Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

Steven Hoffman; Matthew C. Lambert; Timothy D. Nelson; Alexandra L. Trout; Michael H. Epstein; Robert Pick

doi:10.1007/s11136-012-0327-z

Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

Steven Hoffman, Matthew C. Lambert, Timothy D. Nelson, Alexandra L. Trout, Michael H. Epstein, Robert Pick

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Purpose: The Pediatric Quality of Life assessment (PedsQL™) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL™ among youth receiving residential care. Methods: High school-aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL™ 4.0 Teen Report. Results: Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems). Conclusions: The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL™ to assess their HRQoL.

Original language	English (US)
Pages (from-to)	2151-2157
Number of pages	7
Journal	Quality of Life Research
Volume	22
Issue number	8
DOIs	https://doi.org/10.1007/s11136-012-0327-z
State	Published - Oct 2013
Externally published	Yes

Keywords

Adolescent
Health
Quality of life
Residential treatment

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

Access to Document

10.1007/s11136-012-0327-z

Cite this

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title = "Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting",

abstract = "Purpose: The Pediatric Quality of Life assessment (PedsQL{\texttrademark}) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL{\texttrademark} among youth receiving residential care. Methods: High school-aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL{\texttrademark} 4.0 Teen Report. Results: Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems). Conclusions: The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL{\texttrademark} to assess their HRQoL.",

keywords = "Adolescent, Health, Quality of life, Residential treatment",

author = "Steven Hoffman and Lambert, {Matthew C.} and Nelson, {Timothy D.} and Trout, {Alexandra L.} and Epstein, {Michael H.} and Robert Pick",

note = "Funding Information: Acknowledgments The research reported here was supported by the Institute of Education Sciences, U.S. Department of Education, through grant R324B110001 to the University of Nebraska-Lincoln. The opinions expressed are those of the authors and do not represent views of the Institute or the U.S. Department of Education.",

year = "2013",

month = oct,

doi = "10.1007/s11136-012-0327-z",

language = "English (US)",

volume = "22",

pages = "2151--2157",

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T1 - Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

AU - Hoffman, Steven

AU - Lambert, Matthew C.

AU - Nelson, Timothy D.

AU - Trout, Alexandra L.

AU - Epstein, Michael H.

AU - Pick, Robert

N1 - Funding Information: Acknowledgments The research reported here was supported by the Institute of Education Sciences, U.S. Department of Education, through grant R324B110001 to the University of Nebraska-Lincoln. The opinions expressed are those of the authors and do not represent views of the Institute or the U.S. Department of Education.

PY - 2013/10

Y1 - 2013/10

N2 - Purpose: The Pediatric Quality of Life assessment (PedsQL™) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL™ among youth receiving residential care. Methods: High school-aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL™ 4.0 Teen Report. Results: Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems). Conclusions: The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL™ to assess their HRQoL.

AB - Purpose: The Pediatric Quality of Life assessment (PedsQL™) is the most widely used measure for assessing adolescent health-related quality of life (HRQoL). While youth in residential treatment facilities face many physical and mental health, behavioral, education, and familial challenges that could impact their HRQoL, no research has sought to assess the factor structure of the PedsQL™ among youth receiving residential care. Methods: High school-aged youth (N = 229) attending a large residential treatment center in Omaha, NE were recruited to complete a data collection packet comprised of various health assessments including the PedsQL. Four competing confirmatory factor analysis models were used to test the hypothesized internal structure of the PedsQL™ 4.0 Teen Report. Results: Models A, B, and C had acceptable CFI (≥.90), TLI (≥.90), and RMSEA (≤.08) fit indicators. However, factor loadings for items 5 and 6 were problematic. After removing the two problematic items, Model D was fit to the data and proved to be the superior of the four models. This model included two first-order factors (physical health problems; school attendance problems) and one second-order factor (psychological health problems). Conclusions: The findings suggest that researchers and practitioners studying youth in residential settings can reliably use the PedsQL™ to assess their HRQoL.

KW - Adolescent

KW - Health

KW - Quality of life

KW - Residential treatment

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Confirmatory factor analysis of the PedsQL among youth in a residential treatment setting

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