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Development of a postoperative visual function rehabilitation compliance assessment scale for children with
Yanan Zhang1, Wanhua Xie2, Daoman Xiang1
1Ophthalmology Department, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou, 510623, China.
Insights
A new scale assesses compliance in children with congenital cataracts undergoing visual rehabilitation. This tool demonstrates good reliability and validity for improving nursing care.
Area of Science:
- Ophthalmology
- Pediatrics
- Health Behavior
Background:
- Congenital cataracts impact visual development in children.
- Effective postoperative visual function rehabilitation is crucial.
- Standardized tools are needed to assess patient compliance.
Purpose of the Study:
- Develop a comprehensive compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts.
- Evaluate the reliability and validity of this new scale.
Main Methods:
- Literature review and interviews informed item generation (36 items).
- Delphi method, face validity, and item analysis reduced items to 18.
- Data from 225 parents analyzed using SPSS for reliability and validity (EFA, CVI, Cronbach's alpha, test-retest).
Main Results:
- The 18-item, 5-dimension scale showed strong psychometric properties.
- Exploratory factor analysis explained 68.178% of variance.
- Content validity index was 0.963; Cronbach's alpha was 0.855; test-retest reliability was 0.859.
Conclusions:
- The developed scale is reliable and valid for assessing compliance in children with congenital cataracts.
- This tool can guide the development of standardized nursing programs for improved patient outcomes.
Objective:
To develop a comprehensive compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts and to assess its reliability and validity.
Method:
Drawing on the Interactive Model of Health Behavior, we conducted a literature review and semi-structured interviews to create a pool of 36 items. The items underwent rigorous evaluation through the Delphi method, face validity checks, and item analysis, leading to a reduction to 18 items. To assess the scale's reliability and validity, we collected data from 225 parents of children with congenital cataracts. We employed SPSS version 25.0 for data analysis and evaluated construct validity using exploratory factor analysis, content validity, internal consistency reliability, and test-retest reliability.
Results:
The compliance scale for postoperative visual function rehabilitation in children with congenital cataracts comprises 5 dimensions and 18 items. Exploratory factor analysis extracted 5 common factors, with a cumulative variance contribution rate of 68.178%. Item-level content validity index ranged from 0.730 to 1.000, and the content validity index of the scale was 0.963. The total Cronbach's alpha coefficient, split-half reliability, and test-retest reliability of the scale were 0.855, 0.778, and 0.859, respectively.
Conclusions:
The compliance assessment scale for postoperative visual function rehabilitation in children with congenital cataracts demonstrates acceptable reliability and validity. It serves as a valuable reference for developing standardized nursing programs for these children in clinical practice.
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