The KIDSCREEN-52 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries
Open accessAbstract
Objective This study assesses the reliability and validity of the European KIDSCREEN-52 generic health-related quality of life (HRQoL) questionnaire for children and adolescents.Research design The KIDSCREEN-52, which measures HRQoL in 10 dimensions, was administered to a representative sample of 22,827 children and adolescents (8 to 18 years) in 13 European countries. Psychometric properties were assessed using the Classical Test Theory approach, Rasch analysis, and structural equation modeling (SEM). A priori expected associations between KIDSCREEN scales and sociodemographic and health-related factors were examined. Test-retest reliability was assessed in 10 countries.Results For the overall sample, Cronbach's alpha values ranged from 0.77 to 0.89. Scaling success (Multitrait Analysis Program) was >97.8% for all dimensions and Rasch analysis item fit (INFITmsq) ranged from 0.80 to 1.27. The intraclass correlation coefficients ranged from 0.56 to 0.77. No sizeable differential item functioning (DIF) was found by age, sex or health status. Four items showed DIF across countries. The specified SEM fitted the data well (root mean square error of approximation: 0.06, comparative fit index: 0.98). Correlation coefficients between Pediatric Quality of Life Inventory, Child Health and Illness Profile-Adolescent Edition, and Youth Quality of Life Instrument scales and KIDSCREEN dimensions assessing similar constructs were moderate for those (r = 0.44 to 0.61). Statistically significant differences between children with and without physical and mental health problems (Children with Special Health Care Needs screener: d = 0.17 to 0.42, Strengths and Difficulties Questionnaire: d = 0.32 to 0.72) were found in all dimensions. All dimensions showed a gradient according to socioeconomic status.Conclusions The KIDSCREEN-52 questionnaire has acceptable levels of reliability and validity. Further work is needed to assess longitudinal validity and sensitivity to change.
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The YSR, SCOFF, and KIDSCREEN are validated and often used instruments.
“we obtained data from three validated and often used instruments to assess psychopathological symptoms and quality of life.”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [41]
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- Authors
- Ravens-Sieberer, U., Gosch, A., Rajmil, L., Erhart, M., Bruil, J., Power, M., Duer, W., Auquier, P., Cloetta, B., Czemy, L., Mazur, J., Czimbalmos, A., Tountas, Y., Hagquist, C., & Kilroe, J.
- Affiliations
- Munich University of Applied Sciences (DE)
- Bielefeld University (DE)
- Netherlands Organisation for Applied Scientific Research (NL)
- Royal Edinburgh Hospital (GB)
- University of Vienna (AT)
- Assistance Publique Hôpitaux de Marseille (FR)
- University of Bern (CH)
- National Institute of Mental Health (CZ)
- Instytut Matki i Dziecka (PL)
- Karlstad University (SE)
- Venue
- Value in Health
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 11
- Issue
- 4
- Pages
- 645-658
- ISSN
- 1098-3015 (ISSN-L)
- OpenAlex
- W2047032381
- Cited by
- 807
- References
- 58
- Citations by year
- 2026: 17 · 2025: 25 · 2024: 37 · 2023: 33 · 2022: 36 · 2021: 86 · 2020: 74 · 2019: 64 · 2018: 69 · 2017: 28 · 2016: 50 · 2015: 73 · 2014: 54 · 2013: 39 · 2012: 40
- FWCI
- 59.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Value in Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- KIDSCREEN-52, health-related quality of life, children and adolescents, psychometric validation, cross-cultural validation, Rasch analysis, test-retest reliability, differential item functioning, socioeconomic status, children with special health care needs, Strengths and Difficulties Questionnaire, PedsQL, European children
- MeSH terms
- Adolescent, Child, Child Welfare, Cross-Cultural Comparison, Europe, Female, Health Surveys, Humans, Male, Psychological Tests, Psychometrics, Quality of Life, Surveys and Questionnaires, Research Design, Reproducibility of Results, Logistic Models, Cultural Diversity, Internationality, Cultural Competency
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