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。
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.
关键词
婴幼儿 /
养育照护实践 /
问卷 /
信度 /
效度
Key words
infants and toddlers /
nurturing care practice /
questionnaire /
reliability /
validity
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] World Health Organization, United Nations Children's Fund, World Bank Group. Nurturing care for early childhood development:A framework for helping children survive and thrive to transform health and human potential[EB/OL]. 2018[2020-07-01].https://www.who.int/maternal_child_adolescent/child/nurturing-care-framework/en.
[2] Britto PR, Lye SJ, Proulx K, et al. Nurturing care:Promoting early childhood development[J]. Lancet,2017,389(10064):91-102.
[3] Black MM, Walker SP, Fernald LCH, et al. Early childhood development coming of age:Science through the life course[J]. Lancet,2017,389(10064):77-90.
[4] U Uchitel J, Alden E, Bhutta ZA, et al. The rights of children for optimal development and nurturing Care[J]. Pediatrics,2019,144(6):e20190487.
[5] Puckering C, Allely CS, Doolin O, et al. Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven:A nested, case-control ALSPAC study[J]. BMC Pediatr,2014,14:223.
[6] UNICEF. Integrated approaches to early childhood development:0-3 Years(2019.3)[EB/OL].https://www.unicef.cn/reports/integrated-approaches-early-childhood-development-0-3-years.(2023-1-8)
[7] Winstanley A, Gattis M. The Baby Care Questionnaire:A measure of parenting principles and practices during infancy[J]. Infant Behav Dev,2013,36(4):762-775.
[8] Jahromi LB, Guimond AB, Umaa-Taylor AJ, et al. Family context, Mexican-origin adolescent mothers' parenting knowledge, and children's subsequent developmental outcomes[J]. Child Dev,2014,85(2):593-609.
[9] Yoshizumi T, Murase S, Murakami T, et al. Reliability and validity of the Parenting Scale of Inconsistency[J]. Psychol Rep,2006,99(1),74-84.
[10] Anme T, Tanaka E, Watanabe T, et al. Validity and reliability of the Index of Child Care Environment(ICCE)[J]. Public Health Frontier,2013,2(3),141-145.
[11] 王丽君. 0～2岁儿童父母育儿评估量表编制及方法研究[D].北京:协和医学院,2014.
Wang LJ. Development of a parenting assessment tool for Chinese parents of infants/toddlers[D]. Beijing:Peking Union Medical College,2014.(in Chinese)
[12] 何守森,汪翼,孙宗花,等.0～1岁儿童家庭养育环境量表的编制及其信度效度研究[J].中国儿童保健杂志,2008,16(5):503-506.
He SS, Wang Y, Sun ZH, et al. Development, reliability and validity of 0~1year Child Home Nurture Environment Scale[J]. Chin J Child Health Care, 2008,16(5):503-506.(in Chinese)
[13] 何守森,汪翼,关春荣,等.城市1～3岁儿童家庭养育环境量表的编制及其信度效度研究[J].中国儿童保健杂志,2008,16(6):650-652.
He SS, Wang Y, Guan CR, et al. 1~3year Child Home Nurture Environment Scales:Development, reliability and validity[J]. Chin J Child Health Care, 2008,16(6):650-652.(in Chinese)
[14] 黄楹,张海峰,童连.婴幼儿回应性照护评价量表的初步编制与评价[J].中国儿童保健杂志,2022,30(4):386-391.
Huang Y, Zhang HF, Tong L, et al. Preliminary development and evaluation of the Responsive Caregiving Rating Scale for children aged 0 to 4 years[J]. Chin J Child Health Care, 2022, 30(4):386-391.(in Chinese)
[15] 中国妇幼保健协会婴幼儿养育照护专业委员会.婴幼儿养育照护专家共识[J].中国儿童保健杂志,2020,28(9):1063-1068.
Infants Nurturing Care Professional Council, Chinese Maternal and Child Health Association. Expert consensus on nurturing care for infants and toddlers[J]. Chin J Child Health Care, 2020, 28(9):1063-1068.(in Chinese)
[16] 郑日昌,孙大强.心理测量与测验[M].北京:中国人民大学出版社,2013:135-136.
Zheng RC, Sun DQ. Psychometric and testing[M].Beijing:China Renmin University Press,2013:135-136.
[17] 方积乾.现代医学统计学[M].北京:人民卫生出版社,2015.
