Validation of the Inventory of Functional Status After Childbirth Instrument in Adolescent Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/158881
Type:
Presentation
Title:
Validation of the Inventory of Functional Status After Childbirth Instrument in Adolescent Mothers
Abstract:
Validation of the Inventory of Functional Status After Childbirth Instrument in Adolescent Mothers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Logsdon, M Cynthia, DNS, ARNP, FAAN
P.I. Institution Name:University of Louisville
Contact Address:7514 Chestnut Hill Drive, Prospect, KY, 40059, USA
Contact Telephone:502-852-5825
Co-Authors:M. Logsdon, J. Myers, W. Usui, , University of Louisville, Louisville, KY;
Postpartum depression is a major public health concern. Although 47% of adolescent mothers have symptoms of depression, no studies have reported data on the impact of depression on their functional status. Following current clinical guidelines, data on functioning is important to collect so that complete responses to depression treatment can be monitored and the need for social, educational, and developmental interventions for the adolescent mother and her infant can be determined. Based upon Roy's Theory of Adaptation, the Inventory of Functional Status After Childbirth (IFSAC) was revised by our research team for use in adolescent mothers (IFSAC-RA) using established measurement procedures. The purpose of this psychometric study was to provide reliability and validity data of the IFSAC-RA in adolescent mothers (n=97) enrolled in a Teen Parent Program. The average participant was 16 years of age (M=16.44; SD=1.26), Caucasian (44%) or African American (42%), enrolled in the 10th grade (M=9.72, SD=1.22), unmarried, lived with her mother, and did not work outside the home. For the six subscales, the Cronbach alpha coefficients ranged from .00 for school activities to .93 for work activities. The Kaiser-Meyer-Olkin measure of sampling adequacy was greater than 0.50 (KM)=0.67). Based upon the scree plot and Chi Square test, factor analysis supported three factors that can be termed internal functioning, external functioning, and functioning at school, and 66% of the total variance was accounted for. As a measure of convergent validity, the total instrument and three subscales of the IFSAC-RA (household chores, self care activities, leisure activities) were inversely related to scores on the Center for Epidemiologic Studies of Depression Scale (CES-D). However, no IFSAC-RA scores were related to Gratification in the Role of Mother (GRAT). Initial data for IFSAC-RA is promising, however the school subscale and the relationship to GRAT will be reexamined. The establishment of a psychometrically sound instrument to document baseline functioning and response to treatment in adolescent mothers with postpartum depression will be an asset for researchers and clinicians.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleValidation of the Inventory of Functional Status After Childbirth Instrument in Adolescent Mothersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158881-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Validation of the Inventory of Functional Status After Childbirth Instrument in Adolescent Mothers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Logsdon, M Cynthia, DNS, ARNP, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Louisville</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">7514 Chestnut Hill Drive, Prospect, KY, 40059, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">502-852-5825</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mclogs01@gwise.louisville.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M. Logsdon, J. Myers, W. Usui, , University of Louisville, Louisville, KY;</td></tr><tr><td colspan="2" class="item-abstract">Postpartum depression is a major public health concern. Although 47% of adolescent mothers have symptoms of depression, no studies have reported data on the impact of depression on their functional status. Following current clinical guidelines, data on functioning is important to collect so that complete responses to depression treatment can be monitored and the need for social, educational, and developmental interventions for the adolescent mother and her infant can be determined. Based upon Roy's Theory of Adaptation, the Inventory of Functional Status After Childbirth (IFSAC) was revised by our research team for use in adolescent mothers (IFSAC-RA) using established measurement procedures. The purpose of this psychometric study was to provide reliability and validity data of the IFSAC-RA in adolescent mothers (n=97) enrolled in a Teen Parent Program. The average participant was 16 years of age (M=16.44; SD=1.26), Caucasian (44%) or African American (42%), enrolled in the 10th grade (M=9.72, SD=1.22), unmarried, lived with her mother, and did not work outside the home. For the six subscales, the Cronbach alpha coefficients ranged from .00 for school activities to .93 for work activities. The Kaiser-Meyer-Olkin measure of sampling adequacy was greater than 0.50 (KM)=0.67). Based upon the scree plot and Chi Square test, factor analysis supported three factors that can be termed internal functioning, external functioning, and functioning at school, and 66% of the total variance was accounted for. As a measure of convergent validity, the total instrument and three subscales of the IFSAC-RA (household chores, self care activities, leisure activities) were inversely related to scores on the Center for Epidemiologic Studies of Depression Scale (CES-D). However, no IFSAC-RA scores were related to Gratification in the Role of Mother (GRAT). Initial data for IFSAC-RA is promising, however the school subscale and the relationship to GRAT will be reexamined. The establishment of a psychometrically sound instrument to document baseline functioning and response to treatment in adolescent mothers with postpartum depression will be an asset for researchers and clinicians.</td></tr></table>en_GB
dc.date.available2011-10-26T21:29:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:29:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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