Quality of Life Research

, Volume 17, Issue 2, pp 299–305

Measuring health-related quality of life in Greek children: psychometric properties of the Greek version of the Pediatric Quality of Life InventoryTM 4.0 Generic Core Scales

  • Konstantina Gkoltsiou
  • Christine Dimitrakaki
  • Chara Tzavara
  • Vassiliki Papaevangelou
  • James W. Varni
  • Yannis Tountas
Brief Communication

DOI: 10.1007/s11136-007-9294-1

Cite this article as:
Gkoltsiou, K., Dimitrakaki, C., Tzavara, C. et al. Qual Life Res (2008) 17: 299. doi:10.1007/s11136-007-9294-1

Abstract

Objectives

The aim of this study was to investigate the psychometric properties of the Greek version of the Pediatric Quality of Life InventoryTM 4.0 (PedsQLTM 4.0) as a population health outcome measure.

Methods

After cultural linguistic validation, a cross-sectional study with the participation of 645 children (8–12 years old) and their primary caregivers was conducted in a nation-wide representative school-based sample to evaluate the psychometric properties of the measure.

Results

All PedsQL 4.0 scales showed satisfactory reliability, with Cronbach’s α exceeding 0.70—except in self-reported Physical Functioning (α = 0.65). Test–retest stability intraclass correlation coefficients (ICCs) were above 0.60 in all subscales. No floor effects were detected in either the self-report or parent proxy versions. Ceiling effects ranged from 2.2% (self-report Total Score) to 31.1% (parent-report Social Functioning). Poor to moderate agreement between self report and proxy report was observed, especially for the younger age groups of children. Impact of gender, health status, and family affluence status were detected, as hypothesised from previous bibliography, with girls reporting lower health-related quality of life (HRQOL) than boys on the Emotional Functioning subscale, healthy children scoring significantly higher on all scales than those with chronic illnesses, and lower socioeconomic groups scoring significantly lower than higher socioeconomic groups. Factor analysis showed mainly comparable results with the original version.

Conclusions

Present results support the reliability and validity of the PedsQL 4.0 Greek version. The instrument could be a valuable tool in HRQOL measurement in school health care settings and population-based studies in Greek-speaking children, though it should be stressed that when possible, the child should be considered the first informant of his/her HRQOL.

Keywords

School childrenGreeceHealth-related quality of lifePediatric Quality of Life InventoryTM 4.0ValidityPedsQL™

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Konstantina Gkoltsiou
    • 1
  • Christine Dimitrakaki
    • 1
  • Chara Tzavara
    • 1
  • Vassiliki Papaevangelou
    • 2
  • James W. Varni
    • 3
    • 4
  • Yannis Tountas
    • 1
  1. 1.Center for Health Services Research, Medical SchoolUniversity of AthensAthensGreece
  2. 2.School of Health Sciences, Faculty of Medicine, Department of Mother and Child CareChildren’s Hospital Aglaia KyriakouAthensGreece
  3. 3.Department of Pediatrics, College of MedicineTexas A&M UniversityCollege StationUSA
  4. 4.Department of Landscape Architecture and Urban Planning, College of ArchitectureTexas A&M UniversityCollege StationUSA