Quality of Life Research

, Volume 16, Issue 8, pp 1347–1356 | Cite as

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

  • Ulrike Ravens-SiebererEmail author
  • 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



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.


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.


Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r 2 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.


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.


Children’s and adolescent’s health Cultural sensitivity Measurement Quality of life Research methodology 



Child Health and Illness Profile-Adolescent Edition


Children with Special Health Care Needs Screener


Differential Item Functioning


Family Affluence Scale


Health Behavior in School-aged Children


Health-Related Quality of life


Item Response Theory


Ordinal Logistic Regression


Pediatric Quality of Life Inventory


Strengths and Difficulties Questionnaire


World Health Organization


Youth Quality of Life Instrument-Surveillance Version



The KIDSCREEN project was financed by a grant from the European Commission (QLG-CT-2000-00751) within the EC 5th Framework-Programme “Quality of Life and Management of Living Resources”.


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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Ulrike Ravens-Sieberer
    • 1
    Email author
  • 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

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