[Hungarian validation of the cardiac module of the Pediatric Quality of Life Inventory].
The authors report the validation process of the cardiac module of the Pediatric Quality of Life Inventory (PedsQL ) into Hungarian.


BACKGROUND
The PedsQL which is a modular instrument to evaluate health-related quality of life (HRQL ) in children and adolescents of ages 2-18 years, comes up to the current professional requirements at a high level. There is no report on health-related quality of life measure in Hungary which was performed among children with heart disease.


OBJECTIVE
To adapt and to test a pediatric quality of life questionnaire for measuring HRQL in children with heart disease.


METHODS
Sequential validation process which follows international guidelines. Pilot-study on 105 children with heart disease.


RESULTS
According to the results of the pilot-study the psychic domains have a negative influence on general HRQL index in both child and parent-proxy reports in all age groups. On the cardiac module parents of children of all age groups but only children of ages 5-7 years reported marked treatment anxiety. Cognitive and communication problems are mainly important for children of ages 8-18 years. Parent-child concordance is depending on the age of the child, there was expressed difference in the psychosocial domains. We have found no negative effect of heart operation on HRQL by itself but taking medicine may impair it.


CONCLUSIONS
Further methodologic research should evaluate the psychometric properties of the newly validated Hungarian version of the PedsQL cardiac module. The detailed report about the validation process can help in the spreading of patient reported outcome measures in Hungary.
Berkes
Andrea
A
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum Gyermekgyógyászati Intézet Debrecen Nagyerdei krt. 98. 4032. berkesa@dote.hu
Kiss
Mariann
M
Kemény
Csilla
C
Mogyorósy
Gábor
G
D000203:Activities of Daily Living; D000293:Adolescent; D001007:Anxiety / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003071:Cognition; D003072:Cognition Disorders / Q000209:etiology; D003142:Communication; D005260:Female; D006304:Health Status; D006331:Heart Diseases / Q000150:complications / Q000523:psychology / Q000628:therapy; D006801:Humans; D006814:Hungary; D008297:Male; D008603:Mental Health; D010372:Pediatrics; D010865:Pilot Projects; D011594:Psychometrics; D011788:Quality of Life; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires / Q000592:standards*