Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the

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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 Trude Reinfjell*1, Trond H Diseth2, Marijke Veenstra3 and Arne Vikan1 Address: 1Department of Psychology, Norwegian University of Science and Technology (NTNU), N-7491, Trondheim, Norway, 2Section of Child and Adolescent Psychiatry, Department of Paediatrics, Rikshospitalet – Radiumhopitalet HF, N-0027 Oslo, Norway and 3Biostatistics, Rikshospitalet – Radiumhospitalet HF, N-0027, Oslo, Norway Email: Trude Reinfjell* - [email protected]; Trond H Diseth - [email protected]; Marijke Veenstra - [email protected]; Arne Vikan - [email protected] * Corresponding author

Published: 14 September 2006 Health and Quality of Life Outcomes 2006, 4:61

doi:10.1186/1477-7525-4-61

Received: 26 July 2006 Accepted: 14 September 2006

This article is available from: http://www.hqlo.com/content/4/1/61 © 2006 Reinfjell et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background: Health-Related Quality of Life (HRQOL) studies concerning children and adolescents are a growing field of research. The Pediatric Quality of Life Inventory (PedsQL™) is considered as a promising HRQOL instrument with the availability of age appropriate versions and parallel forms for both child and parents. The purpose of the current study was to evaluate the psychometric properties of the Norwegian translation of the Pediatric Quality of Life Inventory (PedsQL™) 4.0 generic core scale in a sample of healthy young adolescents. Methods: A cross-sectional study of 425 healthy young adolescents and 237 of their caregivers participating as a proxy. Reliability was assessed by Cronbach's alpha. Construct validity was assessed using exploratory factor analysis and by exploring the intercorrelations between and among the four PedsQL subscales for adolescents and their parents. Results: All the self-report scales and proxy-report scales showed satisfactory reliability with Cronbach's alpha varying between 0.77 and 0.88. Factor analysis showed results comparable with the original version, except for the Physical Health scale. On average, monotrait-multimethod correlations were higher than multitrait-multimethod correlations. Sex differences were noted on the emotional functioning subscale, girls reported lower HRQOL than boys. Conclusion: The Norwegian PedsQL is a valid and reliable generic pediatric health-related Quality of Life measurement that can be recommended for self-reports and proxy-reports for children in the age groups ranging from 13–15 years.

Background Mirroring a modern bio-psycho-social orientation toward the concept of health, the develo