Cross cultural adaptation and psychometric evaluation of the Turkish PedsQL^™ Brain Tumor Module: Assessing health-related quality of life in children with brain tumors.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology: Child Pub Date : 2025-03-15 DOI:10.1080/21622965.2025.2479857

Müberra Tanrıverdi, Güleser Güney Yılmaz, Ayşenur Baysal Yiğit, Sedef Şahin, Fatma Betül Çakır

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Abstract

Background: Brain tumors are the most common type of pediatric cancer, significantly impacting children's health-related quality of life (HRQoL). This study aimed to adapt the PedsQL^™-BTM to Turkish culture and evaluate its psychometric properties, including reliability, validity, and cross-cultural consistency.

Method: A total of 108 children with brain tumors (mean age: 9.1 ± 4.99 years) and 120 parents participated in the study. The translation process included forward-backward translation, reconciliation, cognitive debriefing, and pilot testing. Internal consistency (Cronbach's alpha), test-retest reliability (ICC), exploratory and confirmatory factor analysis were conducted to evaluate the psychometric properties. Correlations between the PedsQL^™-BTM and the Generic Core Scales were examined for criterion validity.

Results: Cronbach's alpha ranged from 0.83 to 0.97, indicating excellent internal consistency. Test-retest reliability was robust, with ICC values exceeding 0.80 for most subscales. EFA explained 84.2% of the variance in parent reports and 80.4% in child reports, while CFA confirmed the six-factor structure (child-reported outcomes: RMSEA = 0.069, 90% CI: 0.061-0.076; TLI = 0.862; NFI = 0.92; χ² (147) = 1875, p < 0.001; and parent-reported outcomes: RMSEA = 0.063, 90% CI: 0.059-0.069; TLI = 0.858; NFI = 0.93; χ² (153) = 1912, p < 0.001). Correlations between the BTM subscales and Generic Core Scales demonstrated strong criterion validity (e.g. Cognitive Problems correlated with School Functioning: r = 0.831, p < 0.05).

Conclusions: The Turkish PedsQL^™-BTM is a reliable and valid tool for assessing HRQoL in children with brain tumors.

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来源期刊

Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.00

自引率

5.90%

发文量

期刊介绍： Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.