Cross-cultural adaptation, reliability, and validity of the Turkish Pediatric Quality of Life Inventory-Cognitive

Güleser Güney Yılmaz1, Müberra Tanrıverdi2, Sedef Şahin1

  • 1Faculty of Health Sciences, Department of Occupational Therapy, Hacettepe University, Ankara, Türkiye.

Insights

The Pediatric Quality of Life Inventory-Cognitive Functioning Scale (PedsQL™-CFS) reliably measures cognitive function in children. This tool shows strong correlations with other measures, making it useful for pediatric populations, including those with cancer.

Area of Science:

  • Pediatric Health Outcomes Research
  • Psychometrics
  • Child Psychology

Background:

  • Assessing cognitive function in children is crucial for understanding their development and well-being.
  • Existing tools may not be brief or specific enough for certain clinical settings.
  • The Pediatric Quality of Life Inventory-Cognitive Functioning Scale (PedsQL™-CFS) was developed to address this need.

Purpose of the Study:

  • To evaluate the reliability and validity of the PedsQL™-CFS in a pediatric population.
  • To assess the PedsQL™-CFS's performance in children with cancer.
  • To determine the correlation between PedsQL™-CFS scores and other established measures of cognitive and executive function.

Main Methods:

  • The study involved 369 parents and 330 children (aged 5-18 years).
  • Participants completed the PedsQL™-CFS, PedsQL 3.0 Cancer Module, and the Behavior Rating Inventory of Executive Function (BRIEF).
  • Reliability was assessed using Cronbach's alpha and Fleiss Kappa; validity was examined through correlations with BRIEF and PedsQL 3.0 Cancer Module scores.

Main Results:

  • The PedsQL™-CFS demonstrated excellent reliability for both parent proxy-report (α=0.980) and child self-report (α=0.963).
  • PedsQL™-CFS scores showed significant correlations with all BRIEF summary and subscale scores (p < .05).
  • Significant correlations were also found between PedsQL™-CFS scores and the PedsQL 3.0 Cancer Module total and subscale scores (p < .05).

Conclusions:

  • The PedsQL™-CFS is a reliable and valid measure of cognitive function in children aged 5-18.
  • The scale is suitable for use in high-risk pediatric populations, including children with cancer.
  • The PedsQL™-CFS shows substantial to perfect reliability and correlates well with other established measures.