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Updated: Jun 24, 2025

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
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.
Abstract:
The Pediatric Quality of Life Inventory-Cognitive Functioning Scale (PedsQLTM-CFS) was developed as a brief, general, symptom-specific tool to measure cognitive function. The 6-item PedsQL™ Cognitive Functioning Scale and PedsQL 3.0 Cancer Module answered 369 parents and 330 children with 5-18 years. Parents also completed Behavior Rating Inventory of Executive Function (BRIEF). The PedsQL™ Cognitive Functioning Scale evidenced excellent reliability (parent proxy-report α = 0.980/Fleiss Kappa: 0.794; children self-report α = 0.963/Fleiss Kappa: 0.790). Both child self-report and parent proxy-report PedsQL™ Cognitive Functioning Scale scores exhibited significant correlations with all parent-report BRIEF summary and subscale scores (p < .05). Both child self-report and parent proxy-report PedsQL™ Cognitive Functioning Scale scores exhibited significant correlations with PedsQL 3.0 Cancer Module total score and subscale scores (p < .05). The PedsQLTM-CFS can be used in high-risk populations with substantial to perfect reliability, both in regards to total/subcategory scores as well as in children with cancer.

