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Febrile convulsions: development and validation of a questionnaire to measure parental knowledge, attitudes, concerns
Mei-Chih Huang1, Chao-Ching Huang, Karen Thomas
1Department of Nursing, National Cheng-Kung University, Tainan, Taiwan, R.O.C. meay@mail.ncku.edu.tw
Insights
Effective communication is key for febrile convulsions (FCs). A new KACP questionnaire assesses parental knowledge, attitudes, concerns, and practices, showing moderate reliability and validity for research use.
Area of Science:
- Pediatrics
- Health Communication
- Psychometrics
Background:
- Febrile convulsions (FCs) management emphasizes parental education over medication.
- A rapid assessment tool is crucial for understanding parental responses to FCs.
- This study details the development and validation of a questionnaire on parental knowledge, attitudes, concerns, and practices (KACP) regarding FCs.
Purpose of the Study:
- To develop and psychometrically test the KACP questionnaire for assessing parental responses to febrile convulsions.
- To provide a tool for educators, clinicians, and researchers involved with children experiencing FCs.
Main Methods:
- Questionnaire items were generated through literature review, interviews, and expert consultations.
- Content and face validity were assessed by experts and parents.
- Psychometric properties including internal consistency, test-retest reliability, and item analysis were evaluated using data from 216 parents of children with FCs.
Main Results:
- The KACP questionnaire demonstrated Cronbach's alpha values exceeding 0.72 for knowledge, attitudes, and concerns domains.
- Test-retest reliability (ICC) ranged from 0.58 to 0.68 across domains.
- Item-total correlations supported the validity of the knowledge and concerns domains, with moderate support for the attitudes domain.
Conclusions:
- The KACP questionnaire is a moderately reliable and valid instrument for measuring parental responses to FCs in research settings.
- Further cross-cultural validation is recommended to broaden the questionnaire's applicability globally.
Background:
The best medicine for febrile convulsions (FCs) is not prescription medications but effective communication of related information to parents. Therefore, a quick assessment tool for obtaining information about parental responses to FCs is essential for educating parents, clinical practice and research. This paper describes the development and psychometric testing of a questionnaire on parental knowledge, attitudes, concerns and practices (KACP) toward FC.
Methods:
Questionnaire items were created via literature review, interview, and expert consultation. Ten parents were interviewed to develop the questionnaire contents. Nine experts and seven parents were consulted to review the content and face validity of the questionnaire. Of the 326 parents of children with FC visiting 11 emergency departments in southern Taiwan, 216 parents completed the questionnaire, and 64 completed the questionnaire again 2 weeks later. Content validity, internal consistency, test-retest reliability, and item analysis were evaluated.
Results:
Cronbach's alpha exceeded 0.72 for the knowledge, attitudes and concerns domains. The item-total correlations in the knowledge and concerns domains ranged from 0.40 to 0.73, but were lower in the attitudes domain (only 4 in 10 items were within 0.40-0.70). The intraclass correlation coefficients (ICC) for the test-retest reliability of the knowledge, attitudes and concerns domains were 0.65, 0.68 and 0.58, respectively. The correlation coefficients between KACP domains were tested and significantly supported the theoretical basis of the questionnaire.
Conclusion:
For research purposes, the KACP questionnaire measures parental responses with a moderate level of reliability and validity. Cross-cultural investigation of the questionnaire is needed to facilitate its use in other countries.
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