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The Psychometric Properties for the VISIONS QL Brief

Ali Brian1, Pamela Beach2, Andrea Taliaferro1

  • 1Department of Educational and Developmental Science, College of Education, University of South Carolina, Columbia, SC 29208, USA.

Healthcare (Basel, Switzerland)
|December 11, 2025
PubMed

Insights

This study validated the VISIONS Quality of Life (QoL) Brief for U.S. children with visual impairments (VI). The streamlined tool effectively measures QoL, offering a reliable assessment for this population.

Area of Science:

  • Pediatric Psychology
  • Rehabilitation Science
  • Psychometrics

Background:

  • Children with visual impairments (VI) exhibit diminished Quality of Life (QoL), increased sedentary behavior, and lower motor competence compared to sighted peers.
  • Existing international QoL instruments for children with VI lack validation for U.S. pediatric populations.
  • Addressing these disparities is crucial for the health, well-being, and psychosocial development of children with VI.

Purpose of the Study:

  • To evaluate the psychometric properties of the VISIONS QL assessment tool for children and youth with VI.
  • To reduce items in the VISIONS QL instrument, creating a more streamlined and accessible version.
  • To validate the psychometric properties of the VISIONS QL Brief for U.S. pediatric populations.

Main Methods:

  • Cross-sectional, descriptive analytic design with convenience sampling.
  • Participants included 148 children and youth with VI, aged 9-19 years.
  • Principal Components Analysis (PCA) with orthogonal varimax rotation was employed for dimensionality reduction.

Main Results:

  • PCA identified three components explaining 46% of the variance: Educational Opportunities (7 items), Social and Familial Implications (8 items), and Communication (5 items).
  • The VISIONS QL Brief demonstrated high internal consistency reliability (α = 0.857; Ω = 0.858) and test-retest reliability (ICC = 0.89).
  • Strong concurrent validity was found between the original 63-item version and the 20-item brief scale (r = 0.92, p < 0.0001).

Conclusions:

  • The findings confirm the multidimensional nature of QoL in children with VI.
  • The VISIONS QL Brief is a psychometrically sound instrument for assessing QoL in this population.
  • The brief version is particularly useful in settings where time, accessibility, and cognitive load are significant considerations.

Keywords:
quality of lifereliabilityvalidityvisual impairmentyouth

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