O'Hare L, Santin O, Winter K, McGuinness C
School of Education, Queen's University Belfast, Belfast, Northern Ireland.
School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland.
Child Care Health Dev. 2016 Sep;42(5):692-8. doi: 10.1111/cch.12369. Epub 2016 Jun 26.
There is a growing impetus across the research, policy and practice communities for children and young people to participate in decisions that affect their lives. Furthermore, there is a dearth of general instruments that measure children and young people's views on their participation in decision-making. This paper presents the reliability and validity of the Child and Adolescent Participation in Decision-Making Questionnaire (CAP-DMQ) and specifically looks at a population of looked-after children, where a lack of participation in decision-making is an acute issue.
The participants were 151 looked after children and adolescents between 10-23 years of age who completed the 10 item CAP-DMQ. Of the participants 113 were in receipt of an advocacy service that had an aim of increasing participation in decision-making with the remaining participants not having received this service.
The results showed that the CAP-DMQ had good reliability (Cronbach's alpha = 0.94) and showed promising uni-dimensional construct validity through an exploratory factor analysis. The items in the CAP-DMQ also demonstrated good content validity by overlapping with prominent models of child and adolescent participation (Lundy 2007) and decision-making (Halpern 2014). A regression analysis showed that age and gender were not significant predictors of CAP-DMQ scores but receipt of advocacy was a significant predictor of scores (effect size d = 0.88), thus showing appropriate discriminant criterion validity.
Overall, the CAP-DMQ showed good reliability and validity. Therefore, the measure has excellent promise for theoretical investigation in the area of child and adolescent participation in decision-making and equally shows empirical promise for use as a measure in evaluating services, which have increasing the participation of children and adolescents in decision-making as an intended outcome.
研究、政策和实践领域越来越倾向于让儿童和青少年参与影响他们生活的决策。此外，缺乏衡量儿童和青少年对参与决策看法的通用工具。本文介绍了儿童和青少年参与决策问卷（CAP-DMQ）的信度和效度，并特别关注寄养儿童群体，在这个群体中，缺乏决策参与是一个尖锐的问题。
参与者为151名年龄在10至23岁之间的寄养儿童和青少年，他们完成了包含10个条目的CAP-DMQ。其中113名参与者接受了旨在增加决策参与度的倡导服务，其余参与者未接受该服务。
结果表明，CAP-DMQ具有良好的信度（克朗巴哈系数α = 0.94），通过探索性因素分析显示出有前景的单维结构效度。CAP-DMQ中的条目通过与儿童和青少年参与（Lundy，2007年）和决策（Halpern，2014年）的突出模型重叠，也显示出良好的内容效度。回归分析表明，年龄和性别不是CAP-DMQ得分的显著预测因素，但接受倡导服务是得分的显著预测因素（效应量d = 0.88），因此显示出适当的区分标准效度。
总体而言，CAP-DMQ显示出良好的信度和效度。因此，该测量方法在儿童和青少年参与决策领域的理论研究方面具有很大的前景，同样在作为评估旨在提高儿童和青少年决策参与度服务的测量方法方面也具有实证前景。
