Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
J Psychosom Res. 2019 Aug;123:109726. doi: 10.1016/j.jpsychores.2019.05.004. Epub 2019 May 18.
This study aimed to develop a scale specifically to measure parental self-efficacy (PSE) in managing the home care of children with Hirschsprung's disease (HD) or anorectal malformation (AM) (the PSE-HDAM scale), and to validate its psychometric properties.
The PSE-HDAM Scale was developed through focus group with parents and Delphi questionnaire responses of experts. A total of 230 parents of children with HD or AM were recruited to fill the PSE-HDAM, the Chinese version of the Tool to Measure Parenting Self-Efficacy (TOPSE), and the Holschneider Criteria. Content validity was measured using the Content Validity Index. Principal Component Analysis was conducted to identify dimensions of the scale. Cronbach's Alpha and Guttman's Split-Half Reliability Coefficient were used to evaluate the internal consistency of the scale. External validity was measured using the Pearson correlation coefficient between PSE-HDAM, and the Chinese version of the TOPSE and Holschneider Criteria.
Principal Component Analysis identified five domains of the PSE-HDAM scale. The final version of the scale consisted of 19 items. The content validity was 0.89. The correlations between items and the total scale ranged between 0.75 and 0.87. The overall scale and subscales have good to excellent internal consistency (Cronbach ɑ ranged 0.67 to 0.91), and the Split-Half Coefficient of the whole scale is 0.85. The correlation between PSE-HDAM score and the TOPSE and the Holschneider Criteria was 0.68 and 0.32 respectively (p < .001).
The PSE-HDAM is a reliable and valid scale to evaluate PSE in managing home care of children with HD or AM.
本研究旨在开发一个专门用于测量管理先天性巨结肠症（HD）或肛门直肠畸形（AM）患儿家庭护理的父母自我效能感（PSE）的量表（PSE-HDAM 量表），并验证其心理测量学特性。
通过焦点小组和专家德尔菲问卷回复的方式开发 PSE-HDAM 量表。共招募了 230 名 HD 或 AM 患儿的父母填写 PSE-HDAM、父母育儿自我效能感量表中文版（TOPSE）和 Holschneider 标准。内容效度采用内容效度指数进行测量。主成分分析用于识别量表的维度。Cronbach's Alpha 和 Guttman 的 Split-Half 可靠性系数用于评估量表的内部一致性。采用 PSE-HDAM 与 TOPSE 中文版和 Holschneider 标准之间的 Pearson 相关系数来衡量外部效度。
主成分分析确定了 PSE-HDAM 量表的五个维度。量表的最终版本包含 19 个项目。内容效度为 0.89。项目与总量表之间的相关性在 0.75 到 0.87 之间。整个量表和子量表具有良好到极好的内部一致性（Cronbach's α 范围为 0.67 到 0.91），整个量表的 Split-Half 系数为 0.85。PSE-HDAM 评分与 TOPSE 和 Holschneider 标准的相关性分别为 0.68 和 0.32（p<0.001）。
PSE-HDAM 是一种可靠且有效的量表，可用于评估管理 HD 或 AM 患儿家庭护理的父母自我效能感。
