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Journal of Pediatric Psychology Advance Access originally published online on August 28, 2007
Journal of Pediatric Psychology 2008 33(1):80-90; doi:10.1093/jpepsy/jsm070
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Use of the Child Health Questionnaire in Children with Cerebral Palsy: A Systematic Review and Evaluation of the Psychometric Properties

Nichola McCullough, BSc, PhD and Jackie Parkes, BNurs, PhD

Queens University, Belfast

All correspondence concerning this article should be addressed to Nichola McCullough, School of Nursing and Midwifery Research Unit, Queens University of Belfast, 10 Malone Road, Belfast, BT9, 5BN. E-mail: nichola.mccullough{at}qub.ac.uk.


   Abstract

Objective To review the psychometric performance of the Child Health Questionnaire (CHQ) in samples of children with cerebral palsy (CP). Method Four search terms were applied to five databases in a search for papers published between 1993 and January 2007. Results A total of 13 papers were identified, providing data on 1229 unique children aged 2–18 years old. Three studies reported on the reliability of the CHQ (internal consistency), whilst six studies provided evidence on various dimensions of validity (concurrent; discriminant and item discriminant validity). Conclusions This review identified a number of psychometric issues that need to be addressed. These include the assessment of additional types of reliability; an examination of the factor structure of the CHQ within the CP population; and the development of normative data using substantial representative samples, particularly in Europe. Until these issues are addressed, researchers utilizing the CHQ in children with CP should be cautious about its interpretation.

Key words: Child Health Questionnaire; cerebral palsy; psychometric properties; health status; pediatric psychology.

Received February 2, 2007; revision received July 2, 2007; accepted July 21, 2007


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