Journal of Pediatric Psychology Advance Access originally published online on April 19, 2006
Journal of Pediatric Psychology 2007 32(2):132-138; doi:10.1093/jpepsy/jsj119
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Brief Report: Assessing the Impact of Rating Scale Type, Types of Items, and Age on the Measurement of School-Age Children’s Self-Reported Quality of Life
1 Division of Behavioral Medicine, St. Jude Children’s Research Hospital, and, 2 Department of Psychology, University of Sheffield
All correspondence concerning this article should be addressed to Joanne Cremeens, Division of Behavioral Medicine, St. Jude Children’s Research Hospital, 332 North Lauderdale, Mail Stop No. 740, Memphis, Tennessee 38105-2794. E-mail: joanne.cremeens{at}stjude.org.
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Abstract |
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Objective To examine the effect of age, scale, and item type on the reliability and reproducibility of children’s quality-of-life (QOL) responses. Methods The TedQL (ability, social, and mood items) was administered to 266 healthy children (age range of 5–6 and 7–9 years) at two time points, comparing three rating scales (circles, faces, and thermometer). Children were given the same (n = 144) or different (n = 122) scales over time. Results Reliability for total QOL and ability items was highest for circles and for social items using the faces. Faces and thermometer scales showed highest reproducibility over time. Greater agreement over time across different scales was found between circles and faces (5–6 years) and thermometer and circles (7–9 years). Conclusions For maximum internal reliability, circles are recommended for ability items and faces for social items. For maximum reproducibility over time, the thermometer is recommended for 5–6 years and faces for 7–9 years.
Key words: children; health-related quality of life; rating scales; self-report.
* Joanne Cremeens had a name change during the completion of this study from Lawford to Cremeens.
Received July 11, 2005; revision received October 27, 2005; revision received February 14, 2006; revision received March 2, 2006; revision received March 22, 2006; accepted March 26, 2006
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