Development of the Healthy Pathways Child-Report Scales

Katherine B. Bevans, Anne W. Riley, Christopher B. Forrest

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Purpose The Child Health and Illness Profile (CHIP) has separate child (6-11 years) and adolescent (12-21 years) editions that measure youth's self-assessed health, illness, and well-being. The purpose of this study was to revise the CHIP by combining the two editions to create the Healthy Pathways Child-Report Scales. Methods We modified the original CHIP domains of Comfort, Risk Avoidance, Satisfaction, and Resilience to reflect advances in child health conceptualization. Classical test and item response theory psychometric analyses were conducted using data collected from 2,095 children (49% boys, 80% White, 17% African-American, 3% Hispanic, Age: M = 10.6, SD = 1.0) in grades 4-6 at 34 schools. Results After minor revisions, 16 of the 17 scales were found to measure unidimensional self-assessed health, illness, and well-being constructs comprehensively, but with a minimal number of items. Scales were unbiased by age, gender, survey modality, and geographic location. Construct validity was demonstrated by the instrument's capacity to differentiate among children with and without chronic illnesses and to detect expected age and gender differences. Conclusions The Healthy Pathways Child-Report Scales may be used to reliably and accurately assess unidimensional aspects of health, illness, and well-being in clinical and population-based research studies involving youth in transition from childhood to adolescence.

Original languageEnglish (US)
Pages (from-to)1195-1214
Number of pages20
JournalQuality of Life Research
Issue number8
StatePublished - Oct 2010
Externally publishedYes


  • Child health scales
  • Children's health and illness profile
  • Health-related quality of life
  • Item banks
  • Item response theory
  • Self-assessed health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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