The Psychometric Properties for the VISIONS QL Brief

Background/Objectives: Children with visual impairments (VI) experience lower Quality of Life (QoL), higher sedentary time, and reduced motor competence as compared to their sighted peers, posing challenges to their health, well-being, and psychosocial development. While several QoL instruments have been developed internationally for children/youth with VI, none have been validated for use with U.S. pediatric populations. The purpose of this study was to evaluate the psychometric properties of the VISIONS QL assessment tool tailored for children/youth with VI, with a primary aim of variable/item reduction to develop a streamlined version of the instrument. Methods: This study featured a cross-sectional, descriptive analytic design with convenience sampling. Participants were children and youth with VI, aged 9-19 years, (N = 148; Boys = 71, Girls = 77; M_age = 14.49, SD = 3.36 years). A principal components analysis (PCA) with orthogonal varimax rotation was conducted to reduce dimensionality and identify components. Results: Results of the PCA yielded three components explaining 46% of the variance: Educational Opportunities = 7 items; Social and Familial Implications = 8 items; Communication = 5 items. Overall, the VISIONS QL Brief had a high level of internal consistency reliability (α = 0.857; Ω = 0.858) and test-retest reliability (ICC = 0.89, 95% CI = 0.84-0.92). The original 63-item version showed concurrent validity with the 20-item brief scale (r = 0.92, p < 0.0001). Conclusions: Findings affirm the multidimensional nature of QoL and support the usage of the VISIONS QL Brief and its utility in settings where time, accessibility, and cognitive load are critical considerations.