Field testing of a European quality of life instrument for children and adolescents with chronic conditions: The 37-item DISABKIDS Chronic Generic Module

Marie Claude Simeoni*, Silke Schmidt, Holger Muehlan, David Debensason, Monika Bullinger, Corinna Petersen, Michael Quittan, Othmar Schuhfried, Delphine Orbicini, Ute Thyen, Esther Müller-Godeffroy, Athanasios Vidalis, John Tsanakas, Elpis Hatziagorou, Paraskevi Karagianni, Hendrik Koopman, Rolanda Baars, John Eric Chaplin, Mick Power, Clare AthertonPeter Hoare

*Corresponding author for this work
94 Citations (Scopus)

Abstract

Objectives: The aim of this study was to shorten the Health-Related Quality of Life (HRQL) DISABKIDS Chronic Generic Measure (DCGM) for children and adolescents and to test its reliability, construct, and external validity. Study design: 1153 children and adolescents (8-16 years) with chronic health conditions (asthma, arthritis, epilepsy, cerebral palsy, diabetes, atopic dermatitis, cystic fibrosis) and their family were recruited from different paediatric clinical settings in seven European countries. A two-time assessment comprised reports on sociodemographics, health status and HRQL of children/adolescents. Results: The 37-item DCGM describes six dimensions (Independence, Physical Limitation, Emotion, Social Inclusion, Social Exclusion and Treatment) confirmed by Confirmatory Factor Analysis, multi-item scaling and item-goodness of fit to Rasch model. Internal consistency (Cronbach's alpha: 0.70-0.87) and test-retest reliability (ICC: 0.71-0.83) were satisfactory. Correlations between DCGM-37 and other HRQL instruments were the highest between dimensions evaluating similar concepts. Regarding discriminant validity of the DCGM-37, girls and older adolescents reported lower emotional we ll-being. Children belonging to families with low level of affluence and those with severe health conditions were found to have worse HRQL in all domains. Conculsion: Reliability, construct validity as well as convergent and discriminant validity of the DCGM-37 were shown.

Original languageEnglish
JournalQuality of Life Research
Volume16
Issue number5
Pages (from-to)881-893
Number of pages13
ISSN0962-9343
DOIs
Publication statusPublished - 06.2007

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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