Quality of Life Research

, Volume 11, Issue 6, pp 575–581

Reliability and validity of the child health questionnaire-child form (CHQ-CF87) in a Dutch adolescent population

  • H. Raat
  • J.M. Landgraf
  • G.J. Bonsel
  • R.J.B.J. Gemke
  • M.L. Essink-Bot

DOI: 10.1023/A:1016393311799

Cite this article as:
Raat, H., Landgraf, J., Bonsel, G. et al. Qual Life Res (2002) 11: 575. doi:10.1023/A:1016393311799


Feasibility, reliability, and discriminative validity of the cross-culturally adapted Dutch version of the originally US child health questionnaire-child form (CHQ-CF87), an 87-item generic pediatric health-related quality of life instrument, were assessed. The success criterion in this first evaluation was the equivalence of psychometric properties of the adapted and the original CHQ. A total of 466 schoolchildren (9–17 years) were invited to complete the questionnaire in the classroom. Test–retest reliability was measured after 14 days in a subgroup (n = 71). Response was 96%. Four scales had ceiling effects (> 50%), as was reported in an Australian study. Cronbach α-values were adequate (> 0.70), except for ‘physical functioning’ (0.56). Test–retest correlations, not previously reported, were not statistically significant for two CHQ-scales, whereas average retest scores indicated better health for five scales (p < 0.01). The CHQ scales discriminated significantly (p < 0.01) between children without (n = 281) and children with two or more self-reported chronic diseases (n = 59). This is in correspondence with US and Australian reports. Conclusions: The current data support application of the Dutch CHQ-CF in predominantly healthy populations, e.g. in school settings. Given the limitations of this study and some less favorable results (score distributions, internal consistency; test–retest reliability), further evaluation of the CHQ-CF is recommended, preferably by analyses of item performance and scale validity in international data sets that include varied clinical subgroups.

Child health questionnaire-child form (CHQ-CF87) Cross-cultural adaptation Health status Internal consistency Quality of life Self-report Test–retest reliability Validity 

Copyright information

© Kluwer Academic Publishers 2002

Authors and Affiliations

  • H. Raat
    • 2
  • J.M. Landgraf
    • 3
  • G.J. Bonsel
    • 4
  • R.J.B.J. Gemke
    • 5
  • M.L. Essink-Bot
    • 1
  1. 1.Department of Public HealthErasmus UniversityRotterdamThe Netherlands
  2. 2.Municipal Health ServiceRotterdamThe Netherlands
  3. 3.HealthActBostonUSA
  4. 4.Department of Social MedicineAmsterdam Medical CenterThe Netherlands
  5. 5.Department of PediatricsFree University Medical CenterAmsterdamThe Netherlands

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