COVID-19 Exposure and Family Impact Scales: Factor Structure and Initial Psychometrics
COVID-19 Exposure and Family Impact Scales: Factor Structure and Initial Psychometrics
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DOI：
10.1093/jpepsy/jsab026
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发表时间：
2021-03-22
影响因子：
3.6
通讯作者：
Phan, Thao-Ly
中科院分区：
文献类型：
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作者：
Kazak, Anne E.;Alderfer, Melissa;Phan, Thao-Ly
目的为应对2020年春季迅速蔓延的2019冠状病毒病（COVID-19）大流行，我们制定了一项全面报告措施，以了解儿童和家庭暴露于COVID-19相关事件的程度及其对其影响的看法。本文报道了这一措施的因素结构和心理测量特性。方法COVID-19暴露和家庭影响量表（CEFIS）由多学科、多机构团队使用快速迭代过程开发。从2020年5月至9月收集了来自美国15家机构28个项目的1805名护理人员的数据。我们使用探索性因素分析及其内部一致性（Cronbach's alpha）研究了CEFIS的基本结构。结果参与者报告了一系列COVID-19相关事件（M = 8.71/25）。在双向4点影响量表上，平均得分大多高于中点，表明轻微的负面影响。暴露（α = 0.80）和影响（α = 0.92）的Cronbach α非常好。因素分析确定了六个暴露因素（COVID-19经历、获得必需品、生活条件中断、收入损失、家庭生计和活动以及指定为重要工作人员）。影响因素有三个（个人幸福感，家庭互动和痛苦）。讨论CEFIS具有评估与COVID-19相关事件的暴露以及这些事件对儿科医疗保健儿童家庭的影响的强有力因素。这些初步验证数据支持使用CEFIS来衡量大流行的影响。
Objective In response to the rapidly unfolding coronavirus disease 2019 (COVID-19) pandemic in spring 2020, we developed a caregiver-report measure to understand the extent to which children and families were exposed to events related to COVID-19 and their perceptions of its impact. This article reports on the factor structure and psychometric properties of this measure. Methods The COVID-19 Exposure and Family Impact Scales (CEFIS) were developed by a multi-disciplinary, multi-institutional team using a rapid iterative process. Data from 1805 caregivers recruited from 28 programs at 15 institutions across the United States were collected from May-September 2020. We examined the underlying structure of the CEFIS using exploratory factor analyses and its internal consistency (Cronbach's alpha). Results Participants reported a range of COVID-19-related events (M = 8.71 events of 25). On the bidirectional 4-point impact scale, mean scores were mostly above the midpoint, indicating a slightly negative impact. Cronbach's alpha was excellent for Exposure (alpha = .80) and Impact (alpha = .92). Factor analysis identified six factors for Exposure (COVID-19 experiences, Access to essentials, Disruptions to living conditions, Loss of income, Family caregiving and activities, and Designation as an essential worker). There were three factors for Impact (Personal well-being, Family interactions, and Distress). Discussion The CEFIS has strong factors assessing Exposure to events related to COVID-19, and the Impact of these events on families of children in pediatric healthcare. These initial validation data support use of the CEFIS for measuring the effect of the pandemic.