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Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Psychometric properties of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales in early adolescents in Sri Lanka

Authors: Manjula Nishanthi Danansuriya, Lalini C Rajapaksa

Published in: Health and Quality of Life Outcomes | Issue 1/2012

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Abstract

Background

The concept Health related Quality of life (HRQOL) is increasingly recognized as an important health outcome measure in clinical and research fields. The present study attempted to evaluate the psychometric properties of the Sinhala version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales among adolescents in Sri Lanka.

Methods

The original US PedsQL™ was translated into Sinhala and conceptually validated according to international guidelines. A cross-sectional study was conducted among 142 healthy school going adolescents (12-14 years), their parents (n = 120) and a group of adolescents with asthma who attended asthma clinics (n = 115). Reliability was assessed using Cronbach’s alpha and validity by examining scale structure, exploring inter-scale correlations and comparing across known groups (healthy vs. chronically ill).

Results

The PedsQL™ Sinhala version was found to be acceptable with minimal missing responses. All scales demonstrated satisfactory reliability. Cronbach’s alpha for the total scale scores was 0.85 for adolescent self-report while for the parent proxy-report for the healthy group it was 0.86. No floor effects were observed. Ceiling effects were noticed in self-report and parent proxy-report for the healthy group. Overall results of the multi trait scaling analysis confirmed the scale structure with 74% item-convergent validity, 88% item-discriminant validity and an overall scaling success of 72%. Moderate to high correlations were shown among the domains of teen self-report (Spearman rho = .37-.54) and between teen self-report and parent proxy-reports (Spearman rho = .41-.57). The PedsQL™ tool was able to discriminate between the quality of life in healthy adolescents and adolescents with asthma.

Conclusion

The findings support the reliability and validity of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales as a generic instrument to measure HRQOL among early adolescents in Sri Lanka in a population setting.
Literature
1.
go back to reference Sullivan M: The new subjective medicine: taking the patient’s point of view on health care and health. Soc Sci Med 2003, 56(7):1595–1604. 10.1016/S0277-9536(02)00159-4CrossRefPubMed Sullivan M: The new subjective medicine: taking the patient’s point of view on health care and health. Soc Sci Med 2003, 56(7):1595–1604. 10.1016/S0277-9536(02)00159-4CrossRefPubMed
2.
go back to reference Bullinger M: Assessing health related quality of life in medicine: an overview over concepts, methods and applications in international research. Restorat Neurol Neurosci 2002, 20(3–4):93–101. Bullinger M: Assessing health related quality of life in medicine: an overview over concepts, methods and applications in international research. Restorat Neurol Neurosci 2002, 20(3–4):93–101.
3.
go back to reference Edmond K, Dieye Y, Griffiths UK, Fleming J, Ba O, Diallo N, Mulholland K: Prospective cohort study of disabling sequelae and quality of life in children with bacterial meningitis in urban Senegal. Pediatr Infect Dis J 2010, 29(11):1023–1029.PubMed Edmond K, Dieye Y, Griffiths UK, Fleming J, Ba O, Diallo N, Mulholland K: Prospective cohort study of disabling sequelae and quality of life in children with bacterial meningitis in urban Senegal. Pediatr Infect Dis J 2010, 29(11):1023–1029.PubMed
4.
go back to reference Amiri P, Ardekani E M, Jalali-Farahani S, Hosseinpanah F, Varni J, Ghofranipour F, Montazeri A, Azizi F: Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scale in adolescents. Quality of Life Research 2010, 19(10):1501–1508. 10.1007/s11136-010-9712-7CrossRefPubMed Amiri P, Ardekani E M, Jalali-Farahani S, Hosseinpanah F, Varni J, Ghofranipour F, Montazeri A, Azizi F: Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scale in adolescents. Quality of Life Research 2010, 19(10):1501–1508. 10.1007/s11136-010-9712-7CrossRefPubMed
5.
go back to reference Gunawardana N, Seneviratne RA, Atauda T: An approach to validation of a multi dimensional tool. Journal of the College of Community Physicians of Sri Lanka 2003, 8: 18–24. Gunawardana N, Seneviratne RA, Atauda T: An approach to validation of a multi dimensional tool. Journal of the College of Community Physicians of Sri Lanka 2003, 8: 18–24.
6.
go back to reference Jayasekara H, Rajapaksa LC: Determinants of quality of life in cancer patients during acute survivorship. Ann Epidemiol 2007, 17(9):739–739.CrossRef Jayasekara H, Rajapaksa LC: Determinants of quality of life in cancer patients during acute survivorship. Ann Epidemiol 2007, 17(9):739–739.CrossRef
7.
go back to reference Nanayakkara SD: Vision-related quality of life among elders with cataract in Sri Lanka: findings from a study in Gampaha District. Asia-Pacific Journal of Public Health 2009, 21(3):303–311. 10.1177/1010539509336010CrossRefPubMed Nanayakkara SD: Vision-related quality of life among elders with cataract in Sri Lanka: findings from a study in Gampaha District. Asia-Pacific Journal of Public Health 2009, 21(3):303–311. 10.1177/1010539509336010CrossRefPubMed
8.
go back to reference Wijesinghe RS, Wickremasinghe AR: Quality of life in filarial lymphoedema patients in Colombo, Sri Lanka. Trans R Soc Trop Med Hyg 2010, 104(3):219–224. 10.1016/j.trstmh.2009.08.005CrossRefPubMed Wijesinghe RS, Wickremasinghe AR: Quality of life in filarial lymphoedema patients in Colombo, Sri Lanka. Trans R Soc Trop Med Hyg 2010, 104(3):219–224. 10.1016/j.trstmh.2009.08.005CrossRefPubMed
9.
go back to reference Solans M, Pane S, Estrada M-D, Serra-Sutton V, Berra S, Herdman M, Alonso J, Rajmil L: Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value in Health 2008, 11(4):742–764. 10.1111/j.1524-4733.2007.00293.xCrossRefPubMed Solans M, Pane S, Estrada M-D, Serra-Sutton V, Berra S, Herdman M, Alonso J, Rajmil L: Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value in Health 2008, 11(4):742–764. 10.1111/j.1524-4733.2007.00293.xCrossRefPubMed
10.
go back to reference Varni JW, Burwinkle TM, Seid M: The PedsQL™ 4.0 as a school population health measure: feasibility, reliability, and validity. Quality of life research 2006, 15(2):203–215. 10.1007/s11136-005-1388-zCrossRefPubMed Varni JW, Burwinkle TM, Seid M: The PedsQL™ 4.0 as a school population health measure: feasibility, reliability, and validity. Quality of life research 2006, 15(2):203–215. 10.1007/s11136-005-1388-zCrossRefPubMed
11.
go back to reference Upton P, Eiser C, Cheung I, et al.: Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) generic core scales. Health and Quality of Life Outcomes 2005, 3(1):22. 10.1186/1477-7525-3-22PubMedCentralCrossRefPubMed Upton P, Eiser C, Cheung I, et al.: Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) generic core scales. Health and Quality of Life Outcomes 2005, 3(1):22. 10.1186/1477-7525-3-22PubMedCentralCrossRefPubMed
12.
go back to reference Reinfjell T, Diseth T, Veenstra M, Vikan A: Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL) Generic Core Scales. Health and Quality of Life Outcomes 2006, 4(1%M):61. 10.1186/1477-7525-4-61PubMedCentralCrossRefPubMed Reinfjell T, Diseth T, Veenstra M, Vikan A: Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL) Generic Core Scales. Health and Quality of Life Outcomes 2006, 4(1%M):61. 10.1186/1477-7525-4-61PubMedCentralCrossRefPubMed
13.
go back to reference Gkoltsiou K, Dimitrakaki C, Tzavara C, Papaevangelou V, Varni JW, Tountas Y: Measuring Health-Related Quality of Life in Greek Children: Psychometric Properties of the Greek Version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales. Quality of Life Research 2008, 17(2):299–305. 10.1007/s11136-007-9294-1CrossRefPubMed Gkoltsiou K, Dimitrakaki C, Tzavara C, Papaevangelou V, Varni JW, Tountas Y: Measuring Health-Related Quality of Life in Greek Children: Psychometric Properties of the Greek Version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales. Quality of Life Research 2008, 17(2):299–305. 10.1007/s11136-007-9294-1CrossRefPubMed
14.
go back to reference Kook SH, Varni J: Validation of the Korean version of the pediatric quality of life inventory™ 4.0 (PedsQL™) Generic Core Scales in school children and adolescents using the Rasch model. Health and Quality of Life Outcomes 2008, 6(1):41. 10.1186/1477-7525-6-41PubMedCentralCrossRefPubMed Kook SH, Varni J: Validation of the Korean version of the pediatric quality of life inventory™ 4.0 (PedsQL™) Generic Core Scales in school children and adolescents using the Rasch model. Health and Quality of Life Outcomes 2008, 6(1):41. 10.1186/1477-7525-6-41PubMedCentralCrossRefPubMed
15.
go back to reference Roizen M, Rodríguez S, Bauer G, Medin G, Bevilacqua S, Varni J, Dussel V: Initial validation of the Argentinean Spanish version of the PedsQL™ 4.0 Generic Core Scales in children and adolescents with chronic diseases: acceptability and comprehensibility in low-income settings. Health and Quality of Life Outcomes 2008, 6(1):59. 10.1186/1477-7525-6-59PubMedCentralCrossRefPubMed Roizen M, Rodríguez S, Bauer G, Medin G, Bevilacqua S, Varni J, Dussel V: Initial validation of the Argentinean Spanish version of the PedsQL™ 4.0 Generic Core Scales in children and adolescents with chronic diseases: acceptability and comprehensibility in low-income settings. Health and Quality of Life Outcomes 2008, 6(1):59. 10.1186/1477-7525-6-59PubMedCentralCrossRefPubMed
16.
go back to reference WHO: Constitution of the World Health Organization: Basic Document. Geneva, Switzerland: World Health Organization; 1948. WHO: Constitution of the World Health Organization: Basic Document. Geneva, Switzerland: World Health Organization; 1948.
17.
go back to reference Varni JW, Seid M, Kurtin PS: PedsQL™ 4.0: reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care 2001, 39(8):800–812. 10.1097/00005650-200108000-00006CrossRefPubMed Varni JW, Seid M, Kurtin PS: PedsQL™ 4.0: reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care 2001, 39(8):800–812. 10.1097/00005650-200108000-00006CrossRefPubMed
18.
go back to reference Varni JW, Seid M, Rode CA: The PedsQL™: measurement model for the pediatric quality of life inventory. Medical Care 1999, 37(2):126–139. 10.1097/00005650-199902000-00003CrossRefPubMed Varni JW, Seid M, Rode CA: The PedsQL™: measurement model for the pediatric quality of life inventory. Medical Care 1999, 37(2):126–139. 10.1097/00005650-199902000-00003CrossRefPubMed
21.
go back to reference Danansuriya MN, Rajapaksa LC, Varni JW: Reliability and validity of the Sinhala version of the PedsQLTM 3.0 Asthma Module in early adolescents with asthma in a district of Sri Lanka. Journal of the College of Community Physicians of Sri Lanka 2011, 16(1):8–16.CrossRef Danansuriya MN, Rajapaksa LC, Varni JW: Reliability and validity of the Sinhala version of the PedsQLTM 3.0 Asthma Module in early adolescents with asthma in a district of Sri Lanka. Journal of the College of Community Physicians of Sri Lanka 2011, 16(1):8–16.CrossRef
22.
go back to reference Tabachinik M, Fidell L: Using multivariate statistics. London: Harper and Row; 1993. Tabachinik M, Fidell L: Using multivariate statistics. London: Harper and Row; 1993.
23.
go back to reference Hays R, Hayashi T, Carson S, Ware J: User’s guide for the Multi trait Analysis Programme (MAP). Santa Monica: RAND Corporation; 1988. Hays R, Hayashi T, Carson S, Ware J: User’s guide for the Multi trait Analysis Programme (MAP). Santa Monica: RAND Corporation; 1988.
24.
go back to reference Varni J, Limbers C, Burwinkle T: Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes 2007, 5(1):43. 10.1186/1477-7525-5-43PubMedCentralCrossRefPubMed Varni J, Limbers C, Burwinkle T: Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes 2007, 5(1):43. 10.1186/1477-7525-5-43PubMedCentralCrossRefPubMed
25.
go back to reference Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16: 297–334. 10.1007/BF02310555CrossRef Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16: 297–334. 10.1007/BF02310555CrossRef
26.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, deVet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007, 60(1):34–42. 10.1016/j.jclinepi.2006.03.012CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, deVet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007, 60(1):34–42. 10.1016/j.jclinepi.2006.03.012CrossRefPubMed
27.
go back to reference Nunnally J, Bernstein I: Psychometric Theory vol.3. 3rd edition. New York: McGraw-Hill; 1994. Nunnally J, Bernstein I: Psychometric Theory vol.3. 3rd edition. New York: McGraw-Hill; 1994.
28.
go back to reference Campbell D, Fiske D: Convergent and discriminant validation by the multitrait-multimethod matrix. Psychol Bull 1959, 56: 81–105.CrossRefPubMed Campbell D, Fiske D: Convergent and discriminant validation by the multitrait-multimethod matrix. Psychol Bull 1959, 56: 81–105.CrossRefPubMed
29.
go back to reference Klatchoian DA, Len CA, Terreri MT, Silva M, Itamoto C, Ciconelli RM, Varni JW, Hilário MO: Quality of life of children and adolescents from Sao Paulo: reliability and validity of the Brazilian version of the pediatric quality of life inventory™ version 4.0 Generic Core Scales. J Pediatr 2008, 84(4):308–315.CrossRef Klatchoian DA, Len CA, Terreri MT, Silva M, Itamoto C, Ciconelli RM, Varni JW, Hilário MO: Quality of life of children and adolescents from Sao Paulo: reliability and validity of the Brazilian version of the pediatric quality of life inventory™ version 4.0 Generic Core Scales. J Pediatr 2008, 84(4):308–315.CrossRef
30.
go back to reference Felder-Puig R, Baumgartner M, Topf R, Gadner H, Formann AK: Health-related quality of life in Austrian elementary school children. Medical Care 2008, 46(4):432–439. 10.1097/MLR.0b013e3181648e95CrossRefPubMed Felder-Puig R, Baumgartner M, Topf R, Gadner H, Formann AK: Health-related quality of life in Austrian elementary school children. Medical Care 2008, 46(4):432–439. 10.1097/MLR.0b013e3181648e95CrossRefPubMed
31.
go back to reference Kobayashi K, Kamibeppu K: Measuring quality of life in Japanese children.: development of the Japanese version of PedsQL™. Pediatr Int 2010, 52: 80–88. 10.1111/j.1442-200X.2009.02889.xCrossRefPubMed Kobayashi K, Kamibeppu K: Measuring quality of life in Japanese children.: development of the Japanese version of PedsQL™. Pediatr Int 2010, 52: 80–88. 10.1111/j.1442-200X.2009.02889.xCrossRefPubMed
32.
go back to reference Petersen S, Hägglőf B, Stenlund H, Bergstrőm E: Psychometric properties of the Swedish PedsQLTM, Peadiatric Quality of Life Inventory 4.0 Generic Core Scales. Acta Paediatrica 2009, 98: 1504–1512. 10.1111/j.1651-2227.2009.01360.xCrossRefPubMed Petersen S, Hägglőf B, Stenlund H, Bergstrőm E: Psychometric properties of the Swedish PedsQLTM, Peadiatric Quality of Life Inventory 4.0 Generic Core Scales. Acta Paediatrica 2009, 98: 1504–1512. 10.1111/j.1651-2227.2009.01360.xCrossRefPubMed
33.
go back to reference Bastiaansen D, Koot H, Bongers I, Varni J, Verhulst F: Measuring quality of life in children referred for psychiatric problems: psychometric properties of the PedsQL™ 4.0 Generic Core Scales. Quality of Life Research 2004, 13(2):489–495.CrossRefPubMed Bastiaansen D, Koot H, Bongers I, Varni J, Verhulst F: Measuring quality of life in children referred for psychiatric problems: psychometric properties of the PedsQL™ 4.0 Generic Core Scales. Quality of Life Research 2004, 13(2):489–495.CrossRefPubMed
34.
go back to reference Koot HM: The study of quality of life: concepts and methods. Hove: Brunner -Routledge; 2001. Koot HM: The study of quality of life: concepts and methods. Hove: Brunner -Routledge; 2001.
35.
go back to reference Varni JW, Burwinkle TM, Rapoff MA, Kamps JL, Olson N: The PedsQL™ in Pediatric asthma: reliability and validity of the Pediatric Quality of Life Inventory™ Generic Core Scales and Asthma module. Journal of Behavioral Medicine 2004, 27(3):297–318.CrossRefPubMed Varni JW, Burwinkle TM, Rapoff MA, Kamps JL, Olson N: The PedsQL™ in Pediatric asthma: reliability and validity of the Pediatric Quality of Life Inventory™ Generic Core Scales and Asthma module. Journal of Behavioral Medicine 2004, 27(3):297–318.CrossRefPubMed
Metadata
Title
Psychometric properties of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales in early adolescents in Sri Lanka
Authors
Manjula Nishanthi Danansuriya
Lalini C Rajapaksa
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-105

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