Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Spain; IdiSNA, Navarra Institute for Health Research, Spain; IMPULS Research Group, University of Navarra, Spain.
School of Nursing, University of La Rioja, Logroño, Spain.
J Pediatr Nurs. 2021 Jan-Feb;56:e35-e41. doi: 10.1016/j.pedn.2020.07.008. Epub 2020 Aug 6.
This study aimed to develop and validate a parent self-report questionnaire to explore global health needs in 2- to 6-year-old children.
The development of the tool started with a conceptualization phase, followed by the design, pilot testing and psychometric validation of the questionnaire. The construct validity was assessed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were carried out to explore the construct validity of the questionnaire. The normed fit index (NFI), root mean square error of approximation (RMSEA), chi square test and comparative fit index (CFI) were used to test the goodness-of-fit. Reliability was explored through Cronbach's alpha for internal consistency.
A total of 973 parents completed the 119 items of the Necesidades de salud de la Población Infantil (NPI) questionnaire for the psychometric validation stage. The EFA identified seven factors: Lifestyles, Promotion of healthy lifestyles and influence of significant persons, Children's socioemotional aspects, Parents' socioemotional aspects, Parental self-efficacy, Situational influences, Professional advice. All the factors showed good internal consistency (Cronbach's alpha >0.7). The CFA showed good adjustment to the model (RMSEA = 0.048). The values of NFI and CFI were 0.741 and 0.779 respectively.
The NPI questionnaire is a reliable and valid instrument.
The seven-factor questionnaire will be useful for analyzing children's global health needs, designing health promotion programs according to identified needs and assessing related interventions.
本研究旨在开发和验证一份家长自报告问卷，以探索 2 至 6 岁儿童的整体健康需求。
该工具的开发始于概念化阶段，随后进行了问卷的设计、试点测试和心理测量验证。评估了结构效度。进行了探索性因素分析（EFA）和验证性因素分析（CFA），以探索问卷的结构效度。采用规范拟合指数（NFI）、近似均方根误差（RMSEA）、卡方检验和比较拟合指数（CFI）来检验拟合优度。通过内部一致性的 Cronbach's alpha 来探索可靠性。
共有 973 名家长完成了用于心理测量验证阶段的 119 项 Necesidades de salud de la Población Infantil（NPI）问卷。EFA 确定了七个因素：生活方式、促进健康的生活方式和重要人物的影响、儿童的社会情感方面、父母的社会情感方面、父母的自我效能感、情境影响、专业建议。所有因素均表现出良好的内部一致性（Cronbach's alpha >0.7）。CFA 显示模型拟合良好（RMSEA=0.048）。NFI 和 CFI 的值分别为 0.741 和 0.779。
NPI 问卷是一种可靠和有效的工具。
该七因素问卷将有助于分析儿童的整体健康需求，根据确定的需求设计健康促进计划，并评估相关干预措施。
