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Psychometric validation of Emotional Reaction Instrument-English to measure American children's emotional responses to hospitalisation.

Abstract：

AIMS AND OBJECTIVES:The aim of this study was to test the initial psychometric properties of the Emotional Reactions Instrument-English with hospitalised American children, ages 7-12 years, in the USA. BACKGROUND:Children's negative emotional responses have been a subject of concern for paediatric clinicians and researchers, especially because negative emotional responses following or during hospitalisation are associated with adverse patient outcomes. Existing self-report paediatric instruments have a number of limitations including lack of clinical feasibility and psychometric evidence. DESIGN:A survey and psychometric approach was used to test initial reliability and validity of the Emotional Reactions Instrument-ENGLISH. METHODS:Two hundred hospitalised American children, 7-12 years of age, who were admitted to a Children's Hospital in the USA were recruited for this study. The children were administered the Emotional Reactions Instrument-English, the Facial Affective Scale, and a demographic form. RESULTS:Internal consistency was supported by a Cronbach's alpha of 0·83 for the total scale. Alpha coefficients for subscales ranged from 0·59-0·82. Construct validity was tested with exploratory factor analysis. Through principal component analysis, four factors were identified that explained 64% of the variance. Concurrent validity was supported by most items in the Emotional Reactions Instrument-English being significantly correlated with the Facial Affective Scale (r = 0·18-0·59). The instrument can be administered to hospitalised children in 5-10 minutes. CONCLUSIONS:The results of this exploratory study provide initial support for the psychometric adequacy of the Emotional Reactions Instrument-English with hospitalised American children ages 7-12 years. Further testing of the Emotional Reactions Instrument-English is required to validate the subscales and evaluate the instrument's use with children of different ages, race and ethnicity. RELEVANCE TO CLINICAL PRACTICE:This study introduces a new, clinically feasible instrument to measure children's diverse emotional responses to hospitalisation.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Kim JS,Park JH,Foster RL,Tavakoli A

doi

10.1111/j.1365-2702.2012.04274.x

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

1541-51

issue

11-12

eissn

0962-1067

issn

1365-2702

journal_volume

pub_type

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Psychometric validation of Emotional Reaction Instrument-English to measure American children's emotional responses to hospitalisation.