Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design and Population
2.1.1. Study Design
2.1.2. Settings and Population
2.1.3. Inclusion and Exclusion Criteria
2.2. Data Collection
2.2.1. Procedure
2.2.2. Instruments
- Child Information Form (CIF)
- Hospital Perception Scale for Healthy Children (HPSHC)
- Child medical fear scale (CMFS)
2.3. Scale Development Process
2.3.1. Content Validity
2.3.2. Face Validity
2.3.3. Item Analysis
2.3.4. Construct Validity
2.3.5. Reliability Analyses
- Reliability of Internal Consistency
- Measurer Reliability
- Invariance of Measurements
2.4. Evaluation of the Scale
2.5. Ethical Considerations
3. Results
3.1. General Characteristics of the Participants
3.2. Content Validity Studies and Analyses of the Draft Scale
3.2.1. Creating the Item Pool of the Draft Scale
3.2.2. Creation of the Draft Scale
3.2.3. Creation of the Expert Group
3.2.4. Obtaining and Evaluating Expert Opinions
3.3. Face Validity Analyses of the Draft Scale
3.4. Item Analyses of the Draft Scale
3.5. Construct Validity Analyses of the Draft Scale
Exploratory Factor Analysis
3.6. Reliability Analyses of the Scale
3.6.1. Internal Consistency Reliability Analysis
3.6.2. Measurer Reliability Analyses
3.6.3. Analysis of Invariance of Measurements
3.7. Scoring of the Scale
4. Discussion
4.1. Content Validity of the Scale
4.2. Face Validity of the Scale
4.3. Construct Validity of the Scale
4.4. Naming the Factors of the Scale
4.5. Reliability of Scale
- Limitations
- Strengths
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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No of Item | Factors, Items and Results | FL | a ITCC |
---|---|---|---|
Factor 1: Separation, α = 0.76, EV = 24.36% | |||
2 | When I go to the hospital, I think I will be separated from my friends. | 0.76 | 0.39 |
1 | When I go to the hospital, I think I will be separated from my family. | 0.74 | 0.37 |
3 | When I go to the hospital, I think I will be separated from my best friend. | 0.65 | 0.38 |
5 | When I go to the hospital, I think I will fall behind from my school work and classes. | 0.60 | 0.32 |
4 | When I go to the hospital, I think I will be alone. | 0.58 | 0.46 |
7 | When I go to the hospital, I think I will spend a lot of time there. | 0.42 | 0.57 |
Factor 2: Invasive and non-invasive interventions; α = 0.74, EV = 8.16% | |||
14 | When I go to the hospital, I think I am going to have an injection. | 0.75 | 0.44 |
15 | When I go to the hospital, I think blood will be drawn from my body. | 0.72 | 0.38 |
13 | When I go to the hospital, I think painful or discomforting procedures will be performed to me. | 0.57 | 0.51 |
16 | When I go to the hospital, I think doctors will keep examining me. | 0.56 | 0.46 |
11 | When I go to the hospital, I think tools will be inserted into me. | 0.48 | 0.53 |
Factor 3: Fear and loss of control; α = 0.63, EV = 7.26% | |||
9 | When I go to the hospital, I think I will be afraid to talk to the nurse and doctor. | 0.73 | 0.36 |
20 | I think the hospital is a scary place. | 0.55 | 0.46 |
18 | When I go to the hospital, I think I will be forced to lie on the examination table. | 0.55 | 0.45 |
23 | I think I will be unhappy in the hospital. | 0.49 | 0.36 |
17 | When I go to the hospital, I think that applications to my body will be made without my permission. | 0.46 | 0.34 |
