Confirmatory factor analysis of the Chinese version of the Pediatric Quality-of-Life Inventory Cancer Module.
BACKGROUND
Before the Chinese version of the Pediatric Quality-of-Life Inventory Cancer Module can be used to assess the multidimensional construct of quality of life among Hong Kong Chinese pediatric patients with cancer, its psychometric properties need to be further empirically tested.


OBJECTIVE
The objectives of the study were to establish the construct validity, including hypothesis testing and a confirmatory factor analysis of factor structure, of the Chinese version of the Pediatric Quality-of-Life Inventory Cancer Module.


METHODS
A cross-sectional study was used; 200 children hospitalized with cancer (9- to 16-year-olds) were recruited. Participants were asked to respond to the Chinese version of the Cancer Module, Therapy-Related Symptom Checklist, and Rosenberg's Self-esteem Scale.


RESULTS
The results showed that there was a strong positive correlation between children's self-esteem and quality of life (r = 0.50) and a strong negative correlation between children's therapy-related symptoms and quality of life (r = -0.65). Confirmatory factor analysis indicated that there were 7 factors underlying the Chinese version of the Cancer Module.


CONCLUSIONS
The study added further evidence of the construct validity of the Chinese version of the Cancer Module, patient version.


CONCLUSIONS
The Cancer Module can be used to assess and evaluate psychological interventions directed toward promoting the quality of life of children hospitalized with cancer.
Author Affiliations: School of Nursing, Lee Ka Shing Faculty of Medicine, the University of Hong Kong, China (Dr Li and Ms Chung); School of Nursing, University of Kansas Medical Center, Kansas City (Dr P. D. Williams); College of Public Health, Department of Health Policy and Management, University of South Florida, Tampa (Dr A. R. Williams); Research Centre for Nursing and Midwifery Practice, Nursing and Midwifery Practice, Australian National University, Woden (Dr. Lopez); Paediatric Oncology Unit, Queen Mary Hospital, Hong Kong, China (Ms Chiu).
Ho Cheung William
HC
Li
Phoebe D
PD
Williams
Arthur R
AR
Williams
Joyce O K
JO
Chung
Sau Ying
SY
Chiu
Violeta
V
Lopez
D000293:Adolescent; D002648:Child; D002681:China; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000451:nursing* / Q000628:therapy; D011594:Psychometrics; D011788:Quality of Life; D011795:Surveys and Questionnaires / Q000592:standards