儿童幸福图片量表的开发与验证©使用混合方法研究设计。

IF 2.4 Q1 NURSING

Nursing Reports Pub Date : 2025-01-20 DOI:10.3390/nursrep15010029

Judith Quaranta, Rosa Darling, Mei-Hsiu Chen, Julia DeMartino, Madison Kozlowski

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引用次数: 0

摘要

背景/目的：幸福感下降可能是心理健康挑战的前兆。从2019年到2020年，5-11岁儿童的心理健康就诊增加了24%。2019冠状病毒病导致幼儿焦虑和抑郁程度创历史新高。这突出表明需要及早发现和干预幸福感下降，以防止发展为潜在的精神健康问题。我们研究的目的是开发儿童幸福图片量表©（PWBPS©），这是第一个基于图片的筛查工具，适用于8-11岁的儿童，无论其读写能力，语言技能和发育水平如何，都可以进行快速筛查，以便早期转诊和干预。方法：采用焦点小组和一对一访谈的混合方法设计研究内容效度、面效度、测试/重测信度、收敛效度和探索性因子分析。研究对象从公立小学招募。结果：参与受试者人数如下：焦点组N = 17；一对一访谈N = 12；N = 50为测试/重测信度；N = 237为收敛效度。主题分析的结果是一个10项、3点的基于图片的李克特量表。检验/重测信度显示出很强的相关性，ICC为0.823 （95% CI[0.690, 0.905]）。各给药组的Cronbach's alpha分别为0.74、0.74、0.84和0.89。收敛效度与KIDSCREEN-10的有效性相关。Spearman相关系数为0.64 （95% CI为[0.55,0.71]）。PWBPS©的分界点为18.5分，与KIDSCREEN-10的22分相关。将所有项加载到一个组件上。结论：这些发现表明PWBPS©是有效和可靠的，可以快速准确地评估儿童的健康状况，并允许早期干预，这是减少不良心理健康负面影响的关键。

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Development and Validation of the Pediatric Well-Being Picture Scale© Using a Mixed-Methods Research Design.

Background/Objectives: Decreased well-being may be a precursor to mental health challenges. Mental health visits for 5-11-year-old children increased by 24% from 2019 to 2020. COVID-19 led to record high levels of anxiety and depression in young children. This highlights the need for early identification and intervention of decreased well-being to prevent progression to potential mental health issues. The purpose of our research was to develop the Pediatric Well-Being Picture Scale© (PWBPS©), the first picture-based screening tool for ages 8-11 years, accessible to children regardless of their literacy, language skill, and developmental levels, allowing for quick screening for early referral and intervention. Methods: The mixed-methods research design included focus groups and one-on-one interviews for content and face validity, test/retest reliability, convergent validity, and exploratory factor analysis. Subjects were recruited from public elementary schools. Results: The numbers of participating subjects were as follows: N = 17 for focus groups; N = 12 for one-on-one interviews; N = 50 for test/retest reliability; and N = 237 for convergent validity. Thematic analysis resulted in a 10-item, 3-point picture-based Likert scale. The test/retest reliability demonstrated strong correlations, with an ICC of 0.823 (95% CI [0.690, 0.905]). The Cronbach's alpha for all the administrations was 0.74, 0.74, 0.84, and 0.89. The convergent validity demonstrated correlation with the validated KIDSCREEN-10. The Spearman's correlation was 0.64 (95% CI as [0.55, 0.71]). The cutoff for the PWBPS© was 18.5, which correlated to a score of 22 on the KIDSCREEN-10. All the items loaded on one component. Conclusions: These findings demonstrate that the PWBPS© is valid and reliable, allowing for quick and accurate assessments of children's well-being and allowing for early intervention, which is key to reducing the negative effects of poor mental well-being.

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.