Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer

Introduction: Measuring the health-related quality of life (HRQOL) in children with cancer is very important. The pediatric quality of life inventory™ 4.0 (PedsQL 4.0) is a well-established tool for measuring the HRQOL of children aged 2-18 years with cancer.  Objective: The present study aimed to d...

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Main Authors: Somaye Pouy, Zahra Taheri_Ezbarami, Maryam Rassouli, Saman Maroufizadeh, Bahram Darbandi, Nazila Javadi-Pashaki
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2025-03-01
Series:Journal of Holistic Nursing and Midwifery
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Online Access:http://hnmj.gums.ac.ir/article-1-2362-en.pdf
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author Somaye Pouy
Zahra Taheri_Ezbarami
Maryam Rassouli
Saman Maroufizadeh
Bahram Darbandi
Nazila Javadi-Pashaki
author_facet Somaye Pouy
Zahra Taheri_Ezbarami
Maryam Rassouli
Saman Maroufizadeh
Bahram Darbandi
Nazila Javadi-Pashaki
author_sort Somaye Pouy
collection DOAJ
description Introduction: Measuring the health-related quality of life (HRQOL) in children with cancer is very important. The pediatric quality of life inventory™ 4.0 (PedsQL 4.0) is a well-established tool for measuring the HRQOL of children aged 2-18 years with cancer.  Objective: The present study aimed to determine the psychometric properties of the Persian version of the PedsQL 4.0 for Iranian children with cancer. Materials and Methods: This is a methodological study. The PedsQL™ 4.0 was first translated into Persian and then psychometrically evaluated. The participants included 200 children with cancer and 200 parents referred to a specialized hospital for children in Rasht, Iran, from October 2021 to October 2022, who were selected by a convenience sampling method. The face validity, and construct validity (by confirmatory factor analysis [CFA] were assessed. Internal consistency was assessed by calculating Cronbach’s α and the test re-test reliability was measured by calculating the intraclass correlation coefficient (ICC).  Results: The mean age of children and parents was 5.9±4.2 and 37.83±5.86 years, respectively. The CFA results showed that the eight-factor model had a good fit. In the child self-report version, Cronbach’s α value for the eight subscales was in the range of 0.72-0.88 and for the overall scale, it was 0.80. In the parent proxy-report version, Cronbach’s α value was in the range of 0.82-0.93 and for the overall scale, it was 0.81. In the test re-test reliability, the ICC value in the child self-report version for the age groups 5-7, 8-12 and 13-18 years old was 0.85, 0.78, and 1, respectively. The ICC value in the parent proxy-report version for the age groups 2-4, 7-5, 8-12 and 13-18 years old was 0.97, 0.87, 0.87 and 1, respectively. Conclusion: The Persian version of the PedsQL 4.0 has good psychometric properties for Iranian children with cancer. Therefore, it can be used as a valid and reliable tool to measure the HRQOL of these children in Iran.
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spelling doaj-art-730bfd2c4cf34ae09a4d6782df76e2782025-08-20T04:02:28ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122025-03-01352149157Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With CancerSomaye Pouy0Zahra Taheri_Ezbarami1Maryam Rassouli2Saman Maroufizadeh3Bahram Darbandi4Nazila Javadi-Pashaki5 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Professor, Cancer Research Center, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Assistant professor, Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran. Associate Professor, Pediatric Diseases Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Professor, Social Determinants of Health Research Center (SDHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Introduction: Measuring the health-related quality of life (HRQOL) in children with cancer is very important. The pediatric quality of life inventory™ 4.0 (PedsQL 4.0) is a well-established tool for measuring the HRQOL of children aged 2-18 years with cancer.  Objective: The present study aimed to determine the psychometric properties of the Persian version of the PedsQL 4.0 for Iranian children with cancer. Materials and Methods: This is a methodological study. The PedsQL™ 4.0 was first translated into Persian and then psychometrically evaluated. The participants included 200 children with cancer and 200 parents referred to a specialized hospital for children in Rasht, Iran, from October 2021 to October 2022, who were selected by a convenience sampling method. The face validity, and construct validity (by confirmatory factor analysis [CFA] were assessed. Internal consistency was assessed by calculating Cronbach’s α and the test re-test reliability was measured by calculating the intraclass correlation coefficient (ICC).  Results: The mean age of children and parents was 5.9±4.2 and 37.83±5.86 years, respectively. The CFA results showed that the eight-factor model had a good fit. In the child self-report version, Cronbach’s α value for the eight subscales was in the range of 0.72-0.88 and for the overall scale, it was 0.80. In the parent proxy-report version, Cronbach’s α value was in the range of 0.82-0.93 and for the overall scale, it was 0.81. In the test re-test reliability, the ICC value in the child self-report version for the age groups 5-7, 8-12 and 13-18 years old was 0.85, 0.78, and 1, respectively. The ICC value in the parent proxy-report version for the age groups 2-4, 7-5, 8-12 and 13-18 years old was 0.97, 0.87, 0.87 and 1, respectively. Conclusion: The Persian version of the PedsQL 4.0 has good psychometric properties for Iranian children with cancer. Therefore, it can be used as a valid and reliable tool to measure the HRQOL of these children in Iran.http://hnmj.gums.ac.ir/article-1-2362-en.pdfpediatric quality of life inventory (pedsql)childrenhealth-related quality of life (hrqol)canceriran
spellingShingle Somaye Pouy
Zahra Taheri_Ezbarami
Maryam Rassouli
Saman Maroufizadeh
Bahram Darbandi
Nazila Javadi-Pashaki
Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
Journal of Holistic Nursing and Midwifery
pediatric quality of life inventory (pedsql)
children
health-related quality of life (hrqol)
cancer
iran
title Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
title_full Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
title_fullStr Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
title_full_unstemmed Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
title_short Translation and Psychometric Evaluation of the Persian Version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) for Iranian Children With Cancer
title_sort translation and psychometric evaluation of the persian version of the pediatric quality of life inventory 4 0 pedsql 4 0 for iranian children with cancer
topic pediatric quality of life inventory (pedsql)
children
health-related quality of life (hrqol)
cancer
iran
url http://hnmj.gums.ac.ir/article-1-2362-en.pdf
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