title: Culturally appropriate family assessment: analysis of the Family Assessment Device in a pediatric Chinese population.
abstract: As part of a larger study, we investigated the adaptation of the Family Assessment Device (FAD) to a Chinese population of hospitalized children (N = 313) compared to a sample of families with healthy children (N = 29) in Hong Kong and Chinese Mainland. Confirmatory factor analysis and exploratory factor analysis (EFA) were performed to examine the FAD structure. The results supported the notion of cultural variations in measuring family functioning. Eight factors were found to explain 30.34% of the variance in family functioning. The Cronbach's alphas of families with hospitalized children ranged from 0.29 to 0.74. Similar reliability scores were found in nonhospitalized families. This study indicates that the Chinese FAD has a different factor structure, reliabilities, and mean scores in several subscales compared to U.S. studies. The psychometric properties of the Chinese FAD may be influenced by the fact that the sample was focused on children rather than adults.
authors.affiliation: University of California, San Francisco, Department of Family Health Care Nursing, 2 Koret Way, Box 0606, San Francisco, CA 94143, USA. jyu-lin.chen@nursing.ucsf.edu
authors.forename: Jyu-Lin
authors.initials: JL
authors.lastname: Chen
authors.forename: Christine
authors.initials: C
authors.lastname: Kennedy
authors.forename: Susan
authors.initials: S
authors.lastname: Kools
authors.forename: Robert E
authors.initials: RE
authors.lastname: Slaughter
authors.forename: Linda
authors.initials: L
authors.lastname: Franck
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Kong
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Wong
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D002673:Child, Hospitalized / Q000523:psychology; D002675:Child, Preschool; D002681:China; D003142:Communication; D003466:Cultural Characteristics; D005163:Factor Analysis, Statistical; D005192:Family Health / Q000208:ethnology*; D022143:Family Nursing / Q000379:methods / Q000592:standards; D005260:Female; D006723:Hong Kong; D006801:Humans; D007223:Infant; D008297:Male; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D010371:Pediatric Nursing / Q000379:methods / Q000592:standards; D011340:Problem Solving; D011594:Psychometrics; D016746:Transcultural Nursing / Q000379:methods / Q000592:standards; D014175:Translating