Factor 4: Body image; α = 0.63, EV = 5.19% | |||
12 | When I go to the hospital, I think I will have an operation. | 0.69 | 0.46 |
19 | When I go to the hospital, I think I will become disabled. | 0.69 | 0.35 |
10 | When I go to the hospital, I think I will die. | 0.63 | 0.44 |
Factor 5: Physiological needs; α = 0.58, EV = 4.47% | |||
26 | In the hospital, I think that I will not be able to use the toilet comfortably. | 0.79 | 0.36 |
25 | In the hospital, I think I will be able to play. | 0.62 | 0.42 |
27 | In the hospital, I think I will have to eat foods I do not like. | 0.56 | 0.44 |
Factor 6: Hospital environment; α = 0.58. EV = 4.10% | |||
22 | I think the hospital is a noisy and crowded place. | 0.76 | 0.36 |
21 | I think of the hospital as a place where words I do not know are used. | 0.59 | 0.39 |
24 | I think there are strangers in the hospital. | 0.56 | 0.40 |
The total scale; α = 0.87, CEV = 53.57% |
Coefficients | Parts/Forms | Value | c N of the Items |
---|---|---|---|
Cronbach’s alpha | Part 1 | 0.80 | a 13 |
Part 2 | 0.77 | b 12 | |
Correlation between forms | 0.69 | ||
Guttman split-half | 0.81 | ||
Spearman–Brown | Equal length | 0.82 | |
Unequal length | 0.82 |
Categories | a Test–Retest | b Intraclass Correlation Coefficient | |||||||
---|---|---|---|---|---|---|---|---|---|
95% Confidence Interval | b F Test | ||||||||
a r | p | ICC | Lower Bound | Upper Bound | Value | df1 | df2 | p | |
Factor 1 | 0.721 | ˂0.0001 | 0.83 | 0.75 | 0.89 | 6.167 | 99 | 99 | ˂0.0001 |
Factor 2 | 0.579 | 0.72 | 0.59 | 0.81 | 3.692 | ||||
Factor 3 | 0.489 | 0.64 | 0.47 | 0.76 | 2.815 | ||||
Factor 4 | 0.572 | 0.72 | 0.53 | 0.81 | 3.657 | ||||
Factor 5 | 0.418 | 0.59 | 0.39 | 0.72 | 2.436 | ||||
Factor 6 | 0.368 | 0.53 | 0.31 | 0.68 | 2.162 | ||||
Total | 0.657 | 0.79 | 0.69 | 0.86 | 4.942 |
HPSHC | CMFS | |||||
---|---|---|---|---|---|---|
a Test | Factor 1 | Factor 2 | Factor 3 | Factor 4 | Total Scale | |
Factor 1 | r | 0.195 | 0.394 | 0.268 | 0.323 | 0.367 |
Factor 2 | r | 0.400 | 0.431 | 0.426 | 0.401 | 0.504 |
Factor 3 | r | 0.437 | 0.528 | 0.378 | 0.355 | 0.519 |
Factor 4 | r | 0.268 | 0.463 | 0.260 | 0.269 | 0.388 |
Factor 5 | r | 0.343 | 0.380 | 0.398 | 0.417 | 0.472 |
Factor 6 | r | 0.216 | 0.259 | 0.282 | 0.289 | 0.321 |
Total scale | r | 0.448 | 0.594 | 0.487 | 0.498 | 0.622 |
All p values are <0.0001 in correlation analysis. | ||||||
The 28-item HPSHC: mean ± SD = 46.92 ± 9.88 and variance = 97.733 | ||||||
The 25-item HPSHC: mean ± SD = 42.81 ± 9.15 and variance = 83.750 | ||||||
The 29-item CMFS: mean ± SD = 45.24 ± 10.16 and variance = 103.31 |
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Ekici, B. Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties. Children 2023, 10, 1706. https://doi.org/10.3390/children10101706
Ekici B. Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties. Children. 2023; 10(10):1706. https://doi.org/10.3390/children10101706
Chicago/Turabian StyleEkici, Behice. 2023. "Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties" Children 10, no. 10: 1706. https://doi.org/10.3390/children10101706
APA StyleEkici, B. (2023). Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties. Children, 10(10), 1706. https://doi.org/10.3390/children10101706