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2009-08-26Zeitschriftenartikel DOI: 10.1186/1477-7525-7-77
Measuring adolescents' HRQoL via self reports and parent proxy reports: an evaluation of the psychometric properties of both versions of the KINDL-R instrument
dc.contributor.authorErhart, Michael
dc.contributor.authorEllert, Ute
dc.contributor.authorKurth, Bärbel-Maria
dc.contributor.authorRavens-Sieberer, Ulrike
dc.date.accessioned2018-05-07T13:23:15Z
dc.date.available2018-05-07T13:23:15Z
dc.date.created2009-11-25
dc.date.issued2009-08-26none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reGJuFs1aLTQ/PDF/23Ruo9xousLys.pdf
dc.identifier.urihttp://edoc.rki.de/176904/480
dc.description.abstractBackground: Several instruments are available to assess children's health-related quality of life (HRQoL) based on self reports as well as proxy reports from parents. Previous studies have found only low-to-moderate agreement between self and proxy reports, but few studies have explicitly compared the psychometric qualities of both. This study compares the reliability, factorial validity and convergent and known group validity of the self-report and parent-report versions of the HRQoL KINDL-R questionnaire for children and adolescents. Methods: Within the nationally representative cross-sectional German Health Interview and Examination Survey for Children and Adolescents (KiGGS), 6,813 children and adolescents aged 11 to 17 years completed the KINDL-R generic HRQoL instrument while their parents answered the KINDL proxy version (both in paper-and-pencil versions). Cronbach's alpha and confirmatory factor-analysis models (linear structural equation model) were obtained. Convergent and discriminant validity were assessed by calculating the Pearson's correlation coefficient for the Strengths and Difficulties Questionnaire. Known-groups differences were examined (ANOVA) for obese children and children with a lower familial socio-economic status. Results: The parent reports achieved slightly higher Cronbach's alpha values for the total score (0.86 vs. 0.83) and most sub-scores. Confirmatory factor analysis revealed an acceptable fit of the six-dimensional measurement model of the KINDL for the parent (RMSEA = 0.07) and child reports (RMSEA = 0.06). Factorial invariance across the two versions did not hold with regards to the pattern of loadings, the item errors and the covariation between latent concepts. However the magnitude of the differences was rather small. The parent report version achieved slightly higher convergent validity (r = 0.44 – 0.63 vs. r = 0.33 – 0.59) in the Strengths and Difficulties Questionnaire. No clear differences were observed for known-groups validity. Conclusion: Our study showed that parent proxy reports and child self reports on the child's HRQoL slightly differ with regards to how the perceptions, evaluations and possibly the affective resonance of each group are structured and internally consistent. Overall, the parent reports achieved slightly higher reliability and thus are favoured for the examination of small samples. No version was universally superior with regards to the validity of the measurements. Whenever possible, children's HRQoL should be measured via both sources of information.ger
dc.language.isoeng
dc.publisherRobert Koch-Institut; Robert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectAdolescenteng
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectMaleeng
dc.subjectChildeng
dc.subjectAdulteng
dc.subjectCross-Sectional Studieseng
dc.subjectQuality of Lifeeng
dc.subjectHealth Status Indicatorseng
dc.subjectSocial Classeng
dc.subjectReproducibility of Resultseng
dc.subjectAnalysis of Varianceeng
dc.subjectGroup Processeseng
dc.subjectParentseng
dc.subjectProxyeng
dc.subjectPsychometrics/instrumentationeng
dc.subjectSelf Assessment (Psychology)eng
dc.subject.ddc610 Medizin
dc.titleMeasuring adolescents' HRQoL via self reports and parent proxy reports: an evaluation of the psychometric properties of both versions of the KINDL-R instrument
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-1002921
dc.identifier.doi10.1186/1477-7525-7-77
dc.identifier.doihttp://dx.doi.org/10.25646/405
local.edoc.container-titleHealth and Quality of Life Outcomes
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.hqlo.com/content/7/1/77
local.edoc.container-publisher-nameBioMed Central
local.edoc.container-volume7
local.edoc.container-year2009

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