title: Colombian Rasch validation of KIDSCREEN-27 quality of life questionnaire.
abstract: BACKGROUND
  The family of KIDSCREEN instruments is the only one with trans-cultural adaptation and validation in Colombia. These validations have been performed from the classical test theory approach, which has evidenced satisfactory psychometric properties. The aim of this study was to evaluate psychometric properties of KIDSCREEN-27 children and parent-proxy versions, through Rasch analysis.
  
  
  METHODS
  The participants in the present study were two different sets of populations, 321 kids with a mean age of 12.3 (SD 2.6), 41 % 8 to 11 years old and 59 % 12 to 18 years old; and 1150 parent-proxy with an average age of 45.5 (SD 18.9). Psychometric properties were assessed using the partial credits model in the Rasch approach. Unidimensionality, fitting of person and item, response form, and differential item functioning (DIF) were measured.
  
  
  RESULTS
  The Infit MNSQ in child self-reported version that ranges between 0.71-1.76, and 0.69-1.31 in the parent-proxy version. Scores gathered on Likert forms of 5-response options, person separation was 2.08 for child self-reported version and 2.40 for parent-proxy; reliability was 0.81 and 0.85, respectively. Items reliability was 0.99 on both versions, with separations of 11.92 for child self-reported and 10.83 for parent-proxy. There was not DIF according to the variables sex and age but was present according to socioeconomic status.
  
  
  CONCLUSIONS
  There was a good fit for items and individuals to the Rasch model. Item separation was adecuate, and person separation improved when the response form was re-codified to four options. The presence of DIF according to socioeconomic status implies a scale's bias in the measure of HRQoL of Colombian children.
authors.affiliation: Group of Clinical Epidemiology (GRAEPIC), School of Medicine, University of Antioquia, Medellín, Colombia.|Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280, Main, Hamilton, Ontario, Canada.
authors.forename: Claudia-Marcela
authors.initials: CM
authors.lastname: Vélez
authors.affiliation: Academic Group of Clinical Epidemiology (GRAEPIC) and Group Health Rehabilitation, School of Medicine, University of Antioquia, Carrera 51 D # 62-29, Medellín, Colombia.
authors.forename: Luz-Helena
authors.initials: LH
authors.lastname: Lugo-Agudelo
authors.affiliation: Group of Clinical Epidemiology (GRAEPIC), School of Medicine, University of Antioquia, Medellín, Colombia.
authors.forename: Gilma-Norela
authors.initials: GN
authors.lastname: Hernández-Herrera
authors.affiliation: Academic Group of Clinical Epidemiology (GRAEPIC) and Group Health Rehabilitation, School of Medicine, University of Antioquia, Carrera 51 D # 62-29, Medellín, Colombia. ivan.garcia@udea.edu.co.
authors.forename: Héctor-Iván
authors.initials: HI
authors.lastname: García-García
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D003105:Colombia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D010290:Parents / Q000523:psychology*; D019727:Proxy / Q000523:psychology*; D011594:Psychometrics / Q000295:instrumentation*; D011788:Quality of Life / Q000523:psychology*; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Health-related quality of life; KIDSCREEN; Psychometric properties; Rasch analysis