Quality of Life Research

, Volume 16, Issue 8, pp 1347–1356

The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries

  • Ulrike Ravens-Sieberer
  • Pascal Auquier
  • Michael Erhart
  • Angela Gosch
  • Luis Rajmil
  • Jeanet Bruil
  • Mick Power
  • Wolfgang Duer
  • Bernhard Cloetta
  • Ladislav Czemy
  • Joanna Mazur
  • Agnes Czimbalmos
  • Yannis Tountas
  • Curt Hagquist
  • Jean Kilroe
  • the European KIDSCREEN Group
Original Paper

DOI: 10.1007/s11136-007-9240-2

Cite this article as:
Ravens-Sieberer, U., Auquier, P., Erhart, M. et al. Qual Life Res (2007) 16: 1347. doi:10.1007/s11136-007-9240-2
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Abstract

Objective

To assess the construct and criterion validity of the KIDSCREEN-27 health-related quality of life (HRQoL) questionnaire, a shorter version of the KIDSCREEN-52.

Methods

The five-dimensional KIDSCREEN-27 was tested in a sample of 22,827. For criterion validity the correlation with and the percentage explained variance of the scores of the KIDSCREEN-52 instrument were examined. Construct validity was assessed by testing a priori expected associations with other generic HRQoL measures (YQOL-S, PedsQL, CHIP), indicators of physical and mental health, and socioeconomic status. Age and gender differences were investigated.

Results

Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r2 ranged from 0.39 to 0.92. Correlations between other HRQoL questionnaires and KIDSCREEN-27 dimensions were moderate to high for those assessing similar constructs (r = 0.36 to 0.63). Statistically significant and sizeable differences between physically and mentally healthy and ill children were found in all KIDSCREEN-27 dimensions together with strong associations with psychosomatic complaints (r = −0.52). Most of the KIDSCREEN-27 dimensions showed a gradient according to socio-economic status, age and gender.

Conclusions

The KIDSCREEN-27 seems to be a valid measure of HRQoL in children and adolescents. Further research is needed to assess longitudinal validity and sensitivity to change.

Keywords

Children’s and adolescent’s healthCultural sensitivityMeasurementQuality of lifeResearch methodology

Abbreviations

CHIP-AE

Child Health and Illness Profile-Adolescent Edition

CSHCN

Children with Special Health Care Needs Screener

DIF

Differential Item Functioning

FAS

Family Affluence Scale

HBSC

Health Behavior in School-aged Children

HRQoL

Health-Related Quality of life

IRT

Item Response Theory

OLS

Ordinal Logistic Regression

PedsQoL

Pediatric Quality of Life Inventory

SDQ

Strengths and Difficulties Questionnaire

WHO

World Health Organization

YQOL-S

Youth Quality of Life Instrument-Surveillance Version

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Ulrike Ravens-Sieberer
    • 1
  • Pascal Auquier
    • 2
  • Michael Erhart
    • 1
  • Angela Gosch
    • 3
  • Luis Rajmil
    • 4
  • Jeanet Bruil
    • 5
  • Mick Power
    • 6
  • Wolfgang Duer
    • 7
  • Bernhard Cloetta
    • 8
  • Ladislav Czemy
    • 9
  • Joanna Mazur
    • 10
  • Agnes Czimbalmos
    • 11
  • Yannis Tountas
    • 12
  • Curt Hagquist
    • 13
  • Jean Kilroe
    • 14
  • the European KIDSCREEN Group
  1. 1.School of Public Health, WHO Collaborating Center for Child and Adolescent Health PromotionUniversity of BielefeldBielefeldGermany
  2. 2.Department of Public HealthUniversity Hospital of MarseilleMarseilleFrance
  3. 3.Munich University of Applied SciencesMunichGermany
  4. 4.Agency for Quality, Research and Assessment in Health (AQuRAHealth)BarcelonaSpain
  5. 5.TNOPrevention and HealthLeidenThe Netherlands
  6. 6.Department of PsychiatryUniversity of Edinburgh, Royal Edinburgh HospitalEdinburghUK
  7. 7.Ludwig Boltzmann-Institute for Sociology of Health and MedicineUniversity of ViennaViennaAustria
  8. 8.Social and Behavioural Health Research, Department of Social and Preventive MedicineUniversity of BerneBerneSwitzerland
  9. 9.Prague Psychiatric CentrePragueCzech Republic
  10. 10.Department of EpidemiologyNational Research Institute of Mother & ChildWarsawPoland
  11. 11.Child Health DepartmentHealth Promotion and Development CentreBudapestHungary
  12. 12.Institute of Social and Preventive MedicineAthensGreece
  13. 13.Karlstad UniversityKarlstadSweden
  14. 14.Knowledge Officer Child Health HeBEProgramme of Action for ChildrenDublinIreland