Development and Validation of a Parenting Stress Module for Parents of Children Using Cochlear Implants. (18th March 2022)

• Record Type: Journal Article
• Authors: Cejas, Ivette; Coto, Jennifer; Sarangoulis, Christina; Hoffman, Michael F; Quittner, Alexandra L
• Is Part Of: Journal of pediatric psychology. Volume 47:Number 7(2022)
• Page Start: 785
• Page End: 794
• Publication Date: 2022-03-18
• Subjects: deafness and hearing loss -- infancy and early childhood -- measure validation -- parenting; Clinical child psychology -- Periodicals; 618.9289005
• DOI: 10.1093/jpepsy/jsac018
• Languages: English
• ISSNs: 0146-8693

Abstract

Abstract: Objectives: The purpose of this study was to develop and validate a cochlear implant (CI)-specific parenting stress measure using the FDA Guidance on Patient-Reported Outcomes (2009). Methods: The development and psychometric validation of the Parenting Stress-CI module for both the Early Childhood (EC; 0–5 years) and School-Age (SA; 6–12 years) versions are reported in this article. Instrument development consisted of qualitative interviews with parents of children with CIs (EC: N = 19; SA: N = 21), content analysis, item development, and cognitive testing of the instrument. Last, we conducted the psychometric validation (EC: N = 72; SA: N = 64), including analyses of internal consistency, test–retest reliability (∼2 weeks between administrations; N = 24), and convergent validity with the Parenting Stress Index-4 (PSI-4). Results: The final EC version includes 15 questions, and the SA version includes 8 questions. Both the EC and SA versions had strong reliability (EC α = .88; SA α = .85), with all items significantly correlated with the overall module ( r = .43–.80). Both versions also had strong test–retest reliability ( r = .99, p < .001). Last, analyses of convergent validity demonstrated significant correlations with the PSI-4 Total Stress scale for both Parenting Stress-CI versions (EC r = .66, p < .00; SA r = .45, p < .001). Conclusions: The Parenting Stress-CI modules are reliable and valid condition-specific parenting stress instruments for parents of children with CIs ages 0–12 years, filling a significant gap in the literature. These fully validated instruments can be used to assess parental needs for support and guide the development of targeted, family centered interventions.