Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, University of Gävle, Gävle, Sweden.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
BMC Pediatr. 2022 Sep 20;22(1):555. doi: 10.1186/s12887-022-03607-5.
Autonomy is recognized as important for individual well-being and constitutes one dimension in the KIDSCREEN-instrument measuring health related quality of life (HRQoL) in children and adolescents. However, the autonomy questions in KIDSCREEN are restricted to opportunities to influence leisure time activities, which is a form of autonomy as volition. Yet, there are other aspects of autonomy that might be related to adolescent's HRQoL. The aims of the present study were first to investigate the psychometric properties of a scale measuring autonomy in adolescence from a control perspective (AAC) including its relation to the autonomy dimension in KIDSCREEN, and second; to investigate AACs ability to predict each of the 10 dimensions constituting KIDSCREEN.
Students (n = 154) aged 15-16 years who were recruited from schools located in both low (two schools) and high (two schools) socioeconomic status (SES) areas in Sweden participated in a cross-sectional study. The adolescents answered a questionnaire including a new 6-item scale measuring perceived autonomy and HRQoL assessed by the KIDSCREEN-52 instrument. A factor analyses was computed to investigate the relation between the items in the AAC scale and the autonomy items in the KIDSCREEN instrument. Hierarchical regression analyses were computed to investigate if the AAC scale predicted HRQoL in any of the 10 dimensions in KIDSCREEN after controlling for gender, SES and the original autonomy scale included in KIDSCREEN.
The factor analysis showed that all the items from the autonomy scale loaded in one factor and that all the items from the AAC scale loaded in another dimension. The hierarchical regression models showed that the AAC scale uniquely predicted HRQoL in all dimensions of the KIDSCREEN instrument after controlling for gender, SES and the original autonomy scale included in KIDSCREEN-52. A high level of perceived autonomy was associated with a high level of HRQoL for both scales.
A new scale for measuring autonomy from a control perspective has been presented and shown to differ from autonomy as volition. Both forms of autonomy are positively related to HRQoL in adolescence 15-16 years old.
自主性被认为对个人幸福很重要，是衡量儿童和青少年健康相关生活质量（HRQoL）的 KIDSCREEN 工具的一个维度。然而，KIDSCREEN 中的自主性问题仅限于影响闲暇时间活动的机会，这是一种意志自主性的形式。然而，自主性的其他方面可能与青少年的 HRQoL 有关。本研究的目的首先是调查从控制角度衡量青少年自主性的量表（AAC）的心理测量特性，包括其与 KIDSCREEN 中自主性维度的关系，其次；调查 AAC 预测 KIDSCREEN 构成的 10 个维度的能力。
从瑞典位于低（两所学校）和高（两所学校）社会经济地位（SES）地区的学校招募了 15-16 岁的学生（n=154），他们参加了一项横断面研究。青少年回答了一份包括新的 6 项量表的问卷，该量表用于测量感知自主性和由 KIDSCREEN-52 工具评估的 HRQoL。进行了因子分析以研究 AAC 量表中的项目与 KIDSCREEN 工具中的自主性项目之间的关系。进行了分层回归分析，以调查在控制性别、SES 和 KIDSCREEN 中包含的原始自主性量表后，AAC 量表是否可以预测 KIDSCREEN 中任何一个维度的 HRQoL。
因子分析表明，自主性量表的所有项目都加载在一个因子中，而 AAC 量表的所有项目都加载在另一个维度中。分层回归模型表明，在控制性别、SES 和 KIDSCREEN-52 中包含的原始自主性量表后，AAC 量表可以独特地预测 KIDSCREEN 仪器的所有维度的 HRQoL。高水平的感知自主性与两种量表的 HRQoL 高度相关。
提出了一种新的从控制角度衡量自主性的量表，结果表明它与意志自主性不同。这两种形式的自主性都与 15-16 岁青少年的 HRQoL 呈正相关。
