Cross-cultural adaptation of the Preterm Parenting &amp; Self-efficacy Checklist

A methodological study was carried out with 51 parents of premature infants. Data analysis was based on psychometric and inferential statistical analyses.

Results:

The instrument content validation by experts obtained excellent agreement (97%) and the semantic analysis by the target population showed good understanding of the terms and ease of use. In test-retest, most participants were female (64.7%); and parents with higher education (47.1%). The instrument showed stability over time, with good internal consistency (α = 0.84). Four factors were generated in the subscales parenting self-efficacy, importance of tasks and self-perceived parental competence (67.0% to 74.2% of the variance).

Conclusion:

The properties of the Preterm Parenting & Self-Efficacy Checklist – Brazilian Version were maintained, which is a reliable indicator to evaluate the hospital discharge of premature infants.

Descriptors:
Self-efficacy; Parents; Infant, Premature; Validation Studies; Neonatal Nursing

Questions		Component
Questions		1	2	3	4
Parental Self-Efficacy	Q^* * Q=Question. .28 Confidence in understanding infant signs	0.834
	Q.13 Confidence in safe sleeping methods	0.789
	Q.19 Confidence in resuscitation	0.783
	Q.22 Confidence in safe transportation	0.594
	Q.25 Confidence in dealing with restlessness and crying	0.583
	Q.16 Confidence in diaper change		0.837
	Q.10 Confidence in providing infant health care		0.799
	Q.1 Confidence in the bath		0.747
	Q.7 Confidence in feeding the infant		0.714
	Q.4 Confidence in calming down		0.657
	Q.31 Confidence in the adaptation to the infant			0.928
	Q.34 Confidence in caring with a partner as a team				0.969
Importance of Tasks	Q.26 Importance in dealing with restlessness and crying	0.863
	Q.5 Importance in calming down	0.823
	Q.29 Importance in understanding infant signs	0.759
	Q.17 Importance in diaper change		0.842
	Q.2 Importance in bath		0.746
	Q.8 Importance in feeding		0.726	0.726
	Q.23 Importance in safe transportation			0.804
	Q.11 Importance in providing infant health care			0.793
	Q.14 Importance in safe sleeping methods			0.730
	Q.35 Importance in caring with a partner as a team				0.716
	Q.20 Importance in resuscitation				0.689
	Q.32 Importance in the adaptation to the infant				0.533
Self-Perceived Parental Competence	Q.3 Success in bath	0.776
	Q.21 Success in resuscitation	0.776
	Q.27 Success in dealing with restlessness and crying	0.765
	Q.12 Success in providing infant health care	0.747
	Q.24 Success in safe transportation	0.729
	Q.18 Success in diaper change	0.701
	Q.9 Success in feeding	0.598
	Q.15 Success in safe sleeping methods		0.929
	Q.6 Success in calming down		0.776	0.766
	Q.36 Success in caring for with a partner as a team			0.766
	Q.30 Success in understanding infant signs			0.754
	Q.33 Success in adaptation to the infant				0.892

Scale items		Sex		p value*
		Female (n = 33)	Male (n = 18)
		Mean/Standard Deviation
Parental Self-Efficacy	Q*.1 Confidence in bath	6.09 (± 0.95)	5.83 (± 1.25)	0.504
	Q.4 Confidence in calming down	6.15 (± 0.83)	6.11 (± 0.68)	0.710
	Q.7 Confidence in feeding	6.15 (± 1.18)	5.83 (± 1.38)	0.444
	Q.10 Confidence in providing infant health care	6.39 (± 0.56)	6.33 (± 0.69)	0.859
	Q.13 Confidence in safe sleeping methods	5.97 (± 0.88)	5.89 (± 0.83)	0.638
	Q.16 Confidence in diaper change	6.73 (± 0.45)	6.11 (± 1.28)	0.030
	Q.19 Confidence in resuscitation	4.33 (± 2.06)	4.39 (± 1.46)	0.718
	Q.22 Confidence in safe transportation	5.91 (± 0.80)	6.17 (± 0.62)	0.268
	Q.25 Confidence in dealing with restlessness and crying	5.94 (± 0.86)	5.89 (± 0.76)	0.789
	Q.28 Confidence in understanding infant signs	5.85 (± 0.83)	5.39 (± 0.92)	0.092
	Q.31 Confidence in infant adaptation	7.30 (± 1.19)	7.56 (± 0.92)	0.425
	Q.34 Confidence in caring with a partner as a team	6.64 (± 0.60)	6.56 (± 0.62)	0.867
Importance of Tasks	Q.2 Importance in bath	6.64 (± 0.65)	6.56 (± 0.51)	0.368
	Q.5 Importance in calming down	6.61 (± 0.61)	6.50 (± 0.51)	0.351
	Q.8 Importance in feeding	6.73 (± 0.45)	6.67 (± 0.49)	0.653
	Q.11 Importance in providing infant health care	6.79 (± 0.42)	6.72 (± 0.46)	0.601
	Q.14 Importance in safe sleeping methods	6.67 (± 0.48)	6.39 (± 0.78)	0.203
	Q.17 Importance in diaper change	6.67 (± 0.48)	6.50 (± 0.62)	0.368
	Q.20 Importance in resuscitation	6.55 (± 1.18)	6.44 (± 1.04)	0.454
	Q.23 Importance in safe transportation	6.61 (± 0.56)	6.56 (± 0.51)	0.643
	Q.26 Importance in dealing with restlessness and crying	6.67 (± 0.48)	6.06 (± 0.73)	0.001
	Q.29 Importance in understanding infant signs	6.73 (± 0.57)	6.28 (± 0.83)	0.017
	Q.32 Importance in infant adaptation	7.61 (± 0.61)	7.67 (± 0.69)	0.521
	Q.35 Importance in caring with a partner as a team	6.88 (± 0.48)	6.89 (± 0.32)	0.886
Self-Perceived Parental Competence	Q.3 Success in bath	6.15 (± 1.23)	5.56 (± 1.25)	0.032
	Q.6 Success in calming down	5.97 (± 0.85)	6.00 (± 0.77)	0.905
	Q.9 Success in feeding	6.18 (± 1.07)	5.94 (± 1.35)	0.775
	Q.12 Success in providing infant health care	6.33 (± 0.60)	6.39 (± 0.61)	0.738
	Q.15 Success in safe sleeping methods	6.15 (± 0.76)	6.17 (± 0.79)	0.887
	Q.18 Success in diaper change	6.55 (± 0.67)	5.94 (± 1.35)	0.080
	Q.21 Success in resuscitation	7.61 (± 0.93)	6.83 (± 2.04)	0.099
	Q.24 Success in safe transportation	6.03 (± 1.19)	6.17 (± 0.51)	0.834
	Q.27 Success in dealing with restlessness and crying	5.97 (±0.85)	5.83 (±0.71)	0.580
	Q.30 Success in understanding infant signs	5.91 (± 0.91)	5.56 (± 0.98)	0.150
	Q.33 Success in infant adaptation	7.30 (± 1.10)	7.50 (± 0.92)	0.597
	Q.36 Success in caring with a partner as a team	6.39 (± 1.00)	6.44 (± 1.25)	0.259

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[1] Corresponding Author: Carolina Queiroz de Souza Mendes. E-mail: carolqsmendes@yahoo.com.br