中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (4): 386-391.DOI: 10.11852/zgetbjzz2021-0474

• 科研论著 • 上一篇    下一篇

婴幼儿回应性照护评价量表的初步编制与评价

黄楹*, 张海峰*, 童连   

  1. 复旦大学公共卫生学院妇幼与儿少卫生教研室;公共卫生安全教育部重点实验室,上海 200032
  • 出版日期:2022-04-10 发布日期:2022-04-11
  • 通讯作者: 童连, E-mail:ltong@fudan.edu.cn
  • 作者简介:黄楹(1995-),女,福建人,在读全日制MPH研究生,主要研究方向为婴幼儿托育和儿童早期发展;张海峰(1995-),男,安徽人,在读全日制MPH研究生,主要研究方向为婴幼儿托育和儿童早期发展。
  • 基金资助:
    国家社会科学基金(20BRK048);上海市第五轮公共卫生体系建设三年行动计划重点学科项目(GWV-10.1-XK08)

Preliminary development and evaluation of the Responsive Caregiving Rating Scale for children aged 0 to 4 years

HUANG Ying*, ZHANG Hai-feng*, TONG Lian   

  1. *Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University/Key Laboratory Public Health Safety, Chinese Ministry of Education, Shanghai 20032, China
  • Online:2022-04-10 Published:2022-04-11
  • Contact: TONG Lian, E-mail:ltong@fudan.edu.cn

摘要: 目的 开发适用于评价婴幼儿照护人回应性照护水平的量表,并检验其信效度。方法 以依恋理论为基础,参考国际上回应性照护评估量表,初步构建量表条目,2020年3—5月对2 759名0~4岁儿童家长进行问卷调查,进一步检验量表信效度。采用探索性因子分析与验证性因子分析检验量表的结构效度,长处与困难问卷(SDQ)被用于检测量表的同时效度。结果 探索性因子分析显示婴幼儿回应性照护评价量表包含“促进认知与情感发展”、“回应性”和“尊重自主性”3个因子,共16个条目,三因素模型可解释78.04%的总方差,验证性因子分析表明三因子构造模型拟合程度良好(CFI=0.971,TLI=0.965,RMSEA=0.069,SRMR=0.024)。总量表的Cronbach's α系数为0.97,“促进认知与情感发展”、“回应性”和“尊重自主性”这三个维度的Cronbach's α系数分别为0.95、0.93、0.91;心理行为问题筛查正常组与异常组儿童家长的回应性照护水平差异有统计学意义(Z=7.071,P<0.05),表明量表效度良好。结论 婴幼儿回应性照护评价量表具有良好的信效度,适用于评价婴幼儿照护人员的回应性照护质量。

关键词: 回应性照护, 量表, 信度, 效度, 婴幼儿

Abstract: Objective To develop the Responsive Caregiving Rating Scale for children aged 0 to 4 years (RCRS), and to testify its reliability and validity. Methods Based on attachment theory and the existing responsive caregiving scales, the original items of the scale were formed. A total of 2 759 parents whose children aged 0 to 4 years in Shanghai were recruited from March to May 2020, and each parent was asked to fill in an online questionnaire. Exploratory factor analysis and confirmatory factor analysis were performed to test the structural validity. The Strengths and Difficulties Questionnaire (SDQ) was used to test the concurrent validity. Results The exploratory factor analysis indicated that RCRS had 16 items grouped into three dimensions, which explained 78.04% of the total variance. The confirmatory factor analysis showed that the three-dimension model fit well (CFI=0.971, TLI=0.965, RMSEA=0.069, SRMR=0.024). The Cronbach's α coefficient for the overall scale was 0.97, which in the dimensions of promotion of cognitive and emotional development, responsive, respect for autonomy was 0.95, 0.93 and 0.91, respectively. The scores of RCRS were significantly different between the normal and the abnormal children evaluated by SDQ(Z=7.071,P<0.05). Conclusion The RCRC is demonstrated to be an ideal tool with good reliability and validity to assess the quality of responsive caregiving.

Key words: responsive caregiving, rating scale, reliability, validity, infants and toddlers

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