Objective To revise the Parenting Competence Scale based on the specific characteristics and context of patients with breast cancer, to test its reliability and validity, and to provide a reliable measurement tool for research on parenting competence in patients with breast cancer. Methods Based on the Chinese version of the Parenting Competence Scale, the Parenting Competence Scale for Breast Cancer Patients was developed after literature review, semi-structured interviews, group discussions, Delphi expert consultation, and a pilot survey. A convenience sample of 533 breast cancer patients was selected between June and August 2024 to test the reliability and validity of the revised scale. Results The revised scale showed that the critical ratio value of the high and low groups of each item ranged from 3.191 to 12.075 (all P<0.01). The correlation coefficients between each item and the total score were 0.422 to 0.640 (P<0.01). The content validity results showed that the content validity index for individual items ranged from 0.857 to 1.000, and the overall content validity index for consistency was 0.982. Exploratory factor analysis extracted two common factors, with a cumulative variance contribution rate of 61.393%. Confirmatory factor analysis demonstrated good model fit. Convergent validity and composite reliability both reached good standards. Criterion-related validity showed that the score of the scale was negatively correlated with that of anxiety (r=-0.399, P<0.01) and depression of the hospital (r=-0.396, P<0.01). The Cronbach’s α coefficient for the total scale was 0.871, and the Cronbach’s α coefficients for each dimension were 0.907 and 0.920, respectively. The split-half reliability was 0.908, and the test-retest reliability of the total scale 0.848. Conclusion The revised Parenting Competence Scale for Breast Cancer Patients has good reliability and validity, and it can be used to assess the parenting competence of breast cancer patients in the Chinese mainland.
Key words
breast neoplasm /
parenting competence /
reliability /
validity
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