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

KONG Wenrui; XU Mengxue; JIA Ni; CHENG Tong; LI Qiuju; LIU Xin; WU Yan; FENG Chengyun; ZHU Zonghan; GUAN Hongyan

doi:10.11852/zgetbjzz2023-0237

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (8) : 825-830. DOI: 10.11852/zgetbjzz2023-0237

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

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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.

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infants and toddlers / nurturing care practice / questionnaire / reliability / validity

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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 https://doi.org/10.11852/zgetbjzz2023-0237

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