Affiliations 

  • 1 Paediatric Department, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
  • 2 Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Kuala Lumpur, Malaysia
  • 3 Paediatric Department, Hospital Tuanku Ja'afar, Seremban, Malaysia
  • 4 Paediatric Department, Hospital Pulau Pinang, Pulau Pinang, Malaysia
  • 5 Paediatric Department, Hospital Umum Sarawak, Kuching, Malaysia
  • 6 Paediatric Department, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • 7 Paediatric Nephrology Unit, Paediatric Department, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
  • 8 Paediatric Department, Hospital Sultan Ismail, Johor Bahru, Malaysia
  • 9 Paediatric Department, Hospital Selayang, Selangor, Malaysia
  • 10 Department of Paediatric, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
  • 11 Department of Language and Literacy Education, Universiti Malaya, Kuala Lumpur, Malaysia
  • 12 Paediatric Department, Hospital Tuanku Ja'afar, Seremban, Malaysia. carolinesyeng@gmail.com
Pediatr Nephrol, 2023 Jun;38(6):1897-1905.
PMID: 36272027 DOI: 10.1007/s00467-022-05774-0

Abstract

BACKGROUND: The PedsQL 3.0 End Stage Renal Disease (ESRD) Module is a well-accepted instrument internationally but it is not available in the local language. We aimed to validate the Bahasa Melayu (Malay language) version and determine the health-related quality of life (HRQoL) scores amongst children with CKD in Malaysia.

METHODS: The source questionnaire in English was translated into Bahasa Melayu. Linguistic validation guidelines by the MAPI Research Institute were followed. The already validated Bahasa Melayu PedsQL 4.0 Generic Core Scales was used for comparison. Sociodemographic data were collected during the interview. Statistical analyses were performed using SPSS version 25.0.

RESULTS: Sixty-nine children aged 8 to 18 with CKD stages 4 and 5, with or without dialysis, and their caregivers were recruited. Mean age was 12.62 ± 2.77 (SD). Evaluation of the PedsQL 3.0 ESRD Module Bahasa Melayu version demonstrated good internal consistency (Cronbach alpha 0.82). There was good agreement between child self-report and parent proxy report in all domains; average intraclass correlation coefficients (ICC) were 0.78, 95% CI (0.71, 0.84). Scores obtained from Generic 4.0 scales correlated with the disease-specific ESRD 3.0 scale, Spearman's rho = 0.32, p = 0.007. The Kruskal-Wallis H test indicated that there were no significant differences between stages of CKD and their respective mean HRQoL score, χ2(2) = 2.88, p = 0.236.

CONCLUSIONS: The PedsQL 3.0 ESRD Module Bahasa Melayu version is a reliable and feasible tool for cross-cultural adaptation. A longer prospective study may help better illustrate the quality of life in this group of children.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.