Development and Validation of a Parental Health-Related Empowerment Scale with Low Income Parents.

Development and Validation of a Parental Health-Related Empowerment Scale with Low Income Parents.
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DOI:
10.3390/ijerph17228645
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发表时间:
2020-11-20
影响因子:
--
通讯作者:
Jurkowski JJ
Jurkowski JJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Figueroa R;Gago CM;Beckerman-Hsu J;Aftosmes-Tobio A;Yu X;Davison KK;Jurkowski JJ

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目的:与赋权理论相一致,父母赋权作为一种机制,改变以家庭为基础的干预措施,以支持儿童健康。然而,没有全面、有效的措施来衡量与父母健康有关的赋权,以检验这一重要观点。知情授权理论和基于社区的肥胖干预的背景下,我们开发了一个自我报告的父母健康相关的授权措施,并测试其初步有效性与低收入的父母。研究方法:通过意识、关系和资源的父母赋权(PEARR)是一个21项的量表,旨在衡量赋权的三个子维度,包括资源赋权、批判意识和关系赋权。在2017年秋季或2018年秋季,来自大波士顿16个Head Start计划的低收入父母(n = 770,88%为母亲)完成了PEARR。将所得数据随机分为两个具有完整数据的相等样本。PEARR的因子结构进行了测试,在前半部分的样本使用主成分分析(PCA)和探索性因子分析(EFA),随后证实与后半部分的样本使用验证性因子分析(CFA)。计算最终分量表的内部一致性系数。结果如下:PCA和EFA分析的结果确定了三个组成因素(特征值= 8.25,2.75,2.12),所有项目均显著加载到假设的子维度(β > 0.59和p < 0.01)。随后使用CFA用样本的后半部分证实了三因素模型(β > 0.54且p < 0.01)。拟合指数符合最低标准(比较拟合指数= 0.95,近似均方根误差= 0.05(0.05,0.06),标准化均方根残差= 0.05)。各分量表表现出较强的内部一致性(α= 0.83-0.90)。结论:结果支持初步有效性的一个简短的调查测量家长授权儿童健康的开端父母。PEARR可以用来衡量通过干预措施,针对赋权作为一种机制的变化,父母赋权的变化。
Objectives: Consistent with empowerment theory, parental empowerment acts as a mechanism of change in family-based interventions to support child health. Yet, there are no comprehensive, validated measures of parental health-related empowerment to test this important perspective. Informed by empowerment theory and in the context of a community-based obesity intervention, we developed a self-report measure of parental health-related empowerment and tested its preliminary validity with low-income parents. Methods: The Parental Empowerment through Awareness, Relationships, and Resources (PEARR) is a 21-item scale designed to measure three subdimensions of empowerment including resource empowerment, critical awareness, and relational empowerment. In the fall of 2017 or the fall of 2018, low-income parents (n = 770, 88% mothers) from 16 Head Start programs in Greater Boston completed the PEARR. The resulting data were randomly split into two equal samples with complete data. The factorial structure of the PEARR was tested in the first half of the sample using principal component analysis (PCA) and exploratory factor analysis (EFA) and subsequently confirmed with the second half of the sample using confirmatory factor analysis (CFA). Internal consistency coefficients were calculated for the final subscales. Results: Results from the PCA and EFA analyses identified three component factors (eigenvalues = 8.25, 2.75, 2.12) with all items loading significantly onto the hypothesized subdimension (β > 0.59 and p < 0.01). The three-factor model was subsequently confirmed with the second half of the sample using CFA (β > 0.54 and p < 0.01). Fit indices met minimum criteria (Comparative Fit Index = 0.95, Root Mean Square Error of Approximation = 0.05 (0.05, 0.06), Standardized Root-Mean-Square Residual = 0.05). Subscales demonstrated strong internal consistency (α= 0.83–0.90). Conclusions: Results support initial validity of a brief survey measuring parental empowerment for child health among Head Start parents. The PEARR can be utilized to measure changes in parental empowerment through interventions targeting empowerment as a mechanism of change.
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发表时间: 1999-01-01
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