The reliability and validity of the Greek version of the Pediatric Quality of Life Inventory™ 3.0 Duchenne muscular dystrophy module in children with Duchenne muscular dystrophy
Abstract
Introduction: This cross-sectional study aimed to evaluate the reliability and validity of the Greek version of the Pediatric Quality of Life Inventory™ (PedsQL™) 3.0 Duchenne muscular dystrophy (DMD) module.
Methods: The Greek version of PedsQL™ 3.0 DMD was completed by children with DMD and their parents/caregivers during their annual clinical visit to a hospital setting. Internal consistency reliability (Cronbach’s α) and reproducibility (ICC, intraclass correlation coefficients) of the DMD module were assessed, and test-retest reproducibility was evaluated after 6 to 8 months. Known-group validity was evaluated by comparing scores between different patient groups.
Results: A total of 79 children with DMD and their parents/caregivers were enrolled in the study. Internal consistency reliability was confirmed as Cronbach’s α was > 0.70 (total score: child α = 0.8, parent/ /caregiver α = 0.89) and the ICC exceeded 0.6 (for the total score of the child report 0.92 and 0.81 for the parent/caregiver report). Construct validity of PedsQL™ 3.0 DMD module was confirmed. The mean quality of life total score for child self-report was 76.29 ± 13.27 among the ambulatory patients and 56.91 ± 13.27 among the non-ambulatory patients (p < 0.001). The mean quality of life score for the parent/caregiver proxy report was 70.64 ± 20.75 among ambulatory patients and 52.15 ± 22.54 among non-ambulatory patients (p < 0.001). The child self-reports were in good agreement with the parent/ /caregiver proxy reports for most subscales (ICC range 0.49–0.81, 0.57–0.91).
Conclusions: The PedsQL™ 3.0 DMD module is valid and reliable in Greek patients with DMD for measuring disease-specific health-related quality of life (HRQoL).
Keywords: health-related quality of lifeDuchenne muscular dystrophyPedsQLGreek languagepsychometric properties
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