Psychometric analysis of the Brazilian-version Kidscreen-27 questionnaire

Health Qual Life Outcomes. 2021 Jul 27;19(1):185. doi: 10.1186/s12955-021-01824-7.

Abstract

Background: The objective of this study was to verify the reliability, discriminatory power and construct validity of the Kidscreen-27 questionnaire in Brazilian adolescents.

Methods: Adolescents that participated of the pilot study (210 adolescents; 52.9% boys; 13.7 years old) and of the baseline (816 participants; 52.7% girls; 13.1 years old) of the Movimente Project in 2016/2017 composed the sample of the present study. This project was carried out in six public schools in the city of Florianópolis, Santa Catarina, Brazil. Test-retest reproducibility was assessed by the intraclass correlation coefficient and Gwet coefficient; internal consistency through McDonald's Omega; Hankins' Delta G coefficient verified the scale's discriminatory power and; confirmatory factor analysis to assess construct validity.

Results: Reproducibility values ranged from 0.71 to 0.78 for the dimensions (ICC), and ranged from 0.60 to 0.83 for the items (Gwet). McDonald's Ômega (0.82-0.91) for internal consistency measures. Discriminatory power ranging from 0.94 for the dimension Social Support and Friends to 0.98 for Psychological Well-Being. The factorial loads were > 0.40, except for item 19 (0.36). The fit quality indicators of the model were adequate (X2[df] = 1022.89 [311], p < 0.001; RMSEA = 0.053 (0.049-0.087); CFI = 0.988; TLI = 0.987), confirming the five-factor structure originally proposed.

Conclusions: The Brazilian-version Kidscreen-27 achieved good levels of reproducibility, internal consistency, discriminatory power and construct validity. Its use is adequate to measure the health-related quality of life of adolescents in the Brazilian context.

Keywords: Adolescence; Cultural sensitivity; Measurement; Quality of life.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Brazil
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Pilot Projects
  • Psychometrics / statistics & numerical data*
  • Quality of Life / psychology*
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*