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Development and Content Validation of the ACFP-DP: A Questionnaire on Parental Attitudes, Beliefs, and Knowledge
Abel Checa-Peñalver1,2, Inmaculada García-Valdivieso2, Juan Manuel Pérez-Pozuelo3
1Pediatric Inpatient Department, Toledo University Hospital (HUT), Toledo, Spain.
Insights
The ACFP-DP tool shows promise for assessing parental pediatric pain knowledge. Initial expert review and pilot testing indicate good content validity and comprehensibility for this important pediatric pain assessment.
Area of Science:
- Pediatric Healthcare
- Pain Management
- Health Psychology
Background:
- Parental attitudes, beliefs, and knowledge significantly influence pediatric pain management.
- A validated tool is needed to accurately assess these parental factors.
Purpose of the Study:
- To develop and conduct a preliminary content validation of the Attitudes, Beliefs, and Knowledge about Pediatric Pain (ACFP-DP) scale.
- To assess parental attitudes, beliefs, and knowledge regarding pediatric pain.
Main Methods:
- Methodological cross-sectional study involving expert content appraisal and pilot testing.
- An initial item pool was reviewed by 7 experts and pilot-tested with 41 parents of hospitalized children.
- Content validity indices (I-CVI, S-CVI/Ave) and modified kappa coefficients were calculated.
Main Results:
- Experts rated clarity, pertinence, and relevance with high agreement (Mean I-CVI=0.89, S-CVI/Ave=0.878-0.905).
- Modified kappa coefficients ranged from 0.66 to 1.00, indicating good inter-rater reliability.
- Pilot testing showed high self-reported comprehensibility (94.9%).
Conclusions:
- The ACFP-DP demonstrates preliminary content validity and high pilot comprehensibility.
- Further psychometric validation, including reliability and structural validity, is required before widespread use.
- This tool has the potential to improve the assessment of parental factors in pediatric pain management.
Abstract:
ACFP-DP was developed to assess parental attitudes, beliefs, and knowledge about pediatric pain. In this methodological cross-sectional study, an initial item pool was appraised by 7 of 20 invited experts and pilot-tested in 41 parents and guardians of hospitalized children. Experts rated clarity, pertinence, and relevance; I-CVI, S-CVI/Ave, and modified kappa coefficients were calculated. Mean I-CVI was 0.89 (range, 0.71-1.00), S-CVI/Ave values were 0.878 for clarity, 0.905 for pertinence, and 0.899 for relevance, and modified kappa ranged from 0.66 to 1.00. Overall self-reported comprehensibility was 94.9%. These findings provide preliminary evidence of content validity and high pilot comprehensibility, but not full psychometric validation. Further studies should assess reliability, structural validity, construct validity, and score interpretation before broader use.
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