• Ana-María Urpí-Fernández, Edurne Zabaleta-Del-Olmo, Javier Montes-Hidalgo, Joaquín Tomás-Sábado, Juan-Francisco Roldán-Merino, and María-Teresa Lluch-Canut.
• Primary Care Nurse, "Carles I" Primary Health Care Centre, Institut Català de la Salut, Barcelona, Spain.
• J Adv Nurs. 2017 Dec 1; 73 (12): 2832-2844.

AimTo identify, critically appraise and summarize the measurement properties of instruments to assess self-care in healthy children.BackgroundAssessing self-care is a proper consideration for nursing practice and nursing research. No systematic review summarizes instruments of measurement validated in healthy children.DesignPsychometric review in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) panel.Data SourcesMEDLINE, CINAHL, PsycINFO, Web of Science and Open Grey were searched from their inception to December 2016.Review MethodsValidation studies with a healthy child population were included. Search was not restricted by language. Two reviewers independently assessed the methodological quality of included studies using the COSMIN checklist.ResultsEleven studies were included in the review assessing the measurement properties of ten instruments. There was a maximum of two studies per instrument. None of the studies evaluated the properties of test-retest reliability, measurement error, criterion validity and responsiveness. Internal consistency and structural validity were rated as "excellent" or "good" in four studies. Four studies were rated as "excellent" in content validity. Cross-cultural validity was rated as "poor" in the two studies (three instruments) which cultural adaptation was carried out.ConclusionThe evidence available does not allow firm conclusions about the instruments identified in terms of reliability and validity. Future research should focus on generate evidence about a wider range of measurement properties of these instruments using a rigorous methodology, as well as instrument testing on different countries and child population.© 2017 John Wiley & Sons Ltd.

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