การพัฒนาเครื่องมือวัดความรอบรู้ด้านการดูแลสุขภาพเด็กของผู้ดูแล

Phatphitcha  Kruthangka; Duangkamon  Traiwichitkhun; Suwimon  Wongwanich

Authors

Phatphitcha Kruthangka Department of Educational Research and Psychology, Faculty of Education, Chulalongkorn University, Bangkok https://orcid.org/0000-0001-6624-0689
Duangkamon Traiwichitkhun Department of Educational Research and Psychology, Faculty of Education, Chulalongkorn University, Bangkok
Suwimon Wongwanich Department of Educational Research and Psychology, Faculty of Education, Chulalongkorn University, Bangkok

Keywords:

healthcare literacy, health literacy, nurturing care, child caregiver

Abstract

To take care of children to have well-being including physical, psychological, social, emotional, and intellectual health. Caregivers must have child healthcare literacy, be able to seek information, and apply the knowledge of child health care to promote the well-being of children. The purposes of this survey study were 1) to analyze components of caregivers’ child healthcare literacy and 2) to develop and validate the quality of the instrument for caregivers’ child healthcare literacy with empirical data. Samples were 345 child caregivers who worked in nurseries. Data was collected by using a caregivers’ child healthcare literacy questionnaire. The reliability of the questionnaire was tested by the omega coefficient yielding a value of .976. The confirmation factor analysis was performed by using the Mplus program to analyze the data.

The research results and confirmatory factor analysis revealed that caregivers’ child healthcare literacy consisted of two main components: 1) Health literacy, which included accessing information and service, health knowledge and understanding, communication skill, self-management skill, decision skill, and media literacy; and 2) Nurturing care, which consisted of good health, adequate nutrition, responsive caregiving, security and safety, and opportunities for early learning. The caregivers’ child healthcare literacy components were fit to the empirical data
( $gif.latex?\chi$ ² (343, N = 345) = 446.23, p = .0001, CFI = .979, TLI = .974, SRMR = .051, RMSEA = .030, AIC = 14556.473, BIC = 15140.692, $gif.latex?\chi$ ² /df = 1.30). The standard weights of each main health literacy factor were between .552 and .955, and each main nurturing care factor was between .446 and .971. The results of this research confirmed that the questionnaire could be utilized to assess caregivers’ child healthcare literacy, which indicates caregiver strengths and weaknesses, leading to the designing of a quality system supporting caregivers for child development centers in the future.

Downloads

Download data is not yet available.

References

Abad, F. J., Sorrel, M. A., Garcia, L. F., & Aluja, A. (2018). Modeling general, specific, and method variance in personality measures: Results for ZKA-PQ and NEO-PI-R. Assessment, 25(8), 959-977. https://doi.org/10.1177/1073191116667547

Abrams, E. M. (2020). The impact of caregiver health literacy on pediatric asthma: An integrative review. Pediatric Allergy, Immunology, and Pulmonology, 33(3), 110-116. https://doi.org/10.1089/ped.2020.1192

Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology Monograph, 4(1), 1-103.

Britto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., . . . MacMillan, H. (2017). Nurturing care: Promoting early childhood development. The Lancet, 389(10064), 91-102. http://dx.doi.org/10.1016/S01406736(16)31390-3

Choeisuwan, V. (2017). Health literacy: Concept and application for nursing practice. Royal Thai Navy Medical Journal, 44(3), 183-197.

Deng, L., & Chan, W. (2017). Testing the difference between reliability coefficients alpha and omega. Educational and Psychological Measurement, 77(2), 185-203. https://doi.org/10.1177/0013164416658325

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). New Jersey, NJ: Pearson Education.

Hickey, K. T., Creber, R. M. M., Reading, M., Sciacca, R. R., Riga, T. C., Frulla, A. P., & Casida, J. M. (2018). Low health literacy: Implications for managing cardiac patients in practice. The Nurse practitioner, 43(8), 49-55. https://doi.org/10.1097/01.NPR.0000541468.54290.49

Kaewkohsaba, S., Piromsombat, C., & Wongwanich, S. (2020). Guidelines for enhancing graduate students’ educational research competency in digital age: Application of adaptive design approach. Journal of Research Methodology, 33(1), 47-65.

Morrison, A. K., Glick, A., & Yin, H. S. (2019). Health literacy: Implications for child health. Pediatrics in Review, 40(6), 263-277. https://doi.org/10.1542/pir.2018-0027

Muthen, L. K., & Muthen, B. O. (2017). Mplus user’s guide (8th ed.). Los Angeles, CA.

Myers, L., & Murray, R. K. (2019). Overcoming health literacy barriers to improve asthma inhaler therapy adherence. Annals of the American Thoracic Society, 16(2), 182-186. https://doi.org/10.1513/AnnalsATS.201805-338PS

Nutbeam, D. (2008). The evolving concept of health literacy. Social science & medicine, 67(12), 2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Pattanaphon, O., Haenjohn, J., & Tongkhambanchong, S. (2019). Development of health literacy model for pre-service teachers. Journal of Research and Curriculum Development, 9(2), 121-137.

Pelle, C. D., Orsatti, V., Cipollone, F., & Cicolini, G. (2018). Health literacy among caregivers of patients with heart failure: A multicentre cross-sectional survey. Journal of Clinical Nursing, 27, 859-865. https://doi.org/10.1111/jocn.14137

Phanprom, K., Traiwichitkhun, D., & Sriklaub, K. (2021). Development of STEM teacher’s competencies measurement instrument using TPACK-STEM framework. Journal of Educational Measurement, Mahasarakham University, 27(1), 49-64.

Pilapil, M., Coletti, D. J., Rabey, C., & De Laet, D. (2017). Caring for the caregiver: Supporting families of youth with special health care needs. Current Problems in Pediatric and Adolescent Health Care, 47(8), 190-199. http://dx.doi.org/10.1016/j.cppeds.2017.07.003

Pleasant, A., Rudd, R. E., O'Leary, C., Paasche-Orlow, M. K., Allen, M. P., Alvarado-Little, W., . . . Rosen, S. (2016). Considerations for a new definition of health literacy. Washington, DC: National Academy of Medicine.

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research:

A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879-903. https://doi.org/10.1037/0021-9010.88.5.879

Preacher, K. J., & Coffman, D. L. (2006). Computing power and minimum sample size for RMSEA. Retrieved from http://www.quantpsy.org/

Richter, L., Black, M., Britto, P., Daelmans, B., Desmond, C., Devercelli, A., . . . Vargas-Barón, E. (2019). Early childhood development: An imperative for action and measurement at scale. BMJ global health, 4(Suppl 4), e001302. https://doi.org/10.1136/bmjgh-2018-001302

Royal Thai Government Gazette. (2018). National strategy (2018-2037). Royal Thai Government Gazette, 135, 8.

Sanders, D., Nandi, S., Labonte, R., Vance, C., & Damme, W. V. (2019). From primary health care to universal health coverage-one step forward and two steps back. The lancet, 394(10199), 619-621. https://doi.org/10.1016/S0140-6736(19)31831-8

Shiho, M., Naoko, K., Takahiro, K., Michiyo, Y., Masako, K., Toshimi, I., & Miyuki, T. (2016). Development and validation of a heart failure–specific health literacy scale. Journal of Cardiovascular Nursing, 31(2), 131-139. https://doi.org/10.1097/JCN.0000000000000226

Sorensen, K., van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC public health, 12(1), 80.

Wittenberg, E., Goldsmith, J., Ferrell, B., & Ragan, S. L. (2017). Promoting improved family caregiver health literacy: Evaluation of caregiver communication resources. Psycho-oncology, 26(7), 935-942. https://doi.org/10.1002/pon.4117

Wolff, J. L., Spillman, B. C., Freedman, V. A., & Kasper, J. D. (2016). A national profile of family and unpaid caregivers who assist older adults with health care activities. JAMA International Medicine, 176(3). 372-379. https://doi.org/10.1001/jamainternmed.2015.7664

Wongchaiudomchoke, A., & Jurachainiwat, P. (2018). Parent’s roles in using technology and interactive media with preschoolers under the Bangkok primary educational service area in Klong Toei district. An Online Journal of Education, 13(1), 245-259.

World health organization. (2020). Primary health care. Retrieved from https://www.who.int/

World Health Organization, United Nations Children’s Fund & World Bank Group. (2018). Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. Geneva: World Health Organization.

Yuen, E. Y., Knight, T., Dodson, S., Chirgwin, J., Busija, L., Ricciardelli, L. A., . . . Livingston, P. M. (2018). Measuring cancer caregiver health literacy: Validation of the health literacy of care givers scale–cancer (HLCS-C) in an Australian population. Health & Social care in the community, 26(3), 330-344. https://doi.org/10.1111/hsc.12524