Document Type
Article
Publication Date
5-9-2015
Abstract
Background
The Post Hospitalization Behavior Questionnaire (PHBQ) was designed for assessing children's posthospitalization and postoperative new‐onset behavioral changes. However, the psychometric properties of the scale have not been re‐evaluated in the past five decades despite substantial changes in the practice of surgery and anesthesia. In this investigation, we examined the psychometric properties of the PHBQ to potentially increase the efficacy and relevance of the instrument in current perioperative settings.
Method
This study used principal components analysis, a panel of experts, Cronbach's alpha, and correlations to examine the current subscale structure of the PHBQ and eliminate items to create the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ‐AS). Data from previous investigations (N = 1064, Mage = 5.88) which utilized the PHBQ were combined for the purposes of this paper.
Results
A principal components analysis revealed that the original subscale structure of the PHBQ could not be replicated. Subsequently, a battery reduction, which utilized principal components analysis and a panel of experts, was used to eliminate the subscale structure of the scale and reduce the number of items from 27 to 11, creating the PHBQ‐AS. The PHBQ‐AS demonstrated good internal consistency reliability and concurrent validity with another measure of children's psychosocial and physical functioning.
Conclusion
Revising the former subscale structure and reducing the number of items in the PHBQ to create the PHBQ‐AS may provide a means for reducing the burden of postoperative behavioral assessment through decreasing time of administration and eliminating redundancy of items and allow for more accurate measurement of child postoperative behavioral changes.
Recommended Citation
Jenkins, B. N., Kain, Z. K., Kaplan, S. H., Stevenson, R. S., Mayes, L. C., Guadarrama, J., & Fortier, M. A. (2015). Revisiting a measure of child postoperative recovery: Development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS). Pediatric Anesthesia, 25, 738-745. doi: 10.1111/pan.12678
Copyright
Wiley
Included in
Behavior and Behavior Mechanisms Commons, Child Psychology Commons, Health Psychology Commons, Other Psychiatry and Psychology Commons
Comments
This is the accepted version of the following article:
Jenkins, B. N., Kain, Z. K., Kaplan, S. H., Stevenson, R. S., Mayes, L. C., Guadarrama, J., & Fortier, M. A. (2015). Revisiting a measure of child postoperative recovery: Development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS). Pediatric Anesthesia, 25, 738-745. doi: 10.1111/pan.12678
which has been published in final form at DOI: 10.1111/pan.12678. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.