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Development of the parent response to child illness (PRCI) scale
Joan K Austin1, Cheryl P Shore, David W Dunn
1Indiana University School of Nursing, Indianapolis, IN 46202-5107, USA. joausti@iupui.edu
Insights
This study developed a reliable scale to measure parental responses to childhood seizures or asthma. The instrument assesses child support, family life, condition management, autonomy, and discipline, aiding clinical and research applications.
Area of Science:
- Pediatric Psychology
- Childhood Illness Management
- Parental Adaptation
Background:
- Parental perception and response are crucial following a child's diagnosis of a chronic condition.
- Existing instruments may not adequately capture the multifaceted parental experience with new-onset childhood illnesses like seizures and asthma.
Purpose of the Study:
- To develop and validate a novel instrument measuring parental responses to childhood seizures or asthma.
- To assess the reliability and validity of this new measurement tool.
Main Methods:
- Development of a 35-item scale with five subscales: Child Support, Family Life/Leisure, Condition Management, Child Autonomy, and Child Discipline.
- Data collection from parents of 224 children with new-onset seizures and 104 with new-onset asthma.
- Analysis of internal consistency, test-retest reliability, and construct validity through mood associations.
Main Results:
- The scale demonstrated acceptable to good internal consistency for most subscales (Child Support, Family Life/Leisure, Condition Management).
- Test-retest reliability was found to be good to fair across both parent samples.
- Positive associations between parent mood and scale subscales provided empirical support for validity.
Conclusions:
- The developed scale is a reliable and valid instrument for assessing parental responses to childhood seizures and asthma.
- The instrument holds potential for application in both clinical settings and research.
- The scale may be adaptable for use with parents of children experiencing other chronic health conditions.
Abstract:
The aims of this study were to develop an instrument to measure parents' responses and perceptions related to the onset of either seizures or asthma in a child (aged 4-14) and to assess the initial reliability and validity of the instrument. The 35-item scale developed comprised five subscales: Child Support, Family Life/Leisure, Condition Management, Child Autonomy, and Child Discipline. Subjects were parents of 224 children with new-onset seizures and 104 parents of children with new-onset asthma. Internal consistency reliabilities were stronger for Child Support, Family Life/Leisure, and Condition Management than for Child Autonomy and Child Discipline for both samples. Test-retest reliability ranged from good to fair for both samples. The associations between parent positive mood and all of the subscales for both samples in the predicted directions provided key empirical support for validity. The scale has potential for use in research and in the clinical setting. In addition, the scale has potential to be used with other conditions.
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