Testing the psychometric properties of Kidscreen-27 with Irish children of low socio-economic status

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Abstract

Background
Background
Kidscreen-27 was developed as part of a cross-cultural European Union-funded project to standardise the measurement of children’s health-related quality of life. Yet, research has reported mixed evidence for the hypothesised 5-factor model, and no confirmatory factor analysis (CFA) has been conducted on the instrument with children of low socio-economic status (SES) across Ireland (Northern and Republic).

Method
The data for this study were collected as part of a clustered randomised controlled trial. A total of 663 (347 male, 315 female) 8–9-year-old children (M = 8.74, SD = .50) of low SES took part. A 5- and modified 7-factor CFA models were specified using the maximum likelihood estimation. A nested Chi-square difference test was conducted to compare the fit of the models. Internal consistency and floor and ceiling effects were also examined.

Results
CFA found that the hypothesised 5-factor model was an unacceptable fit. However, the modified 7-factor model was supported. A nested Chi-square difference test confirmed that the fit of the 7-factor model was significantly better than that of the 5-factor model. Internal consistency was unacceptable for just one scale. Ceiling effects were present in all but one of the factors.

Conclusions
Future research should apply the 7-factor model with children of low socio-economic status. Such efforts would help monitor the health status of the population.
LanguageEnglish
Pages1081–1089
Number of pages9
JournalQuality of Life Research
Volume26
Issue number4
Early online date18 Oct 2016
DOIs
Publication statusPublished - 30 Apr 2017

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Psychometrics
Economics
Chi-Square Distribution
Statistical Factor Analysis
Northern Ireland
European Union
Ireland
Research
Health Status
Randomized Controlled Trials
Quality of Life
Population

Keywords

  • Children
  • Confirmatory factor analysis
  • socio-economic status
  • emotion
  • mental health

Cite this

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title = "Testing the psychometric properties of Kidscreen-27 with Irish children of low socio-economic status",
abstract = "Background BackgroundKidscreen-27 was developed as part of a cross-cultural European Union-funded project to standardise the measurement of children’s health-related quality of life. Yet, research has reported mixed evidence for the hypothesised 5-factor model, and no confirmatory factor analysis (CFA) has been conducted on the instrument with children of low socio-economic status (SES) across Ireland (Northern and Republic).MethodThe data for this study were collected as part of a clustered randomised controlled trial. A total of 663 (347 male, 315 female) 8–9-year-old children (M = 8.74, SD = .50) of low SES took part. A 5- and modified 7-factor CFA models were specified using the maximum likelihood estimation. A nested Chi-square difference test was conducted to compare the fit of the models. Internal consistency and floor and ceiling effects were also examined.ResultsCFA found that the hypothesised 5-factor model was an unacceptable fit. However, the modified 7-factor model was supported. A nested Chi-square difference test confirmed that the fit of the 7-factor model was significantly better than that of the 5-factor model. Internal consistency was unacceptable for just one scale. Ceiling effects were present in all but one of the factors.ConclusionsFuture research should apply the 7-factor model with children of low socio-economic status. Such efforts would help monitor the health status of the population.",
keywords = "Children, Confirmatory factor analysis, socio-economic status, emotion, mental health",
author = "Stephen Shannon and Gavin Breslin and Ben Fitzpatrick and Donncha Hanna and Da Brennan",
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AU - Breslin, Gavin

AU - Fitzpatrick, Ben

AU - Hanna, Donncha

AU - Brennan, Da

N1 - Accepted Oct 2016

PY - 2017/4/30

Y1 - 2017/4/30

N2 - Background BackgroundKidscreen-27 was developed as part of a cross-cultural European Union-funded project to standardise the measurement of children’s health-related quality of life. Yet, research has reported mixed evidence for the hypothesised 5-factor model, and no confirmatory factor analysis (CFA) has been conducted on the instrument with children of low socio-economic status (SES) across Ireland (Northern and Republic).MethodThe data for this study were collected as part of a clustered randomised controlled trial. A total of 663 (347 male, 315 female) 8–9-year-old children (M = 8.74, SD = .50) of low SES took part. A 5- and modified 7-factor CFA models were specified using the maximum likelihood estimation. A nested Chi-square difference test was conducted to compare the fit of the models. Internal consistency and floor and ceiling effects were also examined.ResultsCFA found that the hypothesised 5-factor model was an unacceptable fit. However, the modified 7-factor model was supported. A nested Chi-square difference test confirmed that the fit of the 7-factor model was significantly better than that of the 5-factor model. Internal consistency was unacceptable for just one scale. Ceiling effects were present in all but one of the factors.ConclusionsFuture research should apply the 7-factor model with children of low socio-economic status. Such efforts would help monitor the health status of the population.

AB - Background BackgroundKidscreen-27 was developed as part of a cross-cultural European Union-funded project to standardise the measurement of children’s health-related quality of life. Yet, research has reported mixed evidence for the hypothesised 5-factor model, and no confirmatory factor analysis (CFA) has been conducted on the instrument with children of low socio-economic status (SES) across Ireland (Northern and Republic).MethodThe data for this study were collected as part of a clustered randomised controlled trial. A total of 663 (347 male, 315 female) 8–9-year-old children (M = 8.74, SD = .50) of low SES took part. A 5- and modified 7-factor CFA models were specified using the maximum likelihood estimation. A nested Chi-square difference test was conducted to compare the fit of the models. Internal consistency and floor and ceiling effects were also examined.ResultsCFA found that the hypothesised 5-factor model was an unacceptable fit. However, the modified 7-factor model was supported. A nested Chi-square difference test confirmed that the fit of the 7-factor model was significantly better than that of the 5-factor model. Internal consistency was unacceptable for just one scale. Ceiling effects were present in all but one of the factors.ConclusionsFuture research should apply the 7-factor model with children of low socio-economic status. Such efforts would help monitor the health status of the population.

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