A Short Form of the Child/Youth Health Care Questionnaire on Satisfaction, Utilization, and Needs in Children and Adolescents with a Chronic Condition (CHC-SUN-SF/YHC-SUN-SF)

Holger Muehlan, Henriette Markwart, Ingo Menrath, Gundula Ernst, Ute Thyen and Silke Schmidt
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Holger Muehlan: Department Health & Prevention, University of Greifswald, 17489 Greifswald, Germany
Henriette Markwart: Department Health & Prevention, University of Greifswald, 17489 Greifswald, Germany
Ingo Menrath: Department of Child and Adolescent Medicine, University of Luebeck, 23538 Luebeck, Germany
Gundula Ernst: Medical Psychology Unit, Hannover Medical School, 30625 Hannover, Germany
Ute Thyen: Department of Child and Adolescent Medicine, University of Luebeck, 23538 Luebeck, Germany
Silke Schmidt: Department Health & Prevention, University of Greifswald, 17489 Greifswald, Germany

IJERPH, 2021, vol. 18, issue 22, 1-11

Abstract: We decided to develop a short-form of the CHC-SUN/YHC-SUN, a questionnaire aiming at assessing health care satisfaction of children and adolescents with chronic health conditions. Data analysis was based on samples from three different studies. Item selection involved statistical analysis and expert consensus. For independent validation purposes, we calculated descriptive statistics on single-item and composite-scale levels and applied classic test theory, confirmatory factor analyses, and correlation analysis to investigate the psychometric properties of the final short-form by different types of reliability and validity. Internal consistency (Cronbach’s Alpha) reached values of a = 0.89 (self-report) and a = 0.92 (parents report), split-half reliability values reached 0.85 (self-report) and 0.91 (parents report). Confirmatory factor analysis indicated no sufficient fit for the single factor solution, whereas the solution with three factors and one higher order factor indicated the best overall fit amongst three competing models. Validity of the short-form measure can be assumed, e.g., as indicated by its association with a single-item measure on general health care satisfaction. The short-form measures of the CHC-SUN for parents (CHC-SUN-SF) and the YHC-SUN self-report version for adolescents (YHC-SUN-SF) feature excellent psychometric performances, provide economical assessments, and are easy-to-administer questionnaires. They should be used whenever brief measures are needed for economic reasons.

Keywords: health care satisfaction; chronic condition; children; adolescents; child health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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