Fang JQ. Modern medical statistics[M].Beijing:People's Medical Publishing House,2015.(in Chinese)
[18] 石慧峰,张敬旭,王晓莉,等. 儿童早期发展综合干预策略对改善贫困农村地区0~35月龄儿童养育照护的效果[J]. 中华儿科杂志,2018,56(2):110-115.
Shi HF, Zhang JX, Wang XL, et al. Effectiveness of integrated early childhood development intervention on nurturing care for children aged 0 - 35 months in rural China[J]. Chin J Pediatr, 2018,56(2):110-115.(in Chinese)
[19] 曹慧,赵春霞,张悦.国内外儿童家庭养育量表评价方法[J].公共卫生与预防医学,2018,29(3):93-97.
Cao H, Zhao CX, Zhang Y, et al. Review on the scale assessment method of childhood parenting at home and abroad[J]. Pub Health and Prev Med, 2018,29(3):93-97.(in Chinese)
[20] 朱宗涵.养育照护是促进婴幼儿健康成长的重要保障[J].中国儿童保健杂志,2020,28(9):953-954,966.
Zhu ZH. Nurturing care is an important guarantee to promote the healthy growth of the infants and young children[J]. Chin J Child Health Care,2020,28(9):953-954,966.(in Chinese)
[21] 章丽丽, 郑瑞璇, 程灶火, 等.孤独症谱系障碍简明访谈量表的编制和信效度分析[J].中华行为医学与脑科学杂志, 2021,30(12):1134-1139.
Zhang LL, Zheng RX, Cheng ZH, et al. Development of screening checklist of brief interview for autism spectrum disorder and its reliability and validity evaluation[J]. Chin J Behav Med & Brain Sci, 2021, 30(12):1134-1139.(in Chinese)
[22] 宋娟, 邵凯, 张丙亮, 等. 中国城区0~6岁儿童家庭内非故意伤害危险行为量表编制及考评[J]. 中华流行病学杂志, 2021, 42(9):1662-1669.
Song J, Shao K, Zhang BL, et al. Development and performance test of the environment scale of unintentional injury in the home for children aged 0 - 6 years old in urban area of China[J]. Chin J Prev Med, 2021,42(9):1662-1669.(in Chinese)
[23] 张妍,蒋泓.4～6岁儿童家长健康素养量表编制及信效度评价[J].中国公共卫生,2018,34(4):531-535.
Zhang Y, Jiang H. Development and validation of a Health Literacy Scale for Parents of 4 - 6 Years Old Children[J]. Chin J Public Health, 2018, 34(4):532-535.(in Chinese)
[24] Robert FD.量表编制理论与应用[M].魏永刚,龙长权,译.重庆:重庆大学出版社,2006:55-147.
Robert FD. Theory and application of scale development[M]. Translated by Wei YG, Long CQ. Chongqing:Chongqing University Press, 2006:55-147.(in Chinese)
[25] 苏中华,李四劝,成义仁.量表评估的内部一致性与克朗巴赫α系数的应用评价[J].临床身心疾病杂志,2009,15(1):85-86.
Su ZH, Li SQ, Cheng YR. Evaluation of internal consistency of scale assessment with the application of Cronbach's alpha coefficient[J].J Clin Psychosom Dis, 2009,15(1):85-86.(in Chinese)
[26] 高越,张云婷,赵瑾,等.养育环境与儿童早期发展的相关性[J].中华儿科杂志,2021,59(3):175-180.
Gao Y, Zhang YT, Zhao J, et al. Association between child care environment and childhood early development[J]. Chin J Pediatr, 2021, 59(3):175-180.(in Chinese)
[27] 韩静. 家庭养育环境与婴儿神经心理发育结局的关系:早产儿与足月儿的对比研究[D].济南:山东大学,2022.
Han J. The relationship between home environment and infant neuropsychological outcomes:Comparison between preterm and full-term infants[D].Jinan:Shan Dong University,2022.(in Chinese)
[28] 李华,刘杨,徐平,等.家庭养育环境对婴幼儿智能发育的影响-基于成都市青白江区妇幼保健院儿保家庭的调查[J].成都师范学院学报,2021,37(8):66-73.
Li H, Liu Y, Xu P, et al. Influence of family rearing Environment on intelligence development of infants:Investigation based on families participating in child healthcare service of Chengdu Qingbaijiang Maternity and Child Healthcare Hospital[J].Journal of Chengdu Normal University, 2021,37(8):66-73.(in Chinese)
基金
“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)
PDF(725 KB)
