Psychometric properties of the initial Brazilian version of the CHQ-PF50 applied to the caregivers of children and adolescents with cerebral palsy |
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Authors: | Nívea de M. O. Morales Carlos H. M. Silva Ana C. Frontarolli Renata R. H. Araújo Viviane O. Rangel Rogério M. C. Pinto Rogério R. Morales Débora C. Gomes |
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Affiliation: | 1.Department of Surgery, Neurologic Propedeuthic Division,Universidade Federal de Uberlandia (UFU), Associa??o de Assistência à Crian?a Deficiente (AACD),Uberlandia, Minas Gerais,Brazil;2.Department of Pediatrics,Universidade Federal de Uberlandia (UFU),Uberlandia, Minas Gerais,Brazil;3.Section of Therapy, Associa??o de Assistência à Crian?a Deficiente (AACD),Uberlandia, Minas Gerais,Brazil;4.Section of Graduation, Universidade Federal de Uberlandia (UFU),Uberlandia, Minas Gerais,Brazil;5.Department of Mathematics,Universidade Federal de Uberlandia (UFU),Uberlandia, Minas Gerais,Brazil;6.Department of Surgery, Neurologic Propedeuthic Division,Universidade Federal de Uberlandia (UFU),Uberlandia, Minas Gerais,Brazil |
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Abstract: | Goals To evaluate the psychometric properties of the initial Brazilian version of the Child Health Questionnaire(CHQ-PF50) in children and adolescents with cerebral palsy(CP). Methods The caregivers of 5- to 18-year-old children and adolescents with CP answered the self-administered CHQ-PF50 questionnaire. Data quality, reliability and validity were studied. The Gross Motor Function Measure was used to assess physical function. Results Ninety-six caregivers answered the questionnaire. Patient age ranged from 5 to 17.9 years (mean: 9.3 years). Missing data rate was low. Floor effect occurred in 3 scales and was substantial for quadriplegia group (63.6–77.3%). Ceiling effect occurred in 9 scales. Reliability was adequate for all scales except for the general health perception scale (Cronbach alpha coefficient = 0.24). The validity was adequate in general, but the role/social limitations-emotional behavioral scale was not satisfactory for discriminant and divergent validity. Conclusion The initial Brazilian version of the CHQ-PF50 showed, in general, adequate psychometric properties for application in patients with CP. Although floor and ceiling effects are expected in heterogeneous group as a limitation inherent to generic assessment instruments, they must be carefully considered in further studies. The general health perception and role/social limitations-emotional behavioral scale must be further reviewed for this population. |
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Keywords: | Cerebral palsy Child Health Questionnaire Quality of life Validity Reliability |
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