Faculty of Health Siences and Social care, Molde University College, Molde, Norway.
Division of Psychiatry, Kristiansund Community Mental Health Centre, Møre Og Romsdal Hospital Trust, Kristiansund, Norway.
BMC Psychiatry. 2023 Jan 23;23(1):60. doi: 10.1186/s12888-023-04550-0.
This study aimed to explore the internal consistency and factor validity of the 13-item self-report questionnaire Parent-Patient Activation Measure (P-PAM) in a sample of parents of children with Attention-deficit/hyperactivity disorder.
In a cross-sectional study, 239 parents were recruited from four outpatient clinics of the Child and Adolescent Mental Health Services and completed the P-PAM along with demographic variables. The factor structure of the P-PAM was examined through exploratory factor analysis, and internal consistency was estimated with the use of both Cronbach's alpha and McDonald's omega. A confirmatory factor analysis was used to estimate and test individual parameters.
The fit indices suggest an acceptable two-factor model of P-PAM and show high internal consistency and reliability for both factors, indicating that the scale measures two concepts.
Our findings provide evidence for an acceptable factor structure and a high reliability of P-PAM as a measure of parent activation, suggesting that the theoretical factors reflect the construct of parent activation as intuitively compiled into an inner cognitive factor and an outer behavioral factor, which are related.
本研究旨在探讨父母-患者激活度量表（P-PAM）的 13 项自评问卷在注意力缺陷/多动障碍儿童父母样本中的内部一致性和因子有效性。
在一项横断面研究中，从儿童和青少年心理健康服务的四个门诊诊所招募了 239 名父母，他们完成了 P-PAM 以及人口统计学变量。通过探索性因子分析检查 P-PAM 的因子结构，并使用 Cronbach 的 alpha 和 McDonald 的 omega 来估计内部一致性。使用验证性因子分析来估计和测试个体参数。
拟合指数表明 P-PAM 的两因素模型具有可接受性，并显示两个因素具有较高的内部一致性和可靠性，表明该量表测量了两个概念。
我们的研究结果为 P-PAM 的可接受因子结构和高可靠性提供了证据，表明该量表作为父母激活的测量工具，其理论因素反映了父母激活的结构，直观地分为内在认知因素和外在行为因素，这两个因素相互关联。
