Quality of Life Research

, Volume 22, Issue 8, pp 2151–2157 | Cite as

Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

  • Steven Hoffman
  • Matthew C. Lambert
  • Timothy D. Nelson
  • Alexandra L. Trout
  • Michael H. Epstein
  • Robert Pick
Brief Communication



The Pediatric Quality of Life assessment (PedsQL™) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL™ among youth receiving residential care.


High school–aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL™ 4.0 Teen Report.


Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems).


The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL™ to assess their HRQoL.


Quality of life Health Adolescent Residential treatment 



The research reported here was supported by the Institute of Education Sciences, U.S. Department of Education, through grant R324B110001 to the University of Nebraska-Lincoln. The opinions expressed are those of the authors and do not represent views of the Institute or the U.S. Department of Education.


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Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  • Steven Hoffman
    • 1
  • Matthew C. Lambert
    • 2
  • Timothy D. Nelson
    • 3
  • Alexandra L. Trout
    • 4
  • Michael H. Epstein
    • 5
  • Robert Pick
    • 6
  1. 1.213 Barkley Memorial CenterLincolnUSA
  2. 2.211 Barkley Memorial CenterLincolnUSA
  3. 3.319 Burnett HallLincolnUSA
  4. 4.247F Barkley Memorial CenterLincolnUSA
  5. 5.202F Barkley Memorial CenterLincolnUSA
  6. 6.Boys Town National HeadquartersBoys TownUSA

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