Psychometric Properties of the Indonesian Version of Youth Quality of Life-Weight Instrument (YQOL-W)

Grace Helena Firmansyah Putri, Fredrick Dermawan Purba


Quality of life refers to a broad concept that describes life satisfaction in terms of culture, value, and life experiences which are used to explain someone’s life aspect in general or specifically in relation to a particular condition, such as being overweight or obese. Obesity causes many health problems and affects the overall quality of life. As the obesity rate continues to be a growing public health problem in Indonesian adolescents, examining the perceptions regarding their weight is fundamental for planning a proper intervention. However, there has been little reported of available weight-specific instruments that measure the QoL in Indonesia. Youth Quality of Life-Weight (YQOL-W) is a multicultural measurement of QoL-weight that was specifically recommended by previous researchers to measure the QoL of adolescents with obesity and overweight conditions. This study was conducted to evaluate the psychometric properties of the adapted YQOL-W instrument for Indonesian adolescents. Twenty-one items were administered to 880 adolescents between 11 and 18 years of age, of whom 54.55% were female and 71.14% were junior high school students. Data were collected with a convenience sampling technique. Confirmatory factor analysis showed that a three-factor model had an acceptable model fit, including a Self factor (4 items), Social factor (12 items), and Environment factor (5 items) with p < .05. The YQOL-W instrument had good internal consistency reliability with Cronbach’s alpha ranging from .87 to .95 and acceptable test-retest reliability with the intraclass correlation coefficients (ICC) all greater than .70. The one-factor and three-factor scores were negatively correlated with BMI and positively correlated with PedsQL (all at p < .01 level). In conclusion, the Indonesian version of the YQOL-W shows good reliability and validity for assessing the weight-specific QoL of adolescents in Indonesia.


adolescent; confirmatory factor analysis; obesity; overweight; quality of life; weight


Abbey-Lambertz, M. (2021). Effect of a family-based weight management intervention on the association between weight loss and children's quality of life. Ph.D. Dissertation, Master of Public Health, University of Washington.

Ahuja, B., Klassen, A. F., Satz, R., Malhotra, N., Tsangaris, E., Ventresca, M., & Fayed, N. (2014). A review of patient-reported outcomes for children and adolescents with obesity. Quality of Life Research, 23(3), 759–770.

Anderson, Y. C., Wynter, L. E., Treves, K. F., Grant, C. C., Stewart, J. M., Cave, T. L., Wouldes, T. A., Derraik, J. G. B., Cutfield, W. S., & Hofman, P. L. (2017). Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: An observational study. BMJ Open, 7(8), 1–10.

Avalos, M. R. A., Ayers, S. L., Patrick, D. L., Jager, J., Castro, F. G., Konopken, Y. P., Olson, M. L., Keller, C. S., Soltero, E. G., Williams, A. N., & Shaibi, G. Q. (2020). Familism, self-esteem, and weight-specific quality of life among latinx adolescents with obesity. Journal of Pediatric Psychology, 45(8), 848–857.

Bandalos, D. L. & Finney, S. J. (2018). The reviewer's guide to quantitative methods in the social sciences. Oxfordshire: Routledge.

Dewi, F. I. R., Idulfilastri, R. M., Angela, L., & Sari, M. P. (2021). Gambaran kualitas kehidupan remaja (studi pada remaja di daerah gempa bumi). Jurnal Muara Ilmu Sosial, Humaniora, Dan Seni, 5(1), 170.

Edwards, T. C., Huebner, C. E., Connell, F. A., & Patrick, D. L. (2002). Adolescent quality of life, Part I: Conceptual and measurement model. Journal of Adolescence, 25(3), 275–286.

Farahdina, E. (2018). Uji validitas konstruk alat ukur diabetes quality of life (DQOL). Jurnal Pengukuran Psikologi Dan Pendidikan Indonesia (JP3I), 3(4), 453–462.

Goodwin, C. J. (2017). Research in psychology: methods and design. New York: Wiley.

Gosling, S. D. & Mason, W. (2015). Internet research in psychology. Annual Review of Psychology, 66(1), 877-902. doi:10.1146/annurev-psych-010814-015321

Gow, M. L., Tee, M. S. Y., Garnett, S. P., Baur, L. A., Aldwell, K., Thomas, S., Lister, N. B., Paxton, S. J., & Jebeile, H. (2020). Pediatric obesity treatment, self-esteem, and body image: A systematic review with meta-analysis. Pediatric Obesity, 15(3), 1–12.

