Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study

BackgroundThere are no specific validated questionnaires assessing satisfaction of family-centered care experienced by parents of infants hospitalized in Chinese Neonatal Intensive Care Units (NICU).AimTo adapt and test the reliability and validity of the Chinese version of the EMPATHIC-30 questionn...

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Main Authors: Yan Zhuang, Rong Zhang, Xi-rong Gao, Li-hui Zhu, Jos M. Latour
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.851291/full
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author Yan Zhuang
Rong Zhang
Xi-rong Gao
Li-hui Zhu
Jos M. Latour
Jos M. Latour
author_facet Yan Zhuang
Rong Zhang
Xi-rong Gao
Li-hui Zhu
Jos M. Latour
Jos M. Latour
author_sort Yan Zhuang
collection DOAJ
description BackgroundThere are no specific validated questionnaires assessing satisfaction of family-centered care experienced by parents of infants hospitalized in Chinese Neonatal Intensive Care Units (NICU).AimTo adapt and test the reliability and validity of the Chinese version of the EMPATHIC-30 questionnaire in NICU settings.MethodsA prospective, cross-sectional design was adopted. The EMPATHIC-30 questionnaires were completed by parents of infants admitted to one of the four NICUs at Hunan Children's Hospital, China, between November 2018 and 2019. Inclusion criteria were parents whose infants were admitted to the NICU for at least 5 days. Exclusion criteria were parents whose children were discharged within 5 days after admission or whose infants died in the NICU. Reliability was tested with Cronbach's alpha. The congruent validity was tested using Spearman's Rank correlation analysis, and the non-differential validity was tested using Cohen's d.ResultsParents of 619 infants discharged from the NICUs completed and returned the questionnaire. Most infants were male (n = 337, 54.4%) and infants' length of stay was a median of 21 days (IQR = 14–37). Mostly, mothers completed the questionnaire (n = 523, 84.5%). The Cronbach's alpha values of the five individual domains were between 0.67 and 0.95, and the alpha of the total questionnaire was.90, providing an adequate internal consistency. Congruent validity was measured by correlating the five domains with four standard satisfaction scales, documenting a weak correlation (rs −0.025–0.327). Non-differential validity showed some significant effect size between four binary variables (mechanical ventilation, unplanned admission, admission after surgery, length of stay) four of the five domains.ConclusionThe Chinese version of EMPATHIC-30 questionnaire showed acceptable psychometric properties. This instrument might be considered a suitable instrument to measure parent satisfaction among Chinese parents whose infants are admitted to an NICU. Measuring parent satisfaction with this instrument might contribute to improving family-centered care initiatives in NICUs with Chinese parents.
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spelling doaj.art-94634e7eebb34ca08b2ae890d9be4fb42022-12-21T18:19:12ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-03-011010.3389/fped.2022.851291851291Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional StudyYan Zhuang0Rong Zhang1Xi-rong Gao2Li-hui Zhu3Jos M. Latour4Jos M. Latour5Neonatal Department, Hunan Children's Hospital, Changsha, ChinaNeonatal Department, Hunan Children's Hospital, Changsha, ChinaNeonatal Department, Hunan Children's Hospital, Changsha, ChinaNursing Department, Hunan Children's Hospital, Changsha, ChinaNursing Department, Hunan Children's Hospital, Changsha, ChinaFaculty of Health, University of Plymouth, Plymouth, United KingdomBackgroundThere are no specific validated questionnaires assessing satisfaction of family-centered care experienced by parents of infants hospitalized in Chinese Neonatal Intensive Care Units (NICU).AimTo adapt and test the reliability and validity of the Chinese version of the EMPATHIC-30 questionnaire in NICU settings.MethodsA prospective, cross-sectional design was adopted. The EMPATHIC-30 questionnaires were completed by parents of infants admitted to one of the four NICUs at Hunan Children's Hospital, China, between November 2018 and 2019. Inclusion criteria were parents whose infants were admitted to the NICU for at least 5 days. Exclusion criteria were parents whose children were discharged within 5 days after admission or whose infants died in the NICU. Reliability was tested with Cronbach's alpha. The congruent validity was tested using Spearman's Rank correlation analysis, and the non-differential validity was tested using Cohen's d.ResultsParents of 619 infants discharged from the NICUs completed and returned the questionnaire. Most infants were male (n = 337, 54.4%) and infants' length of stay was a median of 21 days (IQR = 14–37). Mostly, mothers completed the questionnaire (n = 523, 84.5%). The Cronbach's alpha values of the five individual domains were between 0.67 and 0.95, and the alpha of the total questionnaire was.90, providing an adequate internal consistency. Congruent validity was measured by correlating the five domains with four standard satisfaction scales, documenting a weak correlation (rs −0.025–0.327). Non-differential validity showed some significant effect size between four binary variables (mechanical ventilation, unplanned admission, admission after surgery, length of stay) four of the five domains.ConclusionThe Chinese version of EMPATHIC-30 questionnaire showed acceptable psychometric properties. This instrument might be considered a suitable instrument to measure parent satisfaction among Chinese parents whose infants are admitted to an NICU. Measuring parent satisfaction with this instrument might contribute to improving family-centered care initiatives in NICUs with Chinese parents.https://www.frontiersin.org/articles/10.3389/fped.2022.851291/fullneonatologyparentsinfantspatient satisfactionNeonatal Intensive Care UnitEMPATHIC-30
spellingShingle Yan Zhuang
Rong Zhang
Xi-rong Gao
Li-hui Zhu
Jos M. Latour
Jos M. Latour
Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
Frontiers in Pediatrics
neonatology
parents
infants
patient satisfaction
Neonatal Intensive Care Unit
EMPATHIC-30
title Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
title_full Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
title_fullStr Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
title_full_unstemmed Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
title_short Validation of the Chinese Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire Among Parents in Neonatal Intensive Care Units: A Prospective Cross-Sectional Study
title_sort validation of the chinese empowerment of parents in the intensive care empathic 30 questionnaire among parents in neonatal intensive care units a prospective cross sectional study
topic neonatology
parents
infants
patient satisfaction
Neonatal Intensive Care Unit
EMPATHIC-30
url https://www.frontiersin.org/articles/10.3389/fped.2022.851291/full
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