{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:57:04Z","timestamp":1790744224232,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":271,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dermatology Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skin diseases are associated with reduced health\u2010related quality of life (HRQoL) of children and their families. The Children\u2019s Dermatology Life Quality Index (CDLQI) questionnaire is a skin disease\u2010specific measure of HRQoL in children. Our study aimed to translate the CDLQI into Amharic, culturally adapt, and evaluate the validity and reliability of the translation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was embedded within a larger hospital\u2010based cohort study of cutaneous leishmaniasis (CL). Forward\u2013backward translation procedures were conducted, followed by assessment of content and face validity. The psychometric properties were evaluated through reliability (internal consistency and interrater reliability), construct validity (including known\u2010group, convergent, and discriminant validity), and responsiveness to change. Cronbach\u2019s alpha, intraclass correlation coefficient (ICC), Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, Kruskal\u2013Wallis test, confirmatory factor analysis (CFA), and Wilcoxon paired rank test were used to assess internal consistency, interrater reliability, known\u2010group validity, construct validity, and responsiveness to change validity, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The CDLQI showed acceptable content validity with a modified kappa between 0.7 and 0.9. In a pilot testing, children reported that the items in the translated Amharic version of the CDLQI were unambiguous. Among 188 enrolled participants, 129 (68.62%) were diagnosed with CL and 59 (31.38%) with other skin conditions. The median CDLQI score was 7 (IQR\u2009=\u200910). The overall Cronbach\u2019s alpha and ICC were 0.82 and 0.92, respectively. The median CDLQI score showed statistically significant differences between \u201cmild\u201d vs. \u201csevere\u201d and \u201cmoderate\u201d vs. \u201csevere\u201d CL cases (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), as well as between the number of lesions (single vs. multiple) (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.034) and lesion size (&lt;\u200940\u2009mm vs. \u2265\u200940\u2009mm) (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). CFA showed acceptable convergent validity with most items loading strongly (0.50\u20130.74), and Heterotrait\u2013Monotrait ratio values ranging from 0.614 to 0.744. The CDLQI median score significantly decreased from Day 1 (median\u2009=\u20099) to Day 90 (median\u2009=\u20094;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our Amharic version of the CDLQI showed acceptable validity and reliability, supporting its use in clinical practice and research to assess the HRQoL of Amharic\u2010speaking children with skin conditions in Ethiopia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/drp\/4076478","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:12:26Z","timestamp":1790741546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Amharic Version of the Children\u2019s Dermatology Life Quality Index 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