Validation of Amharic Version Coping Health Inventory for Parents (CHIP- Am) Among Parents of a Child with Cancer at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia, 2021.
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Date
2021-06
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Addis Abeba University
Abstract
Background: Coping Health Inventory for Parents (CHIP) was developed to measure parents'
coping patterns in chronically ill care. It evaluates parents' understanding of their coping
responses when they have a severely and critically ill child to cope with family life. Effective
parental coping mechanism during childhood cancer enables parents to avoid
psychopathological problems that could have adverse psychosocial effects on patient care and
interactions with healthcare providers. CHIP has a 45-item tool designed to measure parents'
response to family life management and was commonly used in pediatric chronic diseases.
Objectives: To assess the Amharic version validity of coping health inventory for parents
Methods: Institutional-based cross-sectional study design was applied to validity of coping
health inventory for parents, Amharic version (CHIP Am) among parents of a child with Cancer.
Purposive and consecutive sampling techniques ware used to recruit the participant. The tool
translated to Amharic by individuals' who are experts by translating English to Amharic and
commented by mental health expert. Analyses done by using SPSS version 26.0. In addition,
AMOS version 24 Descriptive statistics was used to report socio-demographic characteristics,
medical characteristics, and CHIP performance status. Data adequacy for EFA was assessed by
Kaiser-Meyer-Olkin (KMO) sample adequacy was 0.75 and Bartlett's sphericity test was at (χ2
= 2103.85, d.f =378, p < .001). Validity of the scale evaluated with EFA and CFA. For each of
the factors, Cronbach’s alpha, composite reliability and AVE values computed to determine the
internal consistency of the Amharic version of CHIP
Result: The factor structure of the Amharic version CHIP-45 examined using principal axis
factoring with Varimax rotation to explore the factor structures. Twenty-five items removed
from the original CHIP-45 items, and 20 items were loaded into five factors. The resultant five
-factor model explained 65% of the variance in the Amharic version CHIP-20. Cronbach’s alpha
and composite reliability calculated to determine the internal consistency reliability of the
factors in the Amharic version CHIP-20 and shows good internal consistency with Cronbach’s
alpha value of .70. EFA and AVE, indicates the convergent validity. CFA suggests that
measuring indices of the five-factor structure of CHIP-20 had an acceptable fit model.
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Keywords
Childhood cancer, coping, parental coping, family caregiver burden, CHIP validity, and cross-cultural validation of Psychometric tools.