We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Desarrollo y validación de un instrumento para la evaluación de los subsistemas familiares de pacientes pediátricos hospitalizados por enfermedad crónica (eSisFam).
- Authors
Rojas-Carrasco, Karmina Elena; Benjet, Corina; Robles García, Rebeca; Reidl Martínez, Lucy
- Abstract
Background According to the family systems model, the family consists of three main subsystems: marital, parental and filial, all of which perform specific functions. A chronic pediatric illness presents challenges to these subsystems leading family members to make the necessary adjustments in order to maintain system balance. The evaluation of families in a public hospital setting is hampered by time constraints and limited human resources to carry out a precise evaluation. Objective The aim of this study was to develop and validate a practical instrument for, evaluation of family subsystems during the hospitalization of a pediatric patient with a chronic illness (eSisFam). Method Based on a review of scientific literature and well-known family functioning instruments, a new measure with four sections was developed: the general system and the marital, parental and filial subsystems. This was applied to 312 primary caregivers of chronically ill hospitalized pediatric patients in a public pediatric hospital. Likert-type items with four response options were self-administered with a computer program. Content validity, construct validity and reliability were assessed. Results Content validity was obtained by 80% agreement between judges. Construct validity was evaluated by exploratory factor analysis, resulting in three factors for the general system (cohesion, communication and adaptation); two for the marital subsystem (affective-sexual relationship and distancing-infidelity); three for the parental subsystem (well-being, shared responsibility and care of siblings), and three for the filial subsystem (well-being, illness knowledge and acceptation-participation). We assessed the internal consistency with Cronbach's alpha coefficients; these were higher than 0.80 in all subscales. Discussion and conclusion The instrument (eSisfam) that was developed is a valid and reliable measure to assess general family system functioning and marital, parental and filial subsystems. This measure could be used in pediatric hospitals for the early detection of family situations that might interfere with child or adolescent medical attention.
- Subjects
FAMILY assessment; PEDIATRICS; CHRONIC diseases; CHILDREN'S health; FAMILY relations; MEDICAL care
- Publication
Salud Mental, 2015, Vol 38, Issue 4, p259
- ISSN
0185-3325
- Publication type
Article
- DOI
10.17711/SM.0185-3325.2015.036