The Chinese version of the Pediatric Refractive Error Profile2 (PREP2): Translation, validation and reliability

This study aimed to develop and evaluate an adapted Chinese version of the Pediatric Refractive Error Profile2 (PREP2) and to evaluate its acceptability, reliability, and validity in a population of Chinese children with refractive error.

The Chinese version of the PREP2 was translated using a standardized procedure and then administered to consecutive outpatients with refractive error. Reliability was assessed by the Cronbach's alpha coefficient for internal consistency and test-retest reliability. Validity of the questionnaire was assessed by item discriminant validity, construct validity, known-groups validity, and concurrent validity.

A total of 104 subjects were recruited for the study and all completed the Chinese version of the PREP2 questionnaire with no problems. A random sample of 50 patients completed the questionnaire twice within one week. The Cronbach's alpha coefficients ranged from 0.71 to 0.89 across scales, and the intraclass correlation coefficient ranged from 0.86 to 0.92, indicating excellent internal consistency and test-retest reliability. The item-scale correlation coefficients between the items and the corresponding scales ranged from 0.39 to 0.88. The translated questionnaire had good discriminatory power between contact lens wearers and spectacle wearers. Significant correlations were found between the scales and traditional clinical parameters, such as spherical equivalent and uncorrected visual acuity, showing good construct and concurrent validity.

The Chinese version of the PREP2 exhibited good internal consistency, test-retest reliability, item-scale correlation, discriminatory power, construct validity, and concurrent validity. Therefore, it may be adopted as an acceptable, reliable, and valid instrument for the measurement of vision-related quality of life in Chinese children with refractive error.