Saramma P P, Thomas Sanjeev V
Kerala Registry of Epilepsy and Pregnancy, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum - 695011, Kerala State, India.
Ann Indian Acad Neurol. 2010 Jul;13(3):171-9. doi: 10.4103/0972-2327.70877.
Comprehensive instruments to evaluate the child rearing knowledge and practice are not readily available for clinical research.
We have designed in two phases a new instrument to evaluate the child rearing knowledge and practice under the four major domains of child rearing. Twenty-five subject experts from the field of Paediatrics, Obstetrics, Neurology and Nursing elicited the content validity of the instrument. The test retest reliability was evaluated by 25 young mothers who completed the CRKS at an interval of two weeks.
The Content Validity Ratio (CVR) of individual items ranged between 0.6 to 1. The reliability was tested for the 20 individual items of the CRKS using Kappa coefficient. The measurement of agreement Kappa ranged from 0.51 to 1. The total knowledge scores and sub scores data were analysed for correlation using Pearson's correlation coefficient. A significant Pearson's correlation indicated that the total scores were consistent over time (r = 0.89). The sub scores on feeding (6 items), Growth and development (4 items), protection (7 items), and infant stimulation (3 items) were found to have reliability of 0.91, 0.76, 0.84, and 0.89 respectively using Pearson's correlation.
The instrument is found to be valid and reliable and can be used to measure child rearing knowledge and practice in early infancy.
用于临床研究的评估育儿知识与实践的综合工具并不容易获得。
我们分两个阶段设计了一种新工具，用于在育儿的四个主要领域评估育儿知识与实践。来自儿科、产科、神经科和护理领域的25位专家确定了该工具的内容效度。25位年轻母亲间隔两周完成儿童养育知识与技能量表（CRKS），以此评估重测信度。
各项目的内容效度比（CVR）在0.6至1之间。使用卡方系数对CRKS的20个单项进行信度测试。一致性卡方测量值在0.51至1之间。使用皮尔逊相关系数分析总知识得分和子得分数据的相关性。显著的皮尔逊相关性表明总分随时间保持一致（r = 0.89）。经皮尔逊相关分析发现，喂养（6项）、生长发育（4项）、保护（7项）和婴儿刺激（3项）的子得分信度分别为0.91、0.76、0.84和0.89。
该工具被发现有效且可靠，可用于测量婴儿早期的育儿知识与实践。
