Confirmatory factor analysis of the proxy version of Kidscreen-27 and relationships between health-related quality of life dimensions and body mass index and physical activity in young schoolchildren

Riiser, Kirsti; Helseth, Sølvi; Christophersen, Knut‐Andreas; Haraldstad, Kristin

doi:10.1016/j.pmedr.2020.101210

Cited by 11 publications

(10 citation statements)

References 27 publications

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“…Internal consistency estimates were stronger, but consistent with previous reports [21,22]. As well, model fit indices and factor loadings from the final invariant models were similar to those reported in a school sample of young children 5-6 years of age [22]. While inferences from these findings may provide preliminary evidence of longitudinal invariance of the KIDSCREEN-27, additional work is needed to formally test this hypothesis; repeated measures in the same sample of children, preferably over different developmental periods, is required.…”

Section: Context With Extant Literaturesupporting

confidence: 89%

“…Combined, the findings provide initial evidence that unbiased comparisons using the KIDSCREEN-27 can be made in samples of children as young as 2 years to adolescents 16 years of age [54]. Internal consistency estimates were stronger, but consistent with previous reports [21,22]. As well, model fit indices and factor loadings from the final invariant models were similar to those reported in a school sample of young children 5-6 years of age [22].…”

Section: Context With Extant Literaturesupporting

confidence: 80%

“…Agreement between parents and children 5-7 years, as estimated using intraclass correlation, ranged from 0.20 to 0.42, indicating poor agreement. Riiser et al used a school sample of 5-6-year-old children to examine the factor structure of the parent-reported KIDSCREEN-27 [22]. While model fit indices indicated adequate fit for each domain, weak factor loadings (Λ < 0.32) were found for psychological well-being and autonomy & parent relations, which were also reported to have relatively low internal consistencies.…”

Section: Introductionmentioning

confidence: 99%

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Measuring health-related quality of life in young children with physical illness: psychometric properties of the parent-reported KIDSCREEN-27

2021

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Purpose This study examined whether the KIDSCREEN-27 was reliable and valid in young children 2-7 years with chronic physical illnesses which included estimating inter-domain correlations and internal consistency; measurement invariance testing; and, discriminant and convergent validity assessments. Methods Data come from the Multimorbidity in Children and Youth across the Life-course; a longitudinal study of individuals aged 2-16 years with physical illness. The parent-reported KIDSCREEN-27 was administered. Children (2-7 years; n = 106) were compared to adolescents (8-16 years; n = 157). Reliability was estimated using Cronbach α for internal consistency. Multiple group confirmatory factor analysis tested for measurement invariance. Cohen's d and Pearson coefficient were used to assess discriminant validity by sex and age. Convergent validity was tested using Pearson coefficients with the WHODAS 2.0 (child functioning/impairment). Multiple regression examined associations between multimorbidity (cooccurring physical and mental illness) and HRQL. Results Internal consistency reliabilities were α = 0.74-0.88 (children) and α = 0.77-0.88 (adolescents). Inter-domain correlations were relatively low (children: r = 0.18-0.59; adolescents: r = 0.30-0.62) indicating that each KIDSCREEN-27 domain was measuring a unique aspect of health-related quality of life. Measurement invariance was demonstrated (scalar level). Parameter estimates of the invariant models were similar for children and adolescents. Small, non-significant correlations were found for sex and age for children and adolescents. Medium, significant correlations were found for both groups between the KIDSCREEN-27 and WHODAS 2.0. Children and adolescents with multimorbidity had significantly lower physical well-being, psychological well-being, and school environment scores compare to those without multimorbidity. Regression coefficients were similar between groups. Conclusion Findings provide evidence of adequate psychometrics for the KIDSCREEN-27 in young children with chronic physical illness.

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Section: Context With Extant Literaturesupporting

confidence: 89%

Section: Context With Extant Literaturesupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Measuring health-related quality of life in young children with physical illness: psychometric properties of the parent-reported KIDSCREEN-27

2021

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“…In a study conducted with adolescents, it was observed that the quantity of moderate physical activity was associated with better sleep quality [ 6 ]. Considering quality of life, [ 7 ] a study with 276 Norwegian children observed that physical activity was associated with physical and mental well-being. Another study found that moderate- or high-frequency sports were associated with better quality of life in adolescents [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Different Sports Practice on Sleep Quality and Quality of Life in Children and Adolescents: Randomized Clinical Trial

