Abstract
This study aims to assess the measurement invariance (MI) of the KIDSCREEN-27 questionnaire across girl-parent and boy-parent dyad to clarify how child gender affects the agreement between children’s and parents’ perception of the meaning of the items in the questionnaire. The child self-reports and parent proxy-reports of the KIDSCREEN-27 were completed by 1061 child-parent dyad. Multiple group categorical confirmatory factor analysis (MGCCFA) was applied to assess MI. The non-invariant items across girl-parent dyad were mostly detected in the psychological well-being and the social support and peers domains. Moreover, the boys and their parents differed mainly in the autonomy and parent relation domain. Detecting different non-invariant items across the girl-parent dyad compared to the boy-parent dyad underlines the importance of taking the child’s gender into account when assessing measurement invariance between children and their parents and consequently deciding about children’s physical, psychological or social well-being from the parents’ viewpoint.
Highlights
This study aims to assess the measurement invariance (MI) of the KIDSCREEN-27 questionnaire across girl-parent and boy-parent dyad to clarify how child gender affects the agreement between children’s and parents’ perception of the meaning of the items in the questionnaire
The importance of pediatric health-related quality of life (HRQOL) assessment to identify children being at risk of health problems has recently received much attention (Eiser & Morse, 2001a)
Configural invariance was supported by the values of comparative fit index (CFI)≥0.95, root mean square error of approximation (RMSEA)≤0.06, and ∆CFIs≤0.01 for all domains across girl-parent and boy-parent dyad
Summary
The importance of pediatric health-related quality of life (HRQOL) assessment to identify children being at risk of health problems has recently received much attention (Eiser & Morse, 2001a). Agreement between self- and proxy- ratings continues to be a controversial issue in pediatric HRQOL research. The potential influence of child gender has been rarely assessed in the literature and no consistent results have been reported (Eiser & Morse, 2001b; Upton et al, 2008; Buck et al, 2012). A number of studies reported higher child-parent agreement among girls in all domains of the KIDSCREEN-52 (Robitail, Siméoni, Ravens-Sieberer, Bruil, & Auquier, 2007; Guedes, 2010). Other studies showed that only in some aspects of HRQOL, significant differences were observed between self- and proxy-reports among girls, while in other domains no gender effects were detected (Lundberg, Lindh, Eriksson, Petersen, & Eurenius, 2012; Theunissen et al, 1998)
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