Purpose: To derive and evaluate a shorter self-report Child Health Questionnaire (CHQ) legacy measure for use in research and clinical trials/care. Methods: Stepwise regression, factor analysis, and item scaling principles were used to derive and guide item selection, using data from a large general sample in the Netherlands (n = 933). Feasibility was assessed in a school sample (n = 114) and item internal consistency, discriminant validity, floor, and ceiling effects were evaluated using an external larger validation sample in the US (n = 1468). Reliabilities were estimated using Cronbach’s alpha. Relative precision (RP), the ability to distinguish between clinical subgroups, was computed by comparing the proportion of variance explained by the short-form scales vs. respective full-length scales. Results: The CHQ-CF was reduced from 87 to 45 items. The median alpha coefficient was 0.89. Ninety-seven to 100% scaling successes for item discriminant validity were observed. Floor effects were not observed; some ceiling effects were detected. RP estimates ranged from 0.73 to 1.37. Conclusion: The CHQ-SF45 is reliable and valid and exceeds item level scaling criteria.

Additional Metadata
Keywords Adolescents, Child-centered, Children, Health-related Quality of life, PRO, Psychometrics
Persistent URL dx.doi.org/10.1007/s11136-018-1873-9, hdl.handle.net/1765/106565
Journal Quality of Life Research
Landgraf, J.M, van Grieken, A, & Raat, H. (2018). Giving voice to the child perspective: psychometrics and relative precision findings for the Child Health Questionnaire self-report short form (CHQ-CF45). Quality of Life Research, 1–12. doi:10.1007/s11136-018-1873-9