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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Measuring health-related quality of life among school adolescents across Chinese Human Geography Regions: psychometric validation and norm development of the Mandarin Chinese self-reported KID-SCREEN-10 index.

Juan Li, Yuhang Zhu, Zhenliang Qiu, Ricky Jeffrey, Zhuang He, Di Wu, Ranran Li, Gaopei Zhu, Anne Kaman, Michael Erhart and 4 more

Abstract readValidation Study
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Psychometric properties of a direct violence scale and its behavioral mediation].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Juan LiSchool of Health Management, Binzhou Medical University, Yantai, Shandong, China.ORCID http://orcid.org/0000-0001-8710-4854
Yuhang ZhuSchool of Public Health, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng, Weifang, Shandong, 261053, China. zhuyuhang369@163.com.ORCID http://orcid.org/0000-0002-9236-2812
Zhenliang QiuNo. 1 High School of Anhui Sixian County, Suzhou, Anhui, China.
Ricky JeffreySchool of Education and English, Faculty of Humanities and Social Sciences, University of Nottingham Ningbo China, Ningbo, Zhejiang, China.ORCID http://orcid.org/0000-0002-9703-7410
Zhuang HeSchool of Educational Sciences, Guiyang University, Guiyang, Guizhou, China.ORCID http://orcid.org/0000-0002-6027-8544
Di WuSchool of Foreign Languages, Shandong Second Medical University, Weifang, Shandong, China.ORCID http://orcid.org/0000-0002-4876-7011
Ranran LiDepartment of Experimental and Applied Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-9145-4240
Gaopei ZhuDepartment of Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.ORCID http://orcid.org/0000-0002-2085-9336
Anne KamanDepartment of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W 29, Hamburg, 20246, Germany.ORCID http://orcid.org/0000-0001-7498-6229
Michael ErhartDepartment of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W 29, Hamburg, 20246, Germany.
Fuyan ShiSchool of Public Health, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng, Weifang, Shandong, 261053, China.ORCID http://orcid.org/0000-0002-0972-8335
Suzhen WangSchool of Public Health, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng, Weifang, Shandong, 261053, China. wangsz@wfmc.edu.cn.ORCID http://orcid.org/0000-0003-2076-529X
Ulrike Ravens-SiebererDepartment of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W 29, Hamburg, 20246, Germany. ravens-sieberer@uke.de.ORCID http://orcid.org/0000-0002-2031-095X
and the PROSQoL-JSSS research group

Funding

the "2023 Annual Higher Education Scientific Research Planning Project" of the China Association of Higher Education 23WYJ0406the Educational Information Technology Research Project of Anhui Province AH2024072the Ministry of Education of the People's Republic of China (MOE-PRC)-National Scholarship for Ph.D. Candidate BSY202008879the Research Initiation Grants Project of Binzhou Medical University 50012304507
6 · The paper itself

Abstract

purposeThe self-reported KIDSCREEN-10 index (KS-10) is widely used to assess health-related quality of life (HRQoL) in children and adolescents, but psychometric evidence for its Mandarin Chinese version remains limited. This study evaluates its psychometric properties, develops a population-based norm, and establishes a norm-referenced scoring algorithm.

methodsData were collected from a two-wave cross-sectional survey across the Chinese Human Geography Regions (June 20-July 11, 2022). The sample included 3290 adolescents (ages 10-18; 51.5% female; 75.8% Han ethnic group) in their junior secondary education stage, obtained through convenience sampling (first wave) and multistage, stratified, cluster sampling (second wave). Psychometric properties were evaluated using the Rasch measurement method, and both a population-based norm and a norm-referenced scoring algorithm were developed and established.

resultsConfirmatory factor analysis confirmed unidimensionality after two modifications. Rasch analysis demonstrated satisfactory psychometric performance, including an appropriate 5-category rating scale and strong goodness-of-fit. Minor local dependence was observed in a few item pairs, indicating slight unidimensionality violations. Both Rasch-generated reliability measures performed well. The person-item map showed acceptable matches and provided insights for further improvements. No substantial uniform differential item functioning was detected across 14 groups.

conclusionThe Mandarin Chinese self-reported KS-10 demonstrates satisfactory psychometric properties and provides a concise measure of adolescent HRQoL. It is a user-friendly instrument suitable for routine school monitoring, large-scale population surveys, and clinical applications. The population-based norm and norm-referenced scoring algorithm support its broader application and promotion, and offer new insights for interpreting HRQoL sum scores.

Indexed as

PsychometricsQuality of LifeSelf ReportAdolescentChildChinaCross-Sectional StudiesFactor Analysis, StatisticalFemaleHumansMaleReproducibility of ResultsSurveys and QuestionnairesAdolescentsHealth-related quality of lifeMandarin ChinesePopulation-based normPsychometric propertiesRasch measurement method

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.