婴幼儿家长养育照护实践自评问卷的编制及信效度检验

doi:10.11852/zgetbjzz2023-0237

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (8): 825-830.DOI: 10.11852/zgetbjzz2023-0237

婴幼儿家长养育照护实践自评问卷的编制及信效度检验

孔文瑞¹, 许梦雪¹, 贾妮¹, 成童¹, 李秋菊², 刘欣³, 吴燕⁴, 冯承芸⁵, 朱宗涵⁶, 关宏岩¹

1.首都儿科研究所,婴幼儿照护服务研究指导中心,儿童保健中心,北京 100020;
2.北京市朝阳区妇幼保健院, 儿童保健中心,北京 100020;
3.北京市丰台区妇幼保健院,儿童保健中心,北京 100020;
4.义乌市妇幼保健院,儿童保健中心,北京 100020;
5.深圳市宝安区妇幼保健院,儿童保健中心,北京 100020;
6.首都儿科研究所,儿童保健中心,北京 100020

收稿日期:2023-03-13 修回日期:2023-04-24 发布日期:2023-08-18
通讯作者: 关宏岩:E-mail:hongyanguan@126.com
作者简介:孔文瑞(1997-),女,陕西人,硕士研究生在读,主要研究方向为养育照护环境评估及干预。
基金资助:
“新家庭养育计划公益行动”养育照护研究和调研项目(2022);高层次公共卫生技术人才建设项目培养计划(学科带头人-01-17)

Development and evaluation of the Caregiver's Nurturing Care Practice Questionnaire for children aged 0 - 3 years

KONG Wenrui¹, XU Mengxue¹, JIA Ni¹, CHENG Tong¹, LI Qiuju², LIU Xin³, WU Yan⁴, FENG Chengyun⁵, ZHU Zonghan⁶, GUAN Hongyan¹

1. Nurturing Care Center, Child Health Center,Capital Institute of Pediatrics, Beijing 100020,China;
2. Beijing Chaoyang Maternal and Child Health Hospital, Beijing 100020,China;
3. Beijing Fengtai Maternal and Child Health Hospital, Beijing 100020,China;
4. Yiwu Maternity and Children Hospital, Beijing 100020,China;
5. Shenzhen Baoan Women's and Children's Hospital, Beijing 100020,China;
6. Capital Institute of Pediatrics, Beijing 100020,China

Received:2023-03-13 Revised:2023-04-24 Published:2023-08-18
Contact: GUAN Hongyan, E-mail:hongyanguan@126.com

摘要/Abstract

摘要： 目的编制适用于我国文化背景下的0~3岁婴幼儿家长养育照护实践自评问卷并检验其信效度,为后续的研究者、儿童保健人员提供相关评估技术的方法学支撑。方法通过查阅文献、专家共识,在养育照护理论框架的基础上,考虑我国婴幼儿养育文化,构建初始问卷。通过预调查对条目进行筛选,结合专家研讨会意见确定最终版婴幼儿家长养育照护实践自评问卷(C-NCPQ)。对北京、浙江及深圳共4所妇幼保健院的851名0~3岁婴幼儿主要养育人进行了调查,以评估C-NCPQ的信、效度,信度评价采用Cronbach's α系数、分半信度及重测信度;效度评价采用效标效度及结构效度,以育儿环境指数量表( ICCE)和儿童家庭养育环境量表作为效标。结果构建的C-NCPQ包括养育方式、健康护理、营养喂养、回应性照护、玩耍体验、安全保障6个维度,共44个条目。总问卷的 Cronbach's α系数为0.913,分半信度为0.853,重测信度为0.745。验证性因子分析拟合指标提示模型拟合可接受(χ²/df=2.770,RMSEA=0.046,CFI=0.833,TLI=0.819,SRMR=0.50)。各条目因子载荷均＞0.3,差异具有统计学意义(P＜0.001)。总问卷与ICCE的效标相关系数为0.561,与家庭环境量表0~1岁版、1~3岁版的效标相关系数分别为0.406、0.600。结论 C-NCPQ问卷评估简单易行,经验证具有较好的信效度,可用于基层婴幼儿家庭的养育实践评估及指导。

关键词: 婴幼儿, 养育照护实践, 问卷, 信度, 效度

Abstract: Objective To develop the Caregiver's Nurturing Care Practice Questionnaire for children aged 0 - 3 years based on Chinese culture background, and to test its reliability and validity. Methods Through literature review and expert consensus, primary questionnaire was developed based on the nurturing care theory and Chinese infant and toddler nurturing culture.A pre-survey was conducted to screen items, then the final version of Caregiver's Nurturing Care Practice Questionnaire(C-NCPQ) was formed based on the expert workshop comments. A sample of 851 parents whose children were 0 - 3 years old were selected in this study to finish the questionnaire in order to test the reliability and validity of C-NCPQ. Data on Cronbach's α coefficient, split-half reliability and test-retest reliability were used to evaluate the reliability of the C-NCPQ. Validity evaluation was based on the construct validity and criteria validity, and the Index of Child Care Environment(ICCE) and the Child Home Nurture Environment Scale were used as criteria. Results C-NCPQ included 44 items in 6 dimensions, including nurturing pattern, healthcare, nutrition and feeding, responsive care, play experience and safety and security. The total Cronbach's α coefficient was 0.913, the Guttman split-half reliability coefficient was 0.853, and the correlation coefficient for the test-retest reliability was 0.745. The confirmatory factor analysis showed that six-dimension model fit well(χ²/df=2.77, RMSEA=0.046, CFI=0.833, TLI=0.819, SRMR=0.50). Factor load of each item was all ＞0.3(P＜0.001). The correlation coefficient between the ICCE and the C-NCPQ was 0.561, the correlation coefficients of C-NCPQ with Child Home Nurture Environment Scales for children aged 0 - 1 and 1 - 3 years were 0.406 and 0.600, respectively. Conclusions C-NCPQ is a simple and easy questionnaire with proven reliability and validity, which can be used to assess and guide nurturing care practices of families with infants and toddlers at the grassroots level.

Key words: infants and toddlers, nurturing care practice, questionnaire, reliability, validity

中图分类号:

R473.72

孔文瑞, 许梦雪, 贾妮, 成童, 李秋菊, 刘欣, 吴燕, 冯承芸, 朱宗涵, 关宏岩. 婴幼儿家长养育照护实践自评问卷的编制及信效度检验[J]. 中国儿童保健杂志, 2023, 31(8): 825-830.

KONG Wenrui, XU Mengxue, JIA Ni, CHENG Tong, LI Qiuju, LIU Xin, WU Yan, FENG Chengyun, ZHU Zonghan, GUAN Hongyan. Development and evaluation of the Caregiver's Nurturing Care Practice Questionnaire for children aged 0 - 3 years[J]. Chinese Journal of Child Health Care, 2023, 31(8): 825-830.

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婴幼儿家长养育照护实践自评问卷的编制及信效度检验

Development and evaluation of the Caregiver's Nurturing Care Practice Questionnaire for children aged 0 - 3 years

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