The validation of a computer-adaptive test (CAT) for assessing health-related quality of life in children and adolescents in a clinical sample: study design, methods and first results of the Kids-CAT study.

Purpose: Recently, we developed a computer-adaptive test (CAT) for assessing health-related quality of life (HRQoL) in children and adolescents: the Kids-CAT. It measures five generic HRQoL dimensions. The aims of this article were (1) to present the study design and (2) to investigate its psychomet...

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Publicado en:Quality of Life Research Vol. 26; no. 5; pp. 1105 - 1118
Autores principales: Barthel, D., Otto, C., Nolte, S., Meyrose, A.-K., Fischer, F., Devine, J., Walter, O., Mierke, A., Fischer, K. I., Thyen, U., Klein, M., Ankermann, T., Rose, M., Ravens-Sieberer, U.
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The validation of a computer-adaptive test (CAT) for assessing health-related quality of life in children and adolescents in a clinical sample: study design, methods and first results of the Kids-CAT study.
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          Barthel, D.
          Otto, C.
          Nolte, S.
          Meyrose, A.-K.
          Fischer, F.
          Devine, J.
          Walter, O.
          Mierke, A.
          Fischer, K. I.
          Thyen, U.
          Klein, M.
          Ankermann, T.
          Rose, M.
          Ravens-Sieberer, U.
        affil: Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Research Unit Child Public Health, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany
      sug:
        subj:
          Sickness Impact Profile
          Computers and Computerization Utilization
          Psychometrics Methods
          Prospective Studies
          Child
          Female
          Adolescence
          Study Design
          Male
          Questionnaires
          Clinical Assessment Tools
          Human
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Purpose: Recently, we developed a computer-adaptive test (CAT) for assessing health-related quality of life (HRQoL) in children and adolescents: the Kids-CAT. It measures five generic HRQoL dimensions. The aims of this article were (1) to present the study design and (2) to investigate its psychometric properties in a clinical setting.Methods: The Kids-CAT study is a longitudinal prospective study with eight measurements over one year at two University Medical Centers in Germany. For validating the Kids-CAT, 270 consecutive 7- to 17-year-old patients with asthma (n = 52), diabetes (n = 182) or juvenile arthritis (n = 36) answered well-established HRQoL instruments (Pediatric Quality of Life Inventory™ (PedsQL), KIDSCREEN-27) and scales measuring related constructs (e.g., social support, self-efficacy). Measurement precision, test-retest reliability, convergent and discriminant validity were investigated.Results: The mean standard error of measurement ranged between .38 and .49 for the five dimensions, which equals a reliability between .86 and .76, respectively. The Kids-CAT measured most reliably in the lower HRQoL range. Convergent validity was supported by moderate to high correlations of the Kids-CAT dimensions with corresponding PedsQL dimensions ranging between .52 and .72. A lower correlation was found between the social dimensions of both instruments. Discriminant validity was confirmed by lower correlations with non-corresponding subscales of the PedsQL.Conclusions: The Kids-CAT measures pediatric HRQoL reliably, particularly in lower areas of HRQoL. Its test-retest reliability should be re-investigated in future studies. The validity of the instrument was demonstrated. Overall, results suggest that the Kids-CAT is a promising candidate for detecting psychosocial needs in chronically ill children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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