The Child Health Questionnaire in Australia: reliability, validity and population means

Waters, Elizabeth; Salmon, Louisa; Wake, Melissa; Hesketh, Kylie; Wright, Martin

doi:10.1111/j.1467-842x.2000.tb00145.x

Cited by 113 publications

(115 citation statements)

References 4 publications

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“…This corresponds with cross-sectional data showing that older children generally have poorer self-esteem than their younger counterparts. 13 Although lower self-esteem was evident in overweight and obese children at both time points, this relationship was much more marked at followup, when nearly half the obese children fell in the lowest 15% of self-esteem scores. This may partly be related to the fact that children were older, and/or that they had been overweight/obese for longer (since most children did not change weight categories over the course of the study).…”

Section: Discussionmentioning

confidence: 91%

“…At both baseline and follow-up, parents completed the self-esteem scale from the Australian authorised adaptation of the Child Health Questionnaire (CHQ PF50). 13 The CHQ PF50, a parent-proxy report of the functional health status of children aged 5-18 y, has been found to have good psychometric properties when used in populations of healthy children 13,17 and children with chronic diseases. 18,19 The self-esteem scale is a six-item scale enquiring about the parent's perception of the child's satisfaction with their school ability, athletic ability, friendships, appearance, family relationships, and their life overall.…”

Section: Methodsmentioning

confidence: 99%

“…Methods and findings have been reported elsewhere. [11][12][13] Briefly, 24 elementary schools were randomly selected to be representative of Victoria's government, Catholic, and independent school sectors. The final achieved sample of 3174 children (75% response) in Years Preparatory-6 mirrored Victorian census data (Australian Bureau of Statistics, 1998) for children by age distribution, gender, ethnicity (parental county of birth), and proportion of indigenous …”

Section: Samplementioning

confidence: 99%

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Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship

2004

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OBJECTIVE:To clarify relationships between body mass index (BMI) and self-esteem in young children at a population level. To assess whether low self-esteem precedes or follows development of overweight/obesity in children. DESIGN: Prospective cohort study in elementary schools throughout Victoria, Australia. Child BMI and self-esteem were measured in 1997 and 2000. SUBJECTS: Random sample of 1157 children who were in the first 4 y of elementary school (aged 5-10 y) at baseline. MEASURES: BMI was calculated from measured height and weight, then transformed to z-scores. Children were classified as nonoverweight, overweight or obese based on international cut-points. Low child self-esteem was defined as a score below the 15th percentile on the self-esteem subscale of the parent-reported Child Health Questionnaire. RESULTS: Overweight/obese children had lower median self-esteem scores than nonoverweight children at both timepoints, especially at follow-up. After accounting for baseline self-esteem, higher baseline BMI z-score predicted poorer self-esteem at follow-up (P ¼ 0.008). After accounting for baseline BMI z-score, poorer baseline self-esteem did not predict higher BMI z-score at follow-up. While nonoverweight children with low baseline self-esteem were more likely to develop overweight/obesity (OR ¼ 2.1, 95% CI ¼ 1.2, 3.6), this accounted for only a small proportion of the incidence of overweight. CONCLUSIONS: Our data show an increasingly strong association between lower self-esteem and higher body mass across the elementary school years. Overweight/obesity precedes low self-esteem in many children, suggesting a causal relationship. This indicates that prevention and management strategies for childhood overweight/obesity need to begin early to minimise the impact on self-esteem.

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Section: Discussionmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Samplementioning

confidence: 99%

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Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship

2004

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“…Population data and psychometric properties are available for Australian children aged 5 -18 y. 22,23 However, the available Physical and Psychosocial Summary scores were not used since prior analysis did not support their psychometric validity in this population based sample. 23 Parents also answered a single yes=no question ('Are you concerned about your child's weight?…”

Section: Methodsmentioning

confidence: 99%

Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey

et al. 2002

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“…A commonly used instrument to measure HRQOL that was originally designed to measure functional health and well-being is the Child Health Questionnaire (CHQ). 14,15 If it is being used as a measure of QOL/HRQOL, the theory, domains, and items can be critically appraised with the recommendations in this review.…”

Section: Domains and Items Of Qol/hrqolmentioning

confidence: 99%

Paediatric quality of life instruments: a review of the impact of the conceptual framework on outcomes

Davis

Waters

Mackinnon

et al. 2006

Developmental Medicine &Amp; Child Neurology

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With an increasing number of paediatric quality of life (QOL) instruments being developed, it is becoming difficult for researchers and clinicians to select the most appropriate instrument. Reviews of QOL instruments tend to report only basic properties of the instruments such as domains and psychometric properties. This paper seeks to appraise critically the conceptual underpinnings of paediatric QOL instruments. A systematic review was conducted to identify QOL instruments for children aged 0 to 12 years, and to examine and compare their conceptual frameworks, definitions employed, and structure. Both generic and condition-specific measures were reviewed. Fourteen generic and 25 condition-specific QOL instruments were identified. Eleven types of definition of QOL and health-related QOL and three theories of QOL were identified. QOL was measured by a variety of domains including emotional, social and physical health, and well-being. Items commonly assessed difficulties, or intensity/frequency of feelings/symptoms, in contrast to positive aspects of life and happiness. The findings highlight the diversity that is apparent in the conceptualization of paediatric QOL and draw attention to the lack of empirical evidence for many of the fundamental assumptions. The impact of the conceptual underpinnings of the instruments on the resulting QOL scores is discussed.

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The Child Health Questionnaire in Australia: reliability, validity and population means

Abstract: Objective: To provide reliability, validity and population means for the Australian Authorised Adaptation of the parent-report Child Health Questionnaire (CHQ). Method:We surveyed a representative sample of Australian parents of schoolaged children (5-18 years) in Victoria

Cited by 113 publications

References 4 publications

Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship

Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship

Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey

Paediatric quality of life instruments: a review of the impact of the conceptual framework on outcomes

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