Development and Psychometric Evaluation of the Children's Illness-Related Concerns Scale.
Development and Psychometric Evaluation of the Children's Illness-Related Concerns Scale.
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儿童疾病相关担忧量表的发展和心理测量评估。
DOI：
10.1097/nnr.0000000000000670
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发表时间：
2023
期刊：
影响因子：
2.5
通讯作者：
Oxford,MonicaL
中科院分区：
文献类型：
--
作者：
Almulla,HebahA;Lewis,FrancesMarcus;Oxford,MonicaL
背景尽管母亲乳腺癌对许多儿童的影响，但目前还没有有效或可靠的量化测量来衡量儿童对母亲疾病的关注，这限制了科学和临床实践。目的本研究旨在开发和心理测量学评估儿童报告的与母亲乳腺癌相关的疾病相关担忧的初始测量。方法本研究分三个阶段进行：范围审查，从学龄儿童获得的与母亲乳腺癌相关的一般问题的条目提取，以及使用验证性因素分析对提取条目的三个结构模型进行检验。范围审查产生了五类与疾病相关的担忧：改变家庭例行公事、不确定性、对疾病传染的担忧、产妇死亡和产妇幸福。为了反映这五个类别，从202名学龄儿童完成的93个项目的调查问卷中提取了18个项目，以了解他们母亲的乳腺癌情况。接下来，我们假设了三个结构模型来评估疾病相关关注的结构效度：五因素模型、三因素模型和单因素模型。采用验证性因素分析对模型进行检验和比较。结果五因素模型与数据拟合最好，各因素具有较好的内部一致性信度。结论本研究结果为18个条目的儿童疾病相关关注量表的结构效度提供了初步证据，可用于评估儿童的关注度，并为未来的干预研究提供参考。
BackgroundDespite the effect of maternal breast cancer on many children, there is no valid or reliable quantitative measure of the concern that children attribute to their mothers' disease, which constrains both science and clinical practice.ObjectivesThis study aimed to develop and psychometrically evaluate the initial measures of child-reported, illness-related concerns associated with maternal cancer.MethodsThe study was conducted in three phases: scoping review, item extraction from a battery of items obtained from school-aged children about general issues related to their mothers' breast cancer, and testing of the three proposed structural models of these extracted items using confirmatory factor analysis. The scoping review yielded five categories of illness-related concerns: altered family routines, uncertainty, concerns about illness contagion, maternal death, and maternal well-being. To reflect these five categories, 18 items were extracted from a 93-item questionnaire completed by 202 school-aged children regarding their mothers' breast cancer. Next, three structural models were hypothesized to assess the construct validity of illness-related concerns: five-, three-, and one-factor models. Confirmatory factor analysis was used to test and compare the models.ResultsThe five-factor model best fit the data, and each factor showed adequate internal consistency reliability. These findings align with the a priori five-factor model informed by the scoping review.ConclusionThe results provide initial evidence of the construct validity of the 18-item Children's Illness-Related Concerns Scale, which can be used to assess children's concerns and inform future intervention studies.