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Background  Numerous validated psychometric tools are available to assess impact of disease on a human's quality of life (QoL). To date, no psychometrically validated general health‐related QoL tool exists for cats.    Hypothesis/Objectives  To develop and validate a tool for assessment of owner‐perceived QoL in cats (CatQoL) and to use this tool to compare QoL between healthy cats and those with chronic kidney disease ( CKD ).    Animals/Subjects  Total of 204 owners of young healthy cats ( YH , n = 99; <9 years), older healthy cats ( OH , n = 35), and cats diagnosed with  CKD  ( CKD , n = 70) completed the CatQoL.    Methods  Discussions with a focus group and 2 pilot surveys informed design of 16 QoL questions grouped into 4 domains. Each item scored according to frequency and importance, and item‐weighted‐impact‐scores were calculated. The validity of the tool was assessed using principal components analysis and Cronbach's α. The average item‐weighted‐impact‐score ( AWIS ) was compared among groups and domains.    Results  Sixteen‐item CatQoL showed good internal consistency reliability (Cronbach's α, 0.77) and unidimensionality with significant loadings (0.2–0.7) and communalities (>0.3). Young healthy cats had significantly higher  AWIS  (median [ IQR ], 1.25 [0.63, 1.88]) than  OH  (0.56 [−0.06, 1.00]) and  CKD  cats (−0.06 [−0.81, 0.88]),  P  < .001). CKD cats had significantly lower  AWIS  for eating domain ( YH : 2.00 [1.00, 3.00];  OH : 2.00 [0.67, 3.00];  CKD  : 1.00 [0.00, 2.67]) when compared with the  YH  group and  OH  group, and all groups differed significantly in their management domain ( YH : −0.50 [−1.00, 0.00];  OH : −1.00 [−1.88, −0.50];  CKD  : −1.50 [−2.50, −1.00],  P  < .001).    Conclusions and Clinical Importance  The CatQoL was validated for use in cats, and can be used as additional assessment parameter in clinical and research settings.

Psychometric Validation of a General Health Quality of Life Tool for Cats Used to Compare Healthy Cats and Cats with Chronic Kidney Disease