Takatani Satoshi, Honda Junko, Hohashi Naohiro
Faculty of Global Nursing, Otemae University, Osaka, Japan.
Child Health Nursing, College of Nursing Art and Science, University of Hyogo, Kobe, Japan.
Jpn J Nurs Sci. 2021 Mar 23:e12419. doi: 10.1111/jjns.12419.
This study aimed to develop a Family Concordance Competency Scale for Family System Units (FCCS-Fa) for families with children having chronic disease, and to evaluate its reliability and validity.
FCCS-Fa was developed by taking the following steps: (a) drafting based on the elements comprising concordance between healthcare professionals and families with patients suffering from chronic illness; (b) evaluation of face and content validity by an expert panel; and (c) re-examination of face and content validity by semi-structured interviews with 16 families. Criterion-related validity was evaluated using the existing scale and construct validity was evaluated using exploratory factor analysis. Analysis of each FCCS-Fa evaluation item, internal consistency, and the 2-week test-retest reliability was also conducted. An anonymous self-reported questionnaire survey was conducted, targeting families with chronically ill children who were outpatients at three hospitals.
A total of 196 subjects were analyzed. As results of FCCS-Fa item analysis and exploratory factor analysis, a scale structure comprised of 17 evaluation items and three factors were adopted. In addition, a significant correlation with several existing scales was identified and the criterion-related validity was also confirmed. The Cronbach's α coefficient for the overall scale was .927, the intraclass correlation coefficient applying the retest method was .905, and internal consistency and test-retest reliability were both confirmed.
We developed FCCS-Fa with reliability and validity. Assessing family concordance competency using this scale and supporting families to achieve family concordance can lead to self-management by families.
本研究旨在开发一种针对患有慢性病儿童家庭的家庭系统单元家庭一致性能力量表（FCCS-Fa），并评估其信效度。
FCCS-Fa通过以下步骤开发：（a）基于医疗专业人员与慢性病患者家庭之间一致性的要素进行起草；（b）由专家小组评估表面效度和内容效度；（c）通过对16个家庭进行半结构化访谈重新评估表面效度和内容效度。使用现有量表评估效标关联效度，使用探索性因素分析评估结构效度。还对FCCS-Fa的每个评估项目、内部一致性以及2周重测信度进行了分析。针对三家医院门诊的患有慢性病儿童的家庭进行了匿名自填式问卷调查。
共分析了196名受试者。作为FCCS-Fa项目分析和探索性因素分析的结果，采用了由17个评估项目和三个因素组成的量表结构。此外，还确定了与几个现有量表的显著相关性，并确认了效标关联效度。总量表的Cronbach's α系数为.927，采用重测法的组内相关系数为.905，内部一致性和重测信度均得到确认。
我们开发的FCCS-Fa具有信效度。使用该量表评估家庭一致性能力并支持家庭实现家庭一致性可促使家庭进行自我管理。
