Empowering Parents of Australian Infants and Children in Hospital: Translation, Cultural Adaptation, and Validation of the EMpowerment of PArents in The Intensive Care-30-AUS Questionnaire

Gill, Fenella J.; Wilson, Sally; Aydon, Laurene; Leslie, Gavin; Latour, Jos M.

doi:10.1097/pcc.0000000000001309

Cited by 12 publications

(17 citation statements)

References 19 publications

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“…The EMPATHIC-38-NICU-USA and EMPATHIC-30-NICU-USA demonstrated overall Cronbach's alphas of 0.94 and 0.92. These values are consistent with high Cronbach alphas in the Netherlands (0.93) ( 27 ), Spain (0.95) ( 31 ), and Australia (0.91) ( 33 ) and higher than in Greece (0.87) ( 29 ) and Brazil (>0.70 in all domains) ( 26 ). The EMPATHIC-NICU-USA versions had similar domain-level alphas (0.68–0.84) as other linguistic adaptations.…”

Section: Discussionsupporting

confidence: 81%

“…The remaining referenced papers did not report Spearman's correlation to demonstrate validity ( 28 , 29 ). The range of validity values of the EMPATHIC-NICU-USA was consistent with the EMAPTHIC-30 in the Netherlands (0.37–0.51) ( 20 ), Australia (0.38–0.69) ( 33 ), and France and Switzerland (0.25–0.63) ( 32 ). The range of correlation coefficients was slightly lower than those seen by the EMPATHIC-65 in the Netherlands (0.40–0.59) ( 26 ) and was slightly higher than the coefficients demonstrated by the EMPATHIC-N in Italy (0.22–0.57) ( 30 ).…”

Section: Discussionsupporting

confidence: 69%

“…The concurrent validity indicators used were consistent with the general satisfaction items used in the countries Spain ( 31 ), the Netherlands ( 20 , 26 , 27 ), France ( 32 ), Switzerland ( 32 ), and Australia ( 33 ). The remaining referenced papers did not report Spearman's correlation to demonstrate validity ( 28 , 29 ).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, in other linguistic adaptations, the organization domain occasionally fell below the standard of 0.70. The EMPATHIC-30 exhibited an organization domain-level alpha of 0.56 from Spain ( n = 150) ( 31 ) and 0.56 from Australia ( n = 97) ( 33 ), and the EMPATHIC-65 showed an organization domain-level alpha of 0.58 from France ( n = 72) and Switzerland ( n = 100) ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

“…The EMPATHIC instruments were developed in the Netherlands and tested in Dutch but published in English-speaking journals for dissemination. A research team translated and culturally adapted the EMPATHIC-30 from Dutch to Australian English, resulting in the EMPATHIC-30-AUS, which they validated in the Australian setting of PICU, NICU, and pediatric inpatient wards ( 33 ). A USA English adaptation, however, has not been reported.…”

Section: Introductionmentioning

confidence: 99%

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Measuring Parent Satisfaction With Care in Neonatal Intensive Care Units: The EMPATHIC-NICU-USA Questionnaire

et al. 2020

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Background: Neonatal intensive care unit (NICU) patient satisfaction is measured as parent satisfaction. Parents are critical to the family-centered care model and can evaluate care. Several EMpowerment of PArents in THe Intensive Care (EMPATHIC) instruments were developed in the Netherlands to measure parent satisfaction with neonatal and pediatric intensive care. EMPATHIC instruments comprise five domains and a total score: information, care and treatment, organization, parental participation, and professional attitude. To our knowledge, the EMPATHIC has not been adapted for USA use. Objectives: (1) To select a relevant EMPATHIC instrument for our study. (2) To expand the content reflecting the role of nurses and the cultural heterogeneity of USA NICU infants. (3) To adapt the selected EMPATHIC instrument to USA English. (4) To establish psychometric properties of the linguistically adapted instrument. (5) To evaluate instrument performance with additional items. Methods: The EMPATHIC-30 was selected based on shortest length, high overlap with neonatal EMPATHIC-N, and availability of a validated Spanish-language version. Six items from the EMPATHIC-N were added, two of which were split into separate items, resulting in the EMPATHIC-38. A neonatal nurse practitioner adapted wording to USA English. Cognitive debriefing was performed with eight NICU parents to evaluate adapted wording. Parent survey data from a study about missed nursing care and NICU parent satisfaction were utilized. Internal consistency of the five domains and overall score was measured by Cronbach's alpha. Spearman's rank correlations were computed for domains and overall score with four validity measures. Differential validity was determined using 13 parent demographic subgroups. Results: Data were from 282 parents. Parent race was predominantly White (61%) or Black (22%). One fifth were Hispanic. The adapted wording was satisfactory. Four of the five EMPATHIC-30 and EMPATHIC-38 domains had Cronbach alphas at or above 0.70, indicating acceptable reliability. Correlations between the domain, total scores, and validity indicators ranged from 0.30 to 0.57, indicating positive, moderate associations. Results were replicated in demographic subgroups. Reliability and validity of the three domains with additional items were better than or equivalent to values for the original. Conclusion: The linguistically adapted EMPATHIC-30-NICU-USA and the expanded EMPATHIC-38-NICU-USA exhibit satisfactory psychometric properties and are suitable for use in USA NICUs.

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