Validity and Reliability of the Family Inventory of Needs (FIN): Measuring the Care Needs of Families of Advanced Cancer Patients
Validity and Reliability of the Family Inventory of Needs (FIN): Measuring the Care Needs of Families of Advanced Cancer Patients
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家庭需求清单 (FIN) 的有效性和可靠性：衡量晚期癌症患者家庭的护理需求
DOI：
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发表时间：
1995
影响因子：
0.7
通讯作者：
L. Degner
中科院分区：
文献类型：
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作者：
L. Kristjanson;J. Atwood;L. Degner
两项研究平衡的定性和定量数据，提供令人满意的有效性和可靠性的家庭需求清单（FIN）的证据。FIN旨在衡量晚期癌症患者家庭护理需求的重要性（FIN-护理需求重要性子量表）以及家庭认为其护理需求得到满足的程度（FIN满足护理需求子量表）。第一项研究涉及仪器的开发和测试的清晰度，明显的内部一致性（非定量评估内容的同质性），和内容的有效性使用一个小组的六名专家（晚期癌症患者的家庭成员）。FIN符合或超过本测试阶段规定的预设标准。该项目的第二项研究使用了来自三个临终关怀计划的109名晚期癌症患者的家庭成员来测试FIN的内部一致性和结构效度。通过Cronbach α系数测量的FIN-护理需求重要性子量表的内部一致性为0.83，无冗余。结构分析采用因素分析技术进行评估。无法提取实质性有意义的最小因子数，以及获得的θ可靠性系数为0.85（仅比α系数高0.02），表明项目是平行的，支持分量表是一维的结论。使用预测模型还获得了对护理需求子量表的FIN重要性的结构效度的支持。使用聚类分析评估了FIN-满足护理需求子量表的内部结构。结果表明，分量表是一个一维的。总体而言，FIN符合预设的可靠性和有效性标准，为该仪器在研究和临床环境中使用的良好心理测量特性提供了有希望的证据。
Two studies balanced qualitative and quantitative data to provide evidence of satisfactory validity and reliability of the Family Inventory of Needs (FIN). The FIN is designed to measure the importance of care needs of families of advanced cancer patients (FIN-Importance of Care Needs subscale) and the extent to which families perceive that their care needs have been met (FINFulfillment of Care Needs subscale). The first study involved development of the instrument and testing for clarity, apparent internal consistency (nonquantitative assessment of homogeneity of content), and content validity using a panel of six experts (family members of advanced cancer patients). The FIN met or exceeded the preset criteria specified used in this phase of testing. The second study of the project used 109 family members of advanced cancer patients from three hospice programs to test the FIN for internal consistency and construct validity. Internal consistency of the FIN-Importance of Care Needs subscale as measured by Cronbach’s alpha coefficient was .83 without redundancy. Construct analysis was assessed using factor analysis techniques. An inability to extract a substantively meaningful minimum number of factors, together with the fact that a theta reliability coefficient of .85 was obtained (only .02 higher than the alpha coefficient), suggested that the items were parallel supporting the conclusion that the subscale is unidimensional. Support for the construct validity of the FINImportance of Care Needs subscale was also obtained using predictive modeling. The internal structure of the FIN-Fulfillment of Care Needs subscale was assessed using cluster analysis. Results suggested that the subscale is a unidimensional one. Overall, the FIN met the preset reliability and validity criteria providing promising evidence for the instrument’s sound psychometric properties for use in research and clinical settings.