Psychometric Evaluation of the Chinese Version of the Family Environment Scale

Thursday, 15 July 2010: 10:50 AM

Li-Chi Chiang, RN, PhD
School of Nursing, School of Nursing, National Defense Medical Center, Taipei, Taiwan

Learning Objective 1: The learner will be learning the translation/back translation methods to develop a cultural appropriateness family function assessment scale.

Learning Objective 2: The learner will be learning the psychometric evaluation methods to examine the reliability and validity of family environment scale.

Purpose: The objective of this study was to establish the reliability and validity of Family Environment Scale (FES) into Chinese version.

Methods: Firstly, two experts were invited to translate the FES into Chinese version. Two English experts back translated into English. Secondly, thirty children were recruited from one bilingual elementary school to examine the consistent of the Chinese version and English version FES. Thirdly, a preliminary sample included 60 children in one elementary school was recruited to validate the Chinese version of Family Environment Scale (FES). Finally, seven hundred and twenty one participants were recruited from the eight elementary schools in Taichung areas by stratified randomly sampling to examine the psychometric properties. Results: Of the 585 healthy children, 293 were boys; and of the 287 asthmatic children, 91 were boys. There were no significant differences of family function between families with healthy and asthmatic children. Neither relationship domains (cohesion, expressiveness, conflict), personal growth dimension’s (independence, achievement orientation, intellectual-cultural orientation, active-recreational orientation, moral-religious emphasis), nor the system maintenance dimensions (organization, control), no differences were found in two population. However the self-perceived health status was the determinants of family function. There was significant difference of self-perceived health status between healthy children and asthmatic children. Further analysis should be conducted to explore the different of family function among families with children in different asthma severity.

Conclusion: The Chinese version FES has good reliability and validity to be used in clinical family assessment.