Quality of Life Research

, Volume 7, Issue 5, pp 433–445 | Cite as

Canadian-French, German and UK versions of the Child Health Questionnaire: methodology and preliminary item scaling results

  • J. M. Landgraf
  • E. Maunsell
  • K. Nixon Speechley
  • M. Bullinger
  • S. Campbell
  • L. Abetz
  • J. E. Ware


Using emerging international guidelines, stringent procedures were used to develop and evaluate Canadian-French, German and UK translations/ adaptions of the 50 item, parent-completed Child Health Questionnaire (CHQ-PF50). Multitrait analysis was used to evaluate the convergent and discriminant validity of the hypothesized item sets across countries relative to the results obtained for a representative sample of children in the US. Cronbach's a coefficient was used to estimate the internal consistency reliability for each of the health scales. Floor and ceiling effects were also examined. Seventy-nine percent of all the item-scale correlations achieved acceptable internal consistency (0.40 or higher). The tests of the item convergent and discriminant validity were successful at least 87% of the time across all scales and countries. Equal item variance was observed 90% of the time across all countries. The reliability coefficients ranged from a low of 0.43 (parental time impact, Canadian English) to a high of 0.97 (physical functioning index, Canadian French) across all scales (median 0.80). Negligible floor effects were observed across countries. Noteworthy ceiling effects were observed, as expected, for the hypothesized physical scales (mean effect 73%). Conversely, fewer ceiling effects were observed for the psychosocial scales (range 3–17% behaviour parental emotional impact). The item-scaling results obtained in these pilot studies support the psychometric properties of the American-English CHQ-PF50 and its respective translations.

Child Health Questionnaire; translation; multitrait analysis. 


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Copyright information

© Chapman and Hall 1998

Authors and Affiliations

  • J. M. Landgraf
    • 1
  • E. Maunsell
    • 2
  • K. Nixon Speechley
    • 3
    • 4
  • M. Bullinger
    • 5
  • S. Campbell
    • 6
  • L. Abetz
    • 1
  • J. E. Ware
    • 1
  1. 1.New England Medical CenterThe Health InstituteBostonUSA (J. M. Landgraf, L. Abetz, J. E. Ware)
  2. 2.HealthActBostonUSA
  3. 3.Epidemiology Research GroupUniversitéLavalCanada (E. Maunsell)
  4. 4.Child Health Research Institute and University of Western OntarioLondonCanada
  5. 5.Abteilung Für Medizinishe PsychologieUniversitatskrankenhaus EppendorfHamburgGermany
  6. 6.Rusholme Health Centre, Department of General PracticeUniversity of ManchesterManchesterUK

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