et al. 2021

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Background Sports practice can promote several health benefits in pediatric populations; nonetheless, most of the studies that investigated these benefits are of cross-sectional design. Thus, our objective was to verify the effectiveness of two types of physical activities through sports, judo and ball games (soccer, volleyball, handball, and basketball) on the quality of sleep and life of Brazilian children and adolescents. Methods The study is a randomized clinical trial, conducted with 65 participants of both sexes (6–15 years old) in a philanthropic institution in Brazil. The variables investigated were the quality of sleep and life, using the mini-sleep questionnaire and KidsCreen-52 questionnaires (this instrument has a scale ranging from 0 to 100, where 100 is the best value for each domain), respectively. The interventions carried out during 12 weeks (twice a week) were judo and ball games. In the statistical analysis, analysis of variance (ANOVA) for repeated measures was used and the level of statistical significance used was 5%. Results Judo (P = 0.032) and ball games (P = 0.005) contributed to improving the quality of sleep in the participants. Considering the score of the domains of quality of life, judo and ball games significantly increased the perception of health and physical activity [mean = 6.9 (8.3%) and 8.91 (12.2%) points, respectively], autonomy [mean = 5.81 (7.3%) and 5.00 (6.9%) points], friends and social support (mean = 2.83 (3.8%) and 12.00 (15.9%) points), provocation and bullying [mean = 10.21 (18.1%) and 2.14 (4.1%) points]. Conclusion It is concluded that both judo and ball games brought benefits to the quality of sleep and life of children and adolescents. Health promotion actions should encourage the increase in sports practice in children and adolescents to improve sleep and quality of life.

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“…While moderate reliabilities for the SDQ subscales have been reported before across studies, 43 the low reliability and the missing data for the HRQoL subscale autonomy and parent relation likely reflects an age-inappropriateness for some of the items. 44 While results for this subscale should be interpreted with caution, the overall pattern and interpretation of the results do not change if it is excluded.…”

Section: Limitationsmentioning

confidence: 95%

Effect of Early High-Dose Recombinant Human Erythropoietin on Behavior and Quality of Life in Children Aged 5 Years Born Very Preterm

et al. 2022

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ImportanceIn light of the promising neuroprotective properties of recombinant human erythropoietin (RHEpo), the Swiss EPO Neuroprotection Trial was started to investigate its effect on neurodevelopment in very preterm infants. The results of the primary and secondary outcome analysis did not show any effect of RHEpo on cognitive performance, neuromotor outcomes, or somatic growth of the study participants at ages 2 or 5 years.ObjectiveTo investigate whether early high-dose RHEpo improves behavioral outcomes and health-related quality of life (HRQoL) at age 5 years.Design, Setting, and ParticipantsThis was a prespecified secondary analysis of the double-blind, placebo-controlled, multicenter Swiss EPO Neuroprotection randomized clinical trial, which was conducted at 5 level-III perinatal centers in Switzerland. Infants born between 26 weeks 0 days’ and 31 weeks 6 days’ gestation were recruited between 2005 and 2012 and followed-up until age 5 years (last follow-up in 2018). Data were analyzed from January 6 to December 31, 2021.InterventionsInfants were assigned to receive either RHEpo (3000 IU/kg) or placebo (saline, 0.9%) intravenously 3 times within the first 42 hours after birth.Main Outcomes and MeasuresThe prespecified parent-reported measures of behavioral outcomes and health-related quality of life (HRQoL) of their children at the age of 5 years were assessed by two standardized questionnaires: the Strengths and Difficulties Questionnaire (behavioral outcomes) and the KIDSCREEN-27 (HRQoL).ResultsAmong 448 randomized infants, 228 infants were assigned to the RHEpo group and 220 infants were assigned to the placebo group. Questionnaire data were available for 317 children (71%) at a mean (SD) age of 5.8 (0.4) years (mean [SD] gestational age at birth, 29.3 [1.6] weeks; mean [SD] birth weight 1220 [340] grams; 128 [40%] female infants). At the age 5 years follow-up, the mean (SD) total difficulties score in the RHEpo group (8.41 [5.60] points) was similar to that of the placebo group (7.76 [4.81]) (P = .37). There were no statistically significant differences between the groups in any other outcome measures.Conclusions and RelevanceThis secondary analysis of a randomized clinical trial showed no evidence for an effect of early high-dose RHEpo administration on behavioral outcomes or HRQoL in children born very preterm at early school age.Trial RegistrationClinicalTrials.gov Identifier: NCT00413946

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Confirmatory factor analysis of the proxy version of Kidscreen-27 and relationships between health-related quality of life dimensions and body mass index and physical activity in young schoolchildren

Cited by 11 publications

References 27 publications

Measuring health-related quality of life in young children with physical illness: psychometric properties of the parent-reported KIDSCREEN-27

Measuring health-related quality of life in young children with physical illness: psychometric properties of the parent-reported KIDSCREEN-27

Effect of Different Sports Practice on Sleep Quality and Quality of Life in Children and Adolescents: Randomized Clinical Trial

Effect of Early High-Dose Recombinant Human Erythropoietin on Behavior and Quality of Life in Children Aged 5 Years Born Very Preterm

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