Volume 35, Issue 2 (3-2025)                   JHNM 2025, 35(2): 149-157 | Back to browse issues page


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Pouy S, Taheri_Ezbarami Z, Rassouli M, Maroufizadeh S, Darbandi B, Javadi-Pashaki N. 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. JHNM 2025; 35 (2) :149-157
URL: http://hnmj.gums.ac.ir/article-1-2362-en.html
1- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
3- Professor, Cancer Research Center, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Assistant professor, Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
5- Associate Professor, Pediatric Diseases Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
6- Professor, Social Determinants of Health Research Center (SDHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. , n.javadip@gmail.com
Abstract:   (614 Views)
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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Article Type : Research | Subject: General
Received: 2024/05/22 | Accepted: 2025/02/23 | Published: 2025/04/1

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