Development and evaluation of the Family Infant and  Toddler Care Quality Assessment Scale

QIN Chengjie; CHEN Yue; YANG Liu; WU Huimin; JIN Shengxian; LIANG Yan; REN yan

doi:10.11852/zgetbjzz2025-0101

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Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (8) : 860-865. DOI: 10.11852/zgetbjzz2025-0101

Development and evaluation of the Family Infant and Toddler Care Quality Assessment Scale

QIN Chengjie, CHEN Yue, YANG Liu, WU Huimin, JIN Shengxian, LIANG Yan, REN yan

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Abstract

Objective To develop a culturally appropriate, standardized, and comprehensive assessment tool for evaluating the quality of family-based infant and toddler care (0 - 3 years) in China, and to examine its reliability and validity, in order to provide a scientific foundation for research on family care quality assessment tools. Methods Based on the nurturing care framework and the Guidelines for Healthy Nurturing Care of Children Under 3 Years of Age, an initial assessment tool was constructed through literature review, expert consensus, and consideration of infant and toddler developmental characteristics.The tool was refined through pilot surveys, expert discussions, and internal group revisions.Reliability was assessed using internal consistency, test-retest reliability, and split-half reliability.Validity was examined through content validity and construct validity. Results The final scale consisted of 54 items across five dimensions: safety care, health care, nutrition care, responsive care, and early learning.The questionnaire demonstrated strong reliability, with a Cronbach's α coefficient of 0.931, split-half reliability of 0.848, and test-retest reliability of 0.613.All item factor loadings were >0.4, correlations between subscales and the total scale ranged from 0.604 to 0.751, and inter-subscale correlations mostly fell between 0.501 and 0.715 (all P<0.05).Construct validity indices indicated a good model fit (χ²/df=4.584, CFI=0.901, GFI=0.912, AGFI=0.901, IFI=0.901, RMSEA=0.035). Conclusion The family infant and toddler nurturing care scale developed in this study exhibits good reliability and validity and is suitable for assessing the quality of family-based nurturing care of infants and toddlers.

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infants and young children / family infant and toddler care / scale / reliability / validity

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QIN Chengjie, CHEN Yue, YANG Liu, WU Huimin, JIN Shengxian, LIANG Yan, REN yan. Development and evaluation of the Family Infant and Toddler Care Quality Assessment Scale[J]. Chinese Journal of Child Health Care. 2025, 33(8): 860-865 https://doi.org/10.11852/zgetbjzz2025-0101

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