Griffiths, L. J., Parsons, T. J., & Hill, A. J. (2010). Self-esteem and quality of life in obese children and adolescents: A systematic review. International Journal of Pediatric Obesity, 5(4), 282–304.

Hoedjes, M., Makkes, S., Halberstadt, J., Noordam, H., Renders, C. M., Bosmans, J. E., van der Baan-Slootweg, O. H., & Seidell, J. C. (2018). Health-related quality of life in children and adolescents with severe obesity after intensive lifestyle treatment an at 1-year follow-up. Obesity Facts, 11, 116-128. DOI: 10.1159/000487328

Jalaham, D. N., Ottay, R. I., & Palandeng, H. M. F. (2021). Gambaran kualitas hidup remaja SMA dengan berat badan berlebih di Manado pada pandemi COVID-19. Jurnal Kedokteran Komunitas Dan Tropik, 8(02).

Jiang, X. Y., Wang, H. M., Edwards, T. C., Chen, Y. P., Lv, Y. R., & Patrick, D. L. (2014). Measurement properties of the Chinese version of the youth quality of life instrument - weight module (YQOL-W). PLoS ONE, 9(9).

Jr Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., Black, W. C., & Anderson, R. E. (2018). Multivariate data analysis (8th ed.). Boston, Massachusetts: Cengage Learning.

Kaplan, R. M., & Saccuzzo, D. P. (2018). Psychological testing: principles, application, and issues (9th ed.). Boston, Massachusetts: Cengage Learning.

Kementerian Kesehatan RI. (2021). Buku saku: hasil studi status gizi Indonesia (SSGI) tingkat nasional, provinsi, dan kabupaten/kota tahun 2021. Citing internet sources URL

Kementerian Kesehatan RI. (2018). Epidemi obesitas. Citing internet sources URL

Kharistik A, Y., Lanti R.D, Y., & Wekadigunawan, C. S. P. (2018). The psychosocial impact of obesity or overweight in adolescents: a path analysis evidence from Surakarta, Central Java. 77.

Kolotkin, R. L., Williams, V. S. L., Smith, L., Meincke, H. H., Qin, S., Williams, N., & Fehnel, S. E. (2021). Confirmatory psychometric evaluations of the impact of weight on quality of life-lite clinical trials version (IWQOL-Lite-CT). Clinical Obesity, 11(5), 1-10.

Kolotkin, R. L., & Crosby, R. D. (2002). Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-Lite) in a community sample. Quality of Life Research, 11(2), 157–171.

Schober, P., Mascha, E. J., & Vetter, T. R. (2021). Statistics from a (agreement) to z (z-score): guide to interpreting common measures of association, agreement, diagnostic accuracy, effect size, heterogeneity, and reliability in medical research. Anesthesia & Analgesia, 133(6), 1633-1641.

Susmiati, P., Khairina, I., & Oktavia, R. Perbandingan kualitas hidup berdasarkan status gizi pada remaja. NERS: Jurnal Keperawatan, 15(1), 48–53.

Lee, P. Y., Cheah, W. L., Chang, C. T., & Raudzah, S. G. (2012). Childhood obesity, self-esteem and health-related quality of life among urban primary schools children in Kuching, Sarawak, Malaysia. Malaysian Journal of Nutrition, 18(2), 207–219.

McDonald, R. P. & Ho, M. H. R. (2002). Principles and practice in reporting structural equation analysis. Psychological Methods, 7(1), 64-82.

Morales, L. S., Edwards, T. C., Flores, Y., Barr, L., & Patrick, D. L. (2011). Measurement properties of a multicultural weight-specific quality-of-life instrument for children and adolescents. Quality of Life Research, 20(2), 215–224.

Nicholls, L., Lewis, A. J., Petersen, S., Swinburn, B., et al. (2014). Parental encouragement of healthy behaviors: adolescent weight status and health-related quality of life. BMC Public Health, 14, 369.

Nikmah, M. & Mauliza. (2018). Kualitas hidup penderita talasemia berdasarkan instrumen pediatric quality of life inventory 4.0 generic core scales di ruang rawat anak rumah sakit umum Cut Meutia Aceh Utara. Sari Pediatri, 20 (1), 11-6.

Nugroho, P. S. (2020). Jenis kelamin dan umur berisiko terhadap obesitas pada remaja di Indonesia. Jurnal Kesehatan Masyarakat, 7(2), 110-114.

Nurvita, V. (2015). Hubungan antara self-esteem dengan body image pada remaja awal yang mengalami obesitas. Jurnal Psikologi Klinis Dan Kesehatan Mental, 4(1), 1–9.

Oluboyede, Y. & Robinson, T. (2019). Measuring weight-specific quality of life in adolescents: an examination of the concurrent validity and test-retest reliability of the WAItE. Value in Health, 22, 348-354.

Oluboyede, Y., Hill, S. R., McDonald, S., & Henderson, E. (2021). Implementing a weight-specific quality-of-life tool for young people in primary health care: A qualitative study. BJGP Open, 5(4), 1-9.

Pakpour, A. H., Chen, C., Lin, C., Strong, C., Tsai, M., & Lin, Y. (2019). The relationship between children's overweight and quality of life: A comparison of Sizing Me Up, PedsQL, and Kid-KINDL. International Journal of Clinical and Health Psychology, 19, 49-56.

Patrick, D. L., Skalicky, A. M., Edwards, T. C., Kuniyuki, A., Morales, L. S., Leng, M., & Kirschenbaum, D. S. (2011). Weight loss and changes in generic and weight-specific quality of life in obese adolescents. Quality of Life Research, 20(6), 961–968.

Patrick, Donald L., Edwards, T. C., & Topolski, T. D. (2002). Adolescent quality of life, part II: Initial validation of a new instrument. Journal of Adolescence, 25(3), 287–300.

Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what’s being reported? critique and recommendations. Research in Nursing & Health, 29, 489–497.

Rachmi, C. N., Li, M., & Alison Baur, L. (2017). Overweight and obesity in Indonesia: prevalence and risk factors—a literature review. Public Health, 147, 20–29.

Reel, J., Voelker, D., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: current perspectives. Adolescent Health, Medicine and Therapeutics, 149.

Rönkkö, M. & Cho, E. (2020). An updated guideline for assessing discriminant validity. Organizational Research Methods, 1-42. DOI: 10.1177/1094428120968614

Scheaffer, R. L., Mendenhall, W., Ott, R. L., & Gerow, K. G. (2011). Elementary survey sampling (7th ed.). Boston, MA: Cengage Learning.

Shi, J., Mo, X., Sun, Z. (2012). Content validity index in scale development. Zhong Na Da Xue Xue Bao Yi Xue Ban, 37(2), 152-5. doi:10.3969/j.issn.1672-7347.2012.02.007.

Sireci, S. G. & Sukin, T. (2013). Test validity. In K. F. Geisinger (Ed.). APA handbook of testing and assessment in psychology. Washington DC, USA: American Psychological Association.

Sugiyono. (2017). Metode penelitian kuantitatif, kualitatif, dan R&D. Bandung: CV Alfabeta.

Topolski, T. D., Edwards, T.C., & Patrick, D. L. (2010). Youth quality of life instruments u.s. version: user's manual and interpretation guide. Seattle: Seattle Quality of Life Group.

Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Med Care, 39, 800-812.

Widjaja, N. A., Prihaningtyas, R. A., Hanindita, M. H., & Irawan, R. (2019). Demographic characteristics and body mass index in obese adolescents. Jurnal Berkala Epidemiologi, 7(3), 189.

Wiwaha, G., Sari, D. M., Biben, V., Sunjaya, D. K., & Hilmanto, D. (2022). Translation and validation of indonesian version of pediatric quality of life inventory (PedsQLTM) neuromuscular module. Health and Quality of Life Outcomes, 20, 33.

Yu, E. L., Golshan, S., Harlow, K. E., Angeles, J. E., Durelle, J., Goyal, N. P., Newton, K. P., Sawh, M. C., Hooker, J., Sy, E. Z., Middleton, M. S., Sirlin, C. B., & Schwimmer, J. B. (2019). Prevalence of nonalcoholic fatty liver disease in children with obesity. Journal of Pediatrics, 207, 64–70.

Zamanzadeh, V., Ghahramanian, A., Rassouli, M., Abbaszadeh, A., et al. (2015). Design and implementation content validity study: Development of an instrument for measuring patient-centered communication. J Caring Sci, 4(5), 165-78.

Zeller, M. H., & Modi, A. C. (2009). Development and initial validation of an obesity-specific quality-of-life measure for children: Sizing me up. Obesity, 17(6), 1171–1177.

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DOI: 10.15408/jp3i.v11i2.27219


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