent-reported KIDSCREEN-27.
作者信息
Ferro Mark A, Otto Christiane, Ravens-Sieberer Ulrike
机构信息
School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, Canada.
Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Qual Life Res. 2022 May;31(5):1509-1520. doi: 10.1007/s11136-021-03054-2. Epub 2021 Dec 2.
PURPOSE
This study examined whether the KIDSCREEN-27 was reliable and valid in young children 2-7 years with chronic physical illnesses which included estimating inter-domain correlations and internal consistency; measurement invariance testing; and, discriminant and convergent validity assessments.
METHODS
Data come from the Multimorbidity in Children and Youth across the Life-course; a longitudinal study of individuals aged 2-16 years with physical illness. The parent-reported KIDSCREEN-27 was administered. Children (2-7 years; n = 106) were compared to adolescents (8-16 years; n = 157). Reliability was estimated using Cronbach α for internal consistency. Multiple group confirmatory factor analysis tested for measurement invariance. Cohen's d and Pearson coefficient were used to assess discriminant validity by sex and age. Convergent validity was tested using Pearson coefficients with the WHODAS 2.0 (child functioning/impairment). Multiple regression examined associations between multimorbidity (co-occurring physical and mental illness) and HRQL.
RESULTS
Internal consistency reliabilities were α = 0.74-0.88 (children) and α = 0.77-0.88 (adolescents). Inter-domain correlations were relatively low (children: r = 0.18-0.59; adolescents: r = 0.30-0.62) indicating that each KIDSCREEN-27 domain was measuring a unique aspect of health-related quality of life. Measurement invariance was demonstrated (scalar level). Parameter estimates of the invariant models were similar for children and adolescents. Small, non-significant correlations were found for sex and age for children and adolescents. Medium, significant correlations were found for both groups between the KIDSCREEN-27 and WHODAS 2.0. Children and adolescents with multimorbidity had significantly lower physical well-being, psychological well-being, and school environment scores compare to those without multimorbidity. Regression coefficients were similar between groups.
CONCLUSION
Findings provide evidence of adequate psychometrics for the KIDSCREEN-27 in young children with chronic physical illness.
目的
本研究探讨了KIDSCREEN - 27量表在2至7岁患有慢性身体疾病的幼儿中是否可靠且有效，包括评估领域间相关性和内部一致性、测量不变性测试以及区分效度和聚合效度评估。
方法
数据来自“儿童和青少年全生命周期多重疾病研究”；这是一项针对2至16岁患有身体疾病个体的纵向研究。采用家长报告的KIDSCREEN - 27量表进行测评。将儿童（2至7岁；n = 106）与青少年（8至16岁；n = 157）进行比较。使用克朗巴哈α系数估计内部一致性来评估信度。采用多组验证性因素分析测试测量不变性。使用科恩d值和皮尔逊系数按性别和年龄评估区分效度。使用与世界卫生组织残疾评定量表2.0（儿童功能/损伤）的皮尔逊系数测试聚合效度。多元回归分析多重疾病（身体和精神疾病共病）与健康相关生活质量之间的关联。
结果
内部一致性信度在儿童中为α = 0.74 - 0.88，在青少年中为α = 0.77 - 0.88。领域间相关性相对较低（儿童：r = 0.18 - 0.59；青少年：r = 0.30 - 0.62），表明KIDSCREEN - 27量表的每个领域都在测量与健康相关生活质量的一个独特方面。证明了测量不变性（标量水平）。不变模型的参数估计在儿童和青少年中相似。儿童和青少年在性别和年龄方面发现了小的、不显著的相关性。两组在KIDSCREEN - 27量表和世界卫生组织残疾评定量表2.0之间发现了中等程度的、显著的相关性。与无多重疾病的儿童和青少年相比，患有多重疾病的儿童和青少年在身体健康、心理健康和学校环境得分上显著更低。两组之间的回归系数相似。
结论
研究结果为KIDSCREEN - 27量表在患有慢性身体疾病的幼儿中具有足够的心理测量学特性提供了证据。
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