Abstract
BackgroundThe objectives of the study were to assess the reliability, and the content, construct, and convergent validity of the Spanish version of the CHIP-CE/PRF, to analyze parent-child agreement, and compare the results with those of the original U.S. version.MethodsParents from a representative sample of children aged 6-12 years were selected from 9 primary schools in Barcelona. Test-retest reliability was assessed in a convenience subsample of parents from 2 schools. Parents completed the Spanish version of the CHIP-CE/PRF. The Achenbach Child Behavioural Checklist (CBCL) was administered to a convenience subsample.ResultsThe overall response rate was 67% (n = 871). There was no floor effect. A ceiling effect was found in 4 subdomains. Reliability was acceptable at the domain level (internal consistency = 0.68-0.86; test-retest intraclass correlation coefficients = 0.69-0.85). Younger girls had better scores on Satisfaction and Achievement than older girls. Comfort domain score was lower (worse) in children with a probable mental health problem, with high effect size (ES = 1.45). The level of parent-child agreement was low (0.22-0.37).ConclusionsThe results of this study suggest that the parent version of the Spanish CHIP-CE has acceptable psychometric properties although further research is needed to check reliability at sub-domain level. The CHIP-CE parent report form provides a comprehensive, psychometrically sound measure of health for Spanish children 6 to 12 years old. It can be a complementary perspective to the self-reported measure or an alternative when the child is unable to complete the questionnaire. In general, the results are similar to the original U.S. version.
Highlights
The objectives of the study were to assess the reliability, and the content, construct, and convergent validity of the Spanish version of the Child Health and Illness Profile (CHIP)-CE/PRF, to analyze parent-child agreement, and compare the results with those of the original U.S version
Schools were stratified by the type of school and by the Family Economic Capacity Index (FECI) of neighborhoods in Barcelona [14] which assesses the socioeconomic level of the school, according to the neighborhood in which it is located
The ceiling effect was higher than 15% in the subdomains of self-esteem (17.8%), restricted activities (70.3%), and individual risk avoidance (25.0%)
Summary
The objectives of the study were to assess the reliability, and the content, construct, and convergent validity of the Spanish version of the CHIP-CE/PRF, to analyze parent-child agreement, and compare the results with those of the original U.S version. Over the past several years, a number of self-reported instruments have been developed for school-aged children [1], and this has prompted the question of whether self-report, parentreport, or both perspectives on PRO should be collected. A necessary condition for assessing PRO is to develop sound, reliable and valid measures to capture health status from the perspective of parents and children. One such measure is the Child Health and Illness Profile (CHIP)-Child Edition(CHIP-CE) [7,8], an instrument that collects self-reported and parent-reported health information about children aged 6 to 11. The CHIP-CE has been translated and adapted in Spain [12] following the international guidelines for crosscultural adaptations [13]
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