ArticleHealth and quality of life outcomes2021
Health-related quality of life in Iranian adolescents: a psychometric evaluation of the self-report form of the PedsQL 4.0 and an investigation of gender and age differences.
Article in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effect of goal-directed perceptual-motor exercise on children with specific learning difficulties: a randomized controlled trial.BMC pediatrics · 2024Trial
- Unveiling the Potential of Diagnostic Classification Models for Precise Diagnosis in Emotional-Behavioral Disorders: Evidence from Iran.Child psychiatry and human development · 2026Article
- Artificial intelligence in maxillofacial trauma: expert ally or unreliable assistant?Medicina oral, patologia oral y cirugia bucal · 2025Article
- Quality of Life after Brain Injury in children aged six and seven years (QOLIBRI-KIDDY) - development and scale analysis of the first disease-specific self-report instrument for young children after traumatic brain injury.Journal of patient-reported outcomes · 2025Article
- Impact of Mental Health Literacy on Improving Quality of Life Among Adolescents in Barcelona.Children (Basel, Switzerland) · 2025Article
- The Patient Activation Measure-13 (PAM-13) in an oncology patient population: psychometric properties and dimensionality evaluation.Health and quality of life outcomes · 2024Article
- Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (QOLIBRI-KID/ADO) Questionnaire.Children (Basel, Switzerland) · 2024Article
- Health-Related Quality of Life after Pediatric Traumatic Brain Injury: A Quantitative Comparison between Children's and Parents' Perspectives of the QOLIBRI-KID/ADO Questionnaire.Journal of clinical medicine · 2023Article
- The Impact of Self-Care Recommendations with and without Tilt-Training on Quality of Life in Children and Adolescents with Vasovagal Syncope: A Randomized Clinical Trial.Iranian journal of nursing and midwifery researchArticle
- Quality of Life Among School-Age Children With Type 1 Diabetes Mellitus: A Cross-Sectional Study.SAGE open nursingArticle
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5 authors.
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Abstract
backgroundResearch on the psychometric properties of the Persian self-report form of the Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0) in adolescents has several gaps (e.g., convergent validity) that limit its clinical application and therefore the cross-cultural impact of this measure. This study aimed at investigating the psychometric properties of the PedsQL 4.0 and the effects of gender and age on quality of life in Iranian adolescents.
methodThe PedsQL 4.0 was administered to 326 adolescents (12-17 years). A subsample of 115 adolescents completed the scale two weeks after the first assessment. Confirmatory Factor Analysis (CFA), correlation of the PedsQL 4.0 with the Weiss Functional Impairment Rating Scale-Self-report (WFIRS-S), and Item Response Theory (IRT) analysis were conducted to examine validity. Cronbach's alpha, McDonald's Omega, and Intra class correlation (ICC) were calculated as well to examine reliability. Gender and age effects were also evaluated.
resultsInternal consistency and test-retest reliability of the total PedsQL 4.0 scale was .92 and .87, respectively. The PedsQL 4.0 scores showed negative moderate to strong correlations with the WFIRS-S total scale. The four-factor model of the PedsQL 4.0 was not fully supported by the CFA-the root mean square error of approximation and the comparative fit index showed a mediocre and poor fit, respectively. IRT analysis indicated that all items of the PedsQL 4.0 fit with the scale and most of them showed good discrimination. The items and total scale provided more information in the lower levels of the latent trait. Males showed significantly higher scores than females in physical and emotional functioning, psychosocial health, and total scale. Adolescents with lower ages showed better quality of life than those with higher ages in all scores of the PedsQL 4.0.
conclusionThe PedsQL 4.0 showed good psychometric properties with regard to internal consistency, test-retest reliability, and convergent validity in Iranian adolescents, which supports its use in clinical settings among Persian-speaking adolescents. However, factor structure according to our CFA indicates that future work should address how to improve fit. In addition, studies that include PedsQL 4.0 should consider gender and age effects were reported.
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