Psychometric Evaluation of the Stress Scale for Parents with Cleft Lip and/or Palate Children—A Preliminary Study

Objective To develop the Stress Scale for Parents With Cleft Lip and/or Palate Children in Taiwan and to evaluate the psychometric properties of the scale with a group of parents who have children with cleft lip and/or palate. Design In phase 1, qualitative procedures were conducted in constructing...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2010-09, Vol.47 (5), p.482-490
Hauptverfasser: Lei, Ruoh-Lih, Wang, Shiaw-Ling, Cheng, Chung-Ping, Chen, Philip Kuo-Ting, Chin, Chi-Chun
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container_end_page 490
container_issue 5
container_start_page 482
container_title The Cleft palate-craniofacial journal
container_volume 47
creator Lei, Ruoh-Lih
Wang, Shiaw-Ling
Cheng, Chung-Ping
Chen, Philip Kuo-Ting
Chin, Chi-Chun
description Objective To develop the Stress Scale for Parents With Cleft Lip and/or Palate Children in Taiwan and to evaluate the psychometric properties of the scale with a group of parents who have children with cleft lip and/or palate. Design In phase 1, qualitative procedures were conducted in constructing the item pool for the Stress Scale for Parents With Cleft Lip and/or Palate Children. Psychometric properties of the scale were assessed in phase 2. Setting Outpatient department of a children's hospital in northern Taiwan. Participants Phase 1 included 21 parents of children with cleft lip and/or palate. Phase 2 included 184 parents of children with cleft lip and/or palate. Interventions The item pool was developed by interview, content analysis, and literature review. Problematic items were identified by item analysis. Main Outcome Measures Exploratory factor analysis was used to examine the construct validity. Reliabilities were evaluated by Cronbach alpha and intraclass correlation coefficients. Results Thirty-three items with a content validity index greater than .80 were recognized. They were grouped into four categories by exploratory factor analysis and accounted for 42.34% of the total variance. Internal consistency reliability was high for the total scale (Cronbach a = .90) and ranged from .71 to .84 on the subscales. Test-retest reliability with intraclass correlation coefficient was .94 on the total scale (p < .0001, 95% confidence interval) and from .90 to .96 for the subscales. Conclusions The Stress Scale for Parents With Cleft Lip and/or Palate Children appears to be a reliable tool with strong evidence of content and construct validity that may be useful in assessing parental stress in the caretakers of children with cleft lip and/or palate.
doi_str_mv 10.1597/08-214
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Design In phase 1, qualitative procedures were conducted in constructing the item pool for the Stress Scale for Parents With Cleft Lip and/or Palate Children. Psychometric properties of the scale were assessed in phase 2. Setting Outpatient department of a children's hospital in northern Taiwan. Participants Phase 1 included 21 parents of children with cleft lip and/or palate. Phase 2 included 184 parents of children with cleft lip and/or palate. Interventions The item pool was developed by interview, content analysis, and literature review. Problematic items were identified by item analysis. Main Outcome Measures Exploratory factor analysis was used to examine the construct validity. Reliabilities were evaluated by Cronbach alpha and intraclass correlation coefficients. Results Thirty-three items with a content validity index greater than .80 were recognized. They were grouped into four categories by exploratory factor analysis and accounted for 42.34% of the total variance. Internal consistency reliability was high for the total scale (Cronbach a = .90) and ranged from .71 to .84 on the subscales. Test-retest reliability with intraclass correlation coefficient was .94 on the total scale (p &lt; .0001, 95% confidence interval) and from .90 to .96 for the subscales. Conclusions The Stress Scale for Parents With Cleft Lip and/or Palate Children appears to be a reliable tool with strong evidence of content and construct validity that may be useful in assessing parental stress in the caretakers of children with cleft lip and/or palate.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/08-214</identifier><identifier>PMID: 20187718</identifier><identifier>CODEN: CPJOEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Attitude to Health ; Biological and medical sciences ; Birth defects ; Child ; Child Care ; Child Rearing ; Child, Preschool ; Cleft Lip - psychology ; Cleft Palate - psychology ; Content analysis ; Dentistry ; Discriminant analysis ; Educational Status ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Humans ; Income ; Infant ; Infant Care ; Interviews as Topic ; Male ; Medical sciences ; Middle Aged ; Mothers ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Parent-Child Relations ; Parents - psychology ; Psychometrics ; Reproducibility of Results ; Severity of Illness Index ; Stress ; Stress, Psychological - classification ; Studies ; Young Adult</subject><ispartof>The Cleft palate-craniofacial journal, 2010-09, Vol.47 (5), p.482-490</ispartof><rights>2010 American Cleft Palate-Craniofacial Association. 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Design In phase 1, qualitative procedures were conducted in constructing the item pool for the Stress Scale for Parents With Cleft Lip and/or Palate Children. Psychometric properties of the scale were assessed in phase 2. Setting Outpatient department of a children's hospital in northern Taiwan. Participants Phase 1 included 21 parents of children with cleft lip and/or palate. Phase 2 included 184 parents of children with cleft lip and/or palate. Interventions The item pool was developed by interview, content analysis, and literature review. Problematic items were identified by item analysis. Main Outcome Measures Exploratory factor analysis was used to examine the construct validity. Reliabilities were evaluated by Cronbach alpha and intraclass correlation coefficients. Results Thirty-three items with a content validity index greater than .80 were recognized. They were grouped into four categories by exploratory factor analysis and accounted for 42.34% of the total variance. Internal consistency reliability was high for the total scale (Cronbach a = .90) and ranged from .71 to .84 on the subscales. Test-retest reliability with intraclass correlation coefficient was .94 on the total scale (p &lt; .0001, 95% confidence interval) and from .90 to .96 for the subscales. 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Design In phase 1, qualitative procedures were conducted in constructing the item pool for the Stress Scale for Parents With Cleft Lip and/or Palate Children. Psychometric properties of the scale were assessed in phase 2. Setting Outpatient department of a children's hospital in northern Taiwan. Participants Phase 1 included 21 parents of children with cleft lip and/or palate. Phase 2 included 184 parents of children with cleft lip and/or palate. Interventions The item pool was developed by interview, content analysis, and literature review. Problematic items were identified by item analysis. Main Outcome Measures Exploratory factor analysis was used to examine the construct validity. Reliabilities were evaluated by Cronbach alpha and intraclass correlation coefficients. Results Thirty-three items with a content validity index greater than .80 were recognized. They were grouped into four categories by exploratory factor analysis and accounted for 42.34% of the total variance. Internal consistency reliability was high for the total scale (Cronbach a = .90) and ranged from .71 to .84 on the subscales. Test-retest reliability with intraclass correlation coefficient was .94 on the total scale (p &lt; .0001, 95% confidence interval) and from .90 to .96 for the subscales. Conclusions The Stress Scale for Parents With Cleft Lip and/or Palate Children appears to be a reliable tool with strong evidence of content and construct validity that may be useful in assessing parental stress in the caretakers of children with cleft lip and/or palate.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20187718</pmid><doi>10.1597/08-214</doi><tpages>9</tpages></addata></record>
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subjects Adaptation, Psychological
Adolescent
Adult
Attitude to Health
Biological and medical sciences
Birth defects
Child
Child Care
Child Rearing
Child, Preschool
Cleft Lip - psychology
Cleft Palate - psychology
Content analysis
Dentistry
Discriminant analysis
Educational Status
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Income
Infant
Infant Care
Interviews as Topic
Male
Medical sciences
Middle Aged
Mothers
Non tumoral diseases
Otorhinolaryngology. Stomatology
Parent-Child Relations
Parents - psychology
Psychometrics
Reproducibility of Results
Severity of Illness Index
Stress
Stress, Psychological - classification
Studies
Young Adult
title Psychometric Evaluation of the Stress Scale for Parents with Cleft Lip and/or Palate Children—A Preliminary Study
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