Segers Elisabeth W, van den Hoogen Agnes, van Eerden Irene C, Hafsteinsdóttir Thora, Ketelaar Marjolijn
Department of Children, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.
Child Care Health Dev. 2019 Jan;45(1):111-120. doi: 10.1111/cch.12629.
Insight into parental empowerment is important to understanding the impact of health care policy and to supporting and strengthening parents in the care of their child. The Family Empowerment Scale (FES) is a valid 24-item instrument that measures parental empowerment. It was originally developed for parents of children with emotional disabilities. It has been translated from English into Dutch. Before using the translated FES in another context, the aim of this study was to assess the content validity of the Dutch FES in the context of children with a chronic condition in a children's hospital, according to parents and nurses.
This content validity study has a convergent, mixed-methods design. The content validity index was used to examine the relevance, according to 22 parents and 12 nurses quantitatively, on a scale and item level. The qualitative part assessed the comprehensiveness and comprehension of the FES through cognitive interviewing with eight parents and four nurses. The results of both analyses were converged to determine content validity.
The scale-content validity index was 0.88; three items scored < 0.78 on the item level. For 10 (of 24) items, issues were noticed about the tone and clarity of wording. Participants considered the FES to be not only an instrument of research but also an instrument that could be used to give insight into the personal degree of parental empowerment.
The content validity of the Dutch FES for parents of children with a chronic condition can be considered sufficient. Resolving some minor translation issues in some of the items is advised. The FES can be used in further research to examine the value of the FES in health care services, aiming to support the needs of parents and to increase their empowerment.
深入了解父母赋权对于理解医疗保健政策的影响以及支持和加强父母照顾子女的能力非常重要。家庭赋权量表（FES）是一种有效的24项工具，用于衡量父母赋权。它最初是为患有情绪障碍儿童的父母开发的，已从英语翻译成荷兰语。在将翻译后的FES应用于其他背景之前，本研究的目的是根据父母和护士的意见，评估荷兰FES在儿童医院慢性病患儿背景下的内容效度。
本内容效度研究采用了收敛性混合方法设计。内容效度指数用于从量表和项目层面定量检验22名父母和12名护士认为的相关性。定性部分通过对8名父母和4名护士进行认知访谈，评估FES的全面性和可理解性。将两种分析结果汇总以确定内容效度。
量表内容效度指数为0.88；在项目层面，有三个项目得分低于0.78。对于24个项目中的10个项目，人们注意到措辞的语气和清晰度存在问题。参与者认为FES不仅是一种研究工具，而且是一种可用于洞察父母个人赋权程度的工具。
荷兰FES对于慢性病患儿父母的内容效度可认为是足够的。建议解决一些项目中的一些小翻译问题。FES可用于进一步研究，以检验FES在医疗保健服务中的价值，旨在满足父母的需求并增强他们的赋权。
