Development of the Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively
Objective To develop the Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively,to test its reliability and validity,and to provide a valid tool to assess the caregiving ability of primary caregivers of these infants.Methods Based on the Caregiver Care Ability-Effect model,combined with the literature review method and semi-structured interview results,the scale dimensions and item pool were preliminarily constructed,and the initial scale was formed through the expert group meeting method and pre-survey.Convenience sampling was used to select 360 primary caregivers of postoperative infants with congenital heart disease for questionnaire survey.Reliability and validity testing of the scale was per-formed with the survey data.Results The final version of the scale included 4 dimensions of care knowledge,care skills,personal quality of caregivers,management of family and social resources,totaling 29 items.Exploratory factor analysis extracted 4 com-mon factors,and the cumulative variance contribution rate was 74.604%.The average content validity index(CVI)of the scale was 0.982,the item-level CVI ranged between 0.900-1.000;the overall Cronbach's α coefficient of the scale was 0.956,the o-verall Omega reliability of the scale was 0.949,the split-half reliability was 0.846,and the retest reliability after 2 weeks was 0.873.The results of confirmatory factor analysis showed that the model was fitted.The combined reliability coefficient of the four dimensions of the scale ranged between 0.901-0.964,the convergent validity index AVE ranged between 0.651-0.756,and the square root of AVE of each dimension was 0.807-0.869.Conclusion The Caregiving Ability Assessment Scale for Primary Caregivers of Infants with Congenital Heart Disease Post-Operatively is reliable and effective.It can be used to evaluate the caregiving ability of primary caregivers of postoperative infants with congenital heart disease.