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Psychometrics of the “Family-Centred Care Survey – Adult Scale”

Marion Mitchell, