Highlights
- •The NPI explores the biopsychosocial health needs of 2- to 6-year-olds.
- •The NPI is a parent self-report questionnaire that includes seven factors.
- •The NPI questionnaire has been shown to be valid and reliable.
- •The NPI will be useful for analyzing children's global health needs.
- •The NPI allows for designing and assessing tailor-made health promotion programs.
Abstract
Purpose
This study aimed to develop and validate a parent self-report questionnaire to explore
global health needs in 2- to 6-year-old children.
Design and methods
The development of the tool started with a conceptualization phase, followed by the
design, pilot testing and psychometric validation of the questionnaire. The construct
validity was assessed. Exploratory factor analysis (EFA) and confirmatory factor analysis
(CFA) were carried out to explore the construct validity of the questionnaire. The
normed fit index (NFI), root mean square error of approximation (RMSEA), chi square
test and comparative fit index (CFI) were used to test the goodness-of-fit. Reliability
was explored through Cronbach's alpha for internal consistency.
Results
A total of 973 parents completed the 119 items of the Necesidades de salud de la Población Infantil (NPI) questionnaire for the psychometric validation stage. The EFA identified seven
factors: Lifestyles, Promotion of healthy lifestyles and influence of significant
persons, Children's socioemotional aspects, Parents' socioemotional aspects, Parental
self-efficacy, Situational influences, Professional advice. All the factors showed
good internal consistency (Cronbach's alpha >0.7). The CFA showed good adjustment
to the model (RMSEA = 0.048). The values of NFI and CFI were 0.741 and 0.779 respectively.
Conclusions
The NPI questionnaire is a reliable and valid instrument.
Practice implications
The seven-factor questionnaire will be useful for analyzing children's global health
needs, designing health promotion programs according to identified needs and assessing
related interventions.
Keywords
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References
- Factor analysis: Exploratory and confirmatory.in: Hancock G.R. Stapleton L.M. Mueller R.O. The reviewer's guide to quantitative methods in the social sciences. Routledge, New York, NY2018: 98-122
- Health promotion by social cognitive means.Health Education & Behavior. 2004; 31: 143-164https://doi.org/10.1177/1090198104263660
- Análisis factorial confirmatorio. Su utilidad en la validación de cuestionarios relacionados con la salud [confirmatory factor analysis. Its role on the validation of health related questionnaires].Medicina Clínica. 2004; 122: 21-27https://doi.org/10.1157/13057542
- Reliability and validity of the early years physical activity questionnaire (EY-PAQ).Sports (Basel). 2016; 4E30https://doi.org/10.3390/sports4020030
- Differences in home food and activity environments between obese and healthy weight families of preschool children.Journal of Nutrition Education and Behavior. 2013; 45: 222-231https://doi.org/10.1016/j.jneb.2012.09.012
- Normas para el desarrollo y revisión de estudios instrumentales [Norms to development and to review instrumental studies].International Journal of Clinical and Health Psychology. 2005; 5: 521-551
- The foundations of lifelong health are built in early childhood.Harvard University, Cambridge, MA2010
- From best practices to breakthrough impacts: A science-based approach to building a more promising future for young children and families.http://www.developingchild.harvard.edu(Accessed 15 January 2020)Date: 2016
- An investigation of relationships between employees' safety and productivity.in: Proceedings of the 3rd international conference on engineering, project and production management (EPPM2012). 2012: 10-11 (Available from: https://pdfs.semanticscholar.org/8cc8/e4041cb1ee97b67ca433d3ad6661232abc60.pdf. Access date: 01/07/2020)
- A first course in factor analysis.Taylor & Francis, New York, NY2013
- Health promotion: Models and values.Oxford University Press, Oxford, UK1990
- Health-related quality of life of infants from ethnic minority groups: The generation R study.Quality of Life Research. 2013; 22: 653-664https://doi.org/10.1007/s11136-012-0184-9
- Childhood origins of adult health: A basis for life-course health policy.Health Affairs. 2004; 23: 155-164https://doi.org/10.1377/hlthaff.23.5.155
- Health education: Creating strategies for school and community health.Jones and Bartlett Learning, Burlington, MA2015
- Methodology of young minds matter: The second australian child and adolescent survey of mental health and wellbeing.Australian and New Zealand Journal of Psychiatry. 2016; 50: 866-875https://doi.org/10.1177/0004867415622270
- Multivariate data analysis: A global perspective.7th ed. Pearson Prentice Hall, London2010
- Handbook of life course health development.Springer International Publishing, Cham, Switzerland2017
- Starting young: Promoting a healthy lifestyle with children.Journal of Cardiovascular Nursing. 2010; 25: 228-232https://doi.org/10.1097/JCN.0b013e3181cec6ba
- Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives.Structural Equation Modeling: A Multidisciplinary Journal. 1999; 6: 1-55
- Potential roles of parental self-efficacy in parent and child adjustment: A review.Clinical Psychology Review. 2005; 25: 341-363https://doi.org/10.1016/j.cpr.2004.12.004
- A rapid screening tool for psychological distress in children 3-6years old: Results of a validation study.BMC Psychiatry. 2012; 12: 170https://doi.org/10.1186/1471-244x-12-170
- Design and use of questionnaires: A review of best practice applicable to surveys of health service staff and patients.Health Technology Assessment. 2001; 5: 1-256https://doi.org/10.3310/hta5310
- A new framework for childhood health promotion: The role of policies and programs in building capacity and foundations of early childhood health.American Journal of Public Health. 2012; 102: 1688-1696https://doi.org/10.2105/ajph.2012.300687
- Early childhood development and the social determinants of health inequities.Health Promotion International. 2015; 30 (ii102–ii115)https://doi.org/10.1093/heapro/dav031
- Assessing nursing care needs of children with complex medical conditions: The nursing-kids intensity of care survey (N-KICS).Journal of Pediatric Nursing. 2016; 31: 299-310https://doi.org/10.1016/j.pedn.2015.11.012
- Biostatistics: The bare essentials.People's Medical Publishing House-USA, Shelton, CT2014
- The centrality of health behaviours: A network analytic approach.British Journal of Health Psychology. 2019; 24: 215-236https://doi.org/10.1111/bjhp.12350
- Psychometric theory.McGraw-Hill, New York, NY1994
- What do parents need to enhance participation of their school-aged child with a physical disability? A cross-sectional study in the Netherlands.Child: Care, Health and Development. 2015; 41: 84-92https://doi.org/10.1111/cch.12145
- Factor analysis and scale revision.Psychological Assessment. 2000; 12: 287-297https://doi.org/10.1037//1040-3590.12.3.287
- Revisiting the health belief model: Nurses applying it to young families and their health promotion needs.Nursing & Health Sciences. 2004; 6: 1-10https://doi.org/10.1111/j.1442-2018.2003.00167.x
- Introducción a los modelos multivariables. Regresión lineal múltiple. [Introduction to multivariable models. Multiple linear regression].in: Martínez-González M. Sánchez-Villegas A. Toledo-Atucha E. Faulin-Fajardo J. Bioestadística amigable [Friendly Biostatistics]. Elsevier, Barcelona, Spain2014: 1-11
- Health decision making.Consumer Psychology Review. 2018; 1: 107-122https://doi.org/10.1002/arcp.1008
- Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention.JAMA. 2009; 301: 2252-2259https://doi.org/10.1001/jama.2009.754
- Children's health, the nation's wealth: Assessing and improving child health.Ambulatory Pediatrics. 2005; 5: 131-133https://doi.org/10.1367/1539-4409(2005)5[131:CHTNWA]2.0.CO;2
- Factorial validity of the movement assessment battery for children-2 (age band 2).Research in Developmental Disabilities. 2011; 32: 674-680https://doi.org/10.1016/j.ridd.2010.11.016
- Paternal self-efficacy for promoting children's obesity protective diets and associations with children's dietary intakes.International Journal of Behavioral Nutrition and Physical Activity. 2019; 16: 53https://doi.org/10.1186/s12966-019-0814-5
- Exploratory factor analysis: A guide to best practice.Journal of Black Psychology. 2018; 44: 219-246https://doi.org/10.1177/0095798418771807
- The 3600 CHILD-profile, a reliable and valid tool to visualize integral child-information.Preventive Medicine Reports. 2018; 9: 29-36https://doi.org/10.1016/j.pmedr.2017.12.005
- Development and initial validation of the parental PELICAN questionnaire (PaPEQu)—An instrument to assess parental experiences and needs during their child's end-of-life care.Journal of Advanced Nursing. 2015; 71: 3006-3017https://doi.org/10.1111/jan.12741
Article Info
Publication History
Published online: August 06, 2020
Accepted:
July 20,
2020
Received in revised form:
July 16,
2020
Received:
January 15,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
