Development of the Healthy Pathways Child-Report Scales

被引:29
|
作者
Bevans, Katherine B. [1 ]
Riley, Anne W. [2 ]
Forrest, Christopher B. [1 ]
机构
[1] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA
关键词
Child health scales; Health-related quality of life; Self-assessed health; Item response theory; Item banks; Children's health and illness profile; QUALITY-OF-LIFE; ITEM RESPONSE THEORY; PROFILE-ADOLESCENT EDITION; SOCIAL-CLASS GRADIENTS; OUTCOMES MEASUREMENT; ILLNESS-PROFILE; GENDER-DIFFERENCES; PERCEIVED HEALTH; BODY-IMAGE; RELIABILITY;
D O I
10.1007/s11136-010-9687-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The Child Health and Illness Profile (CHIP) has separate child (6-11 years) and adolescent (12-21 years) editions that measure youth's self-assessed health, illness, and well-being. The purpose of this study was to revise the CHIP by combining the two editions to create the Healthy Pathways Child-Report Scales. We modified the original CHIP domains of Comfort, Risk Avoidance, Satisfaction, and Resilience to reflect advances in child health conceptualization. Classical test and item response theory psychometric analyses were conducted using data collected from 2,095 children (49% boys, 80% White, 17% African-American, 3% Hispanic, Age: M = 10.6, SD = 1.0) in grades 4-6 at 34 schools. After minor revisions, 16 of the 17 scales were found to measure unidimensional self-assessed health, illness, and well-being constructs comprehensively, but with a minimal number of items. Scales were unbiased by age, gender, survey modality, and geographic location. Construct validity was demonstrated by the instrument's capacity to differentiate among children with and without chronic illnesses and to detect expected age and gender differences. The Healthy Pathways Child-Report Scales may be used to reliably and accurately assess unidimensional aspects of health, illness, and well-being in clinical and population-based research studies involving youth in transition from childhood to adolescence.
引用
收藏
页码:1195 / 1214
页数:20
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