家长自我管理支持扫描(S-scan - PS)的开发与验证:儿童医疗保健专业人员的自我反思工具

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-01-12 DOI:10.1111/cch.13223
Ruud Wong Chung, Agnes Willemen, Amber Bakker, Jolanda Maaskant, Jeanine Voorman, Jules Becher, Carlo Schuengel, Mattijs Alsem
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引用次数: 0

摘要

背景 如今,专业人员为患有慢性疾病的儿童的家长提供自我管理方面的支持,是儿童医疗保健的一个重要方面。这就要求专业人员与家长建立伙伴关系和合作关系。本研究的目的是开发和验证 "家长自我管理支持扫描"(S-scan - PS),作为医护人员反思自己在支持家长自我管理方面的态度和做法的工具。 方法 我们与现场专家一起对现有工具进行了改编,以便专业人员自我评估他们对家长自我管理的支持。荷兰从事儿童及其家长工作的医疗保健专业人员填写了这份包含 36 个项目的自我报告问卷。认知访谈、探索性和确认性因子分析(CFA)以及测试-再测试可靠性分析是开发和验证过程的一部分。 结果 共有来自 13 家康复机构和 5 家医疗中心的 434 名专业人员(包括医生、物理治疗师、职业治疗师和护士)参加了调查。对儿童医护专业人员的认知访谈表明,该量表在表面和内容上都具有充分的有效性。S-scan - PS量表的总分和领域分的内部一致性(0.71 ≤ α ≤ 0.91)均可接受。CFA显示模型拟合的均方根误差(RMSEA)为0.066,可以接受,但其他测试的拟合优度指标不符合要求。该工具的重测可靠性为中等,平均类内相关系数(ICC)= 0.61。 结论 S-scan - PS 符合重要的心理测量标准,可供儿童医疗保健专业人员用于反思家长对自我管理的支持。这种自我反思可能有助于改进他们在护理慢性病患儿时支持家长自我管理的方法。我们还需要进一步研究该工具的构建有效性和重复测试可靠性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The development and validation of the S-scan-parental self-management support (S-scan - PS): A self-reflection tool for child healthcare professionals

Background

Professionals providing self-management support to parents regarding the care for their child with a chronic condition nowadays is an important aspect of child healthcare. This requires professionals to orient themselves towards partnership and collaboration with parents. The aims of the current study were the development and validation of the S-Scan-Parental self-management Support (S-scan - PS) as a tool for healthcare professionals to reflect on their attitude and practices regarding the support for parental self-management.

Methods

An existing instrument was adapted together with field experts for professionals to self-evaluate their support for self-management of parents. The resulting 36-item self-report questionnaire was filled in by healthcare professionals in the Netherlands working with children and their parents. Cognitive interviews, exploratory and confirmatory factor analysis (CFA), and test–retest reliability analysis were part of the development and validation process.

Results

In total, 434 professionals, including physicians, physiotherapists, occupational therapists, and nurses, from 13 rehabilitation institutes and 5 medical centres participated. The cognitive interviews with child healthcare professionals indicated adequate face and content validity. The S-scan - PS scale had acceptable internal consistency (0.71 ≤ α ≤ 0.91) for the total score as well as the domain scores. CFA showed acceptable root mean square error of approximation (RMSEA) model fit (0.066), though not on other tested goodness-of-fit indices. Test–retest reliability of the instrument was moderate with an average intraclass correlation coefficient (ICC) = 0.61.

Conclusions

The S-scan - PS fulfils important psychometric criteria for use by child healthcare professionals to reflect on parental self-management support. Such self-reflection might help to improve their approach towards supporting self-management of parents in the care for their child with a chronic condition. Further research is needed into the construct validity and test–retest reliability of the instrument.

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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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