Rajeswari Bingi, Govindan Radhakrishnan, Kommu John V S, Bhaskarapillai Binukumar
Department of Nursing, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2024 Sep;66(9):823-828. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_177_24. Epub 2024 Sep 19.
Involving parents in mental health treatment services can empower parents to manage their child's illness. We conducted this study to develop a tool to assess parental care for children with mental illness.
The present study was conducted in five phases that included in-depth interviews with parents in the outpatient department (OPD), focus group discussions (FGDs) with parents in an in-patient setting, and with a multidisciplinary team, item development, and the assessment of psychometric properties of the tool.
Parental care for children with mental illness (PCCMI) has 50 items derived from a thematic analysis of in-depth interviews of 31 parents and 2 FGDs with eight parents admitted at CPC and eight mental health professionals experienced in child and adolescent psychiatry. It is a 5-point Likert scale. The tool showed a high item-level Content Validity Index (I-CVI range: 0.8-1.0) and a high Scale Content Validity Index (S-CVI = 0.91). The test-retest method was used to calculate reliability. A total of 38 parents were included in the test-retest method. The mother and father's mean age and standard deviation (SD) scores were 39.7 ± 5.8 and 45.1 ± 4.9, respectively. Most parents' education level is above graduation (mothers: 86.8% and fathers: 86%). Around 63% of mothers were housewives and had normal pregnancies. The single measure two-way mixed absolute agreement intraclass correlation coefficient (ICC) value for 38 subjects was 0.96 with a 95% confidence interval (CI: 0.90-0.95), indicating high reliability.
PCCMI has high I-CVI and S-CVI and good ICC test-retest reliability. This tool will help mental health professionals in the formal assessment of parental care for children with mental illness and provide the intervention to address issues related to the same.
让父母参与心理健康治疗服务可使父母有能力管理孩子的疾病。我们开展这项研究以开发一种工具来评估对患有精神疾病儿童的家长护理情况。
本研究分五个阶段进行，包括对门诊部门的家长进行深入访谈、对住院环境中的家长以及多学科团队进行焦点小组讨论、项目开发以及该工具的心理测量特性评估。
对患有精神疾病儿童的家长护理情况（PCCMI）有50个项目，这些项目源自对31位家长的深入访谈以及与在CPC住院的8位家长和8位在儿童及青少年精神病学方面有经验的心理健康专业人员进行的2次焦点小组讨论的主题分析。它是一个5点李克特量表。该工具显示出较高的项目水平内容效度指数（I-CVI范围：0.8 - 1.0）和较高的量表内容效度指数（S-CVI = 0.91）。采用重测法计算信度。共有38位家长纳入重测法。母亲和父亲的平均年龄及标准差（SD）得分分别为39.7 ± 5.8和45.1 ± 4.9。大多数家长的教育水平为本科以上（母亲：86.8%，父亲：86%）。约63%的母亲为家庭主妇且孕期正常。38名受试者的单测量双向混合绝对一致性组内相关系数（ICC）值为0.96，95%置信区间为（CI：0.90 - 0.95），表明信度较高。
PCCMI具有较高的I-CVI和S-CVI以及良好的ICC重测信度。该工具将有助于心理健康专业人员对患有精神疾病儿童的家长护理情况进行正式评估，并提供干预措施以解决相关问题。
