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Cultural adaptation and validation of the CSHCN Screener scale in the Spanish population
Maria do Céu Barbieri-Figueiredo1, Francisca María García-Padilla1, Miriam Sánchez-Alcón1
1Departamento de Enfermería, Facultad de Enfermería, Universidad de Huelva, Campus El Carmen, Huelva, Spain.
Introduction:
Chronic diseases in childhood are becoming increasingly prevalent, requiring ongoing care. The CSHCN Screener scale detects the health needs of children and adolescents who require additional services derived from these conditions. The aim of this study was to culturally adapt the scale to the Spanish population and to evaluate its psychometric properties.
Material And Methods:
We conducted a cross-sectional study using a scale comprised of five dichotomous items addressed to mothers and fathers. If participants answered affirmatively, the corresponding subitems were included. We calculated descriptive statistics and performed confirmatory factor analysis (CFA). Reliability was assessed through internal consistency by means of the Cronbach α coefficient, corrected item-total correlations, the Cronbach α if item deleted and test-retest reliability. We also calculated the kappa coefficient and the intraclass correlation coefficient (ICC).
Results:
A total of 987 parents (mothers and fathers) of children and adolescents aged 3 to 18 years enrolled in public schools in Andalusia participated in the study. The CFA fit indices were adequate (χ²(30) = 87.490, χ²/df = 2.926, CFI = 0.998, TLI = 0.992, RMSEA = 0.044, SRMR = 0.0138). The Cronbach α was 0.827 for the main items and 0.840 for the sub-items. ICC values exceeded 0.90, and Kappa values were greater than 0.60.
Conclusions:
The Spanish version of the CSHCN Screener shows adequate psychometric properties. Thanks to this instrument, it is possible to detect Spanish children and adolescents with special health care needs in schools and it also facilitates the design of future interventions adapted to the characteristics of this population.
