Abstract: Objective To develop the Caregiver's Nurturing Care Practice Questionnaire for children aged 0 - 3 years based on Chinese culture background, and to test its reliability and validity. Methods Through literature review and expert consensus, primary questionnaire was developed based on the nurturing care theory and Chinese infant and toddler nurturing culture.A pre-survey was conducted to screen items, then the final version of Caregiver's Nurturing Care Practice Questionnaire(C-NCPQ) was formed based on the expert workshop comments. A sample of 851 parents whose children were 0 - 3 years old were selected in this study to finish the questionnaire in order to test the reliability and validity of C-NCPQ. Data on Cronbach's α coefficient, split-half reliability and test-retest reliability were used to evaluate the reliability of the C-NCPQ. Validity evaluation was based on the construct validity and criteria validity, and the Index of Child Care Environment(ICCE) and the Child Home Nurture Environment Scale were used as criteria. Results C-NCPQ included 44 items in 6 dimensions, including nurturing pattern, healthcare, nutrition and feeding, responsive care, play experience and safety and security. The total Cronbach's α coefficient was 0.913, the Guttman split-half reliability coefficient was 0.853, and the correlation coefficient for the test-retest reliability was 0.745. The confirmatory factor analysis showed that six-dimension model fit well(χ²/df=2.77, RMSEA=0.046, CFI=0.833, TLI=0.819, SRMR=0.50). Factor load of each item was all ＞0.3(P＜0.001). The correlation coefficient between the ICCE and the C-NCPQ was 0.561, the correlation coefficients of C-NCPQ with Child Home Nurture Environment Scales for children aged 0 - 1 and 1 - 3 years were 0.406 and 0.600, respectively. Conclusions C-NCPQ is a simple and easy questionnaire with proven reliability and validity, which can be used to assess and guide nurturing care practices of families with infants and toddlers at the grassroots level.

Key words: infants and toddlers, nurturing care practice, questionnaire, reliability, validity

摘要： 目的 编制适用于我国文化背景下的0~3岁婴幼儿家长养育照护实践自评问卷并检验其信效度,为后续的研究者、儿童保健人员提供相关评估技术的方法学支撑。方法 通过查阅文献、专家共识,在养育照护理论框架的基础上,考虑我国婴幼儿养育文化,构建初始问卷。通过预调查对条目进行筛选,结合专家研讨会意见确定最终版婴幼儿家长养育照护实践自评问卷(C-NCPQ)。对北京、浙江及深圳共4所妇幼保健院的851名0~3岁婴幼儿主要养育人进行了调查,以评估C-NCPQ的信、效度,信度评价采用Cronbach's α系数、分半信度及重测信度;效度评价采用效标效度及结构效度,以育儿环境指数量表( ICCE)和儿童家庭养育环境量表作为效标。结果 构建的C-NCPQ包括养育方式、健康护理、营养喂养、回应性照护、玩耍体验、安全保障6个维度,共44个条目。总问卷的 Cronbach's α系数为0.913,分半信度为0.853,重测信度为0.745。验证性因子分析拟合指标提示模型拟合可接受(χ²/df=2.770,RMSEA=0.046,CFI=0.833,TLI=0.819,SRMR=0.50)。各条目因子载荷均＞0.3,差异具有统计学意义(P＜0.001)。总问卷与ICCE的效标相关系数为0.561,与家庭环境量表0~1岁版、1~3岁版的效标相关系数分别为0.406、0.600。结论 C-NCPQ问卷评估简单易行,经验证具有较好的信效度,可用于基层婴幼儿家庭的养育实践评估及指导。

关键词: 婴幼儿, 养育照护实践, 问卷, 信度, 效度