Abstract
Objetivos
Obtener una versión española del cuestionario KINDL transculturalmente equivalente a la versión original alemana, y evaluar sus propiedades psicométricas en una muestra de padres y de niños/adolescentes sanos de 8–16 años
Diseño
Estudio transversal
Emplazamiento
Dos colegios públicos de EGB y ESO de la cuenca minera central de Asturias de similares condiciones sociodemográficas
Participantes
Un total de 243 niños de 8-16 años y 153 padres
Mediciones principales
Calidad de vida relacionada con la salud (CVRS) valorada mediante la versión adaptada del cuestionario alemán KINDL. Adicionalmente, se realizó una valoración externa de la CVRS infantil a través de un grupo de padres de los alumnos. También se comprobaron las propiedades psicométricas de la versión española adaptada
Resultados
Sólo 6 ítems (6/24) necesitaron sucesivas traducciones y discusión conceptual durante la fase de adaptación idiomática. El análisis factorial confirmó la validez de construcción de las escalas, excepto en la dimensión “Escuela” de la versión 13–16 años. La consistencia interna, medida mediante el coeficiente α de Cronbach, fue buena para el total del cuestionario (> 0,70) y aceptable en la mayoría de las escalas (> 0,50). El sexo femenino y la mayor edad de los niños se correspondieron con peores puntuaciones de CVRS en la mayoría de las dimensiones investigadas (p < 0,01)
Conclusiones
La versión española del KINDL presentó coeficientes de fiabilidad y validez aceptables. Se encontraron insuficiencias puntuales en este primer paso de la investigación en la escala “Escuela” entre adolescentes. Los resultados constituyen un importante punto de partida para disponer de un instrumento de medida de la CVRS infantil, en lengua española
Palabras clave: Calidad de vida relacionada con la salud, Niños, Adolescentes
Abstract
Objectives
To obtain a first Spanish version of the KINDL questionnaire idiomatic and culturally equivalent to the German original version, and then to evaluate its psychometric properties in a sample of healthy children/adolescents 8-16 years old, and their parents
Design
Cross-sectional study
Setting
2 public schools of Asturias of similar sociodemographic conditions
Participants
243 children 8–16 year-old, and 153 parents were investigated
Main measurements
HRQoL evaluated through the generic questionnaire KINDL. An external assessment through the parents was made as well. The psychometric properties of the Spanish version of the questionnaire were investigated and results on HRQoL are presented for different ages and gender in the Spanish sample
Results
6 ítems (6/24) needed successive translations and conceptual discussion during the phase of idiomatic adaptation. The factorial analysis confirmed the validity of construction of the instrument for most scales. The internal consistency, measured by αCronbach coefficent, was good for the total of the questionnaire (>0.70) and acceptable in most of the scales (>0.50). Only the school scale for adolescents shows very poor reliability. Females and children with higher age scored lower in most of the investigated dimensions (P<.01)
Conclusions
The first Spanish version of the Kindl showed acceptable reliability and validity. In spite of the punctual inadequacies found in this first step of the investigation, the results constitute an important starting point to work futher on the KINDL as an HRQoL instrument -in Spanish language-, to measure subjective well-being in children
Key words: Health-related quality of life, Children, Adolescents
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