Exploratory and confirmatory factor analysis of the child uncertainty in illness scale among children with chronic illness
Abstract
OBJECTIVE: To conduct an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) of the Child Uncertainty in Illness Scale (CUIS) with a sample of children and adolescents with a chronic health condition. Developmental differences in factor structure were also examined. METHODS: A sample of 373 children aged 8-18 years with chronic conditions completed the CUIS as a part of a larger battery of measures. RESULTS: The EFA yielded a 16-item two-factor model termed Unpredictability/Ambiguity and Comprehension. The CFA yielded a 14-item two-factor model that fits the data very well, where chi2(df = 74) = 95.396, Comparative Fit Index (CFI) = .973, Tucker Lewis Index (TLI) = .967, and Root Mean Square error of approximation (RMSEA) = .038. No developmental differences were found in underlying factor structures: Deltachi2(df = 12) = 17.754, DeltaCFI = .004, DeltaTLI = -.001, and DeltaRMSEA = .000. CONCLUSIONS: The two-factor CUIS measure could be a useful tool for assessing illness uncertainty among children with chronic illness.
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The 2-step EFA/CFA process reduces measurement error, creates more accurate SEM models, and allows greater confidence in the resulting analyses.
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RELIABILITY AND VALIDITY OF THE TURKISH VERSION OF THE CAREGIVER FUNCTIONAL USE SURVEY
Yıldız, A. E., Yildiz, R., Erol, E., et al. (2019) · DergiPark (Istanbul University)
Livermore, P., Kupiec, K. H., Mulligan, K., Hirani, S. P., Gibson, F., Deakin, C. T., Ridout, D. A., Knight, A., Wedderburn, L. R., Feldman, B. M., et al. (2026) · Rheumatology Advances in Practice · doi:10.1093/rap/rkag070
“Higher scores indicate greater levels of uncertainty [21, 38, 39].”
Illness Uncertainty in Pediatric Irritable Bowel Syndrome: A Pilot Study
Gamwell, K. L., Robbertz, A. S., Peugh, J., Santucci, N. R., Graham, K. D., & Hommel, K. A. (2026) · Children · doi:10.3390/children13081106
“The CUIS has yielded good internal consistency in other pediatric health conditions (e.g., [24]), as was the case in the current study ( α = 0.89).”
InfluentialTime-dependent effects of indoor lighting on well-being and academic performance
Sansal, K. (2012) · UCL Discovery (University College London)
- Authors
- Pai, A. L. H., Mullins, L. L., Drotar, D., Burant, C., Wagner, J., & Chaney, J. M.
- Affiliations
- Children's Hospital of Philadelphia (US)
- University of Oklahoma Health Sciences Center (US)
- Rainbow Babies & Children's Hospital (US)
- Case Western Reserve University (US)
- Medical University of South Carolina (US)
- Oklahoma State University (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-06-23
- Volume
- 32
- Issue
- 3
- Pages
- 288-296
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2140949618
- Semantic Scholar
- eac2741f0af7ec540d946fd998c563293fc7fb80
- Cited by
- 64
- References
- 29
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 6 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 7
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- illness uncertainty, children with chronic illness, adolescents, factor structure, scale validation, comprehension, developmental differences
- MeSH terms
- Adolescent, Child, Chronic Disease, Cognition, Factor Analysis, Statistical, Female, Humans, Male, Surveys and Questionnaires, Sick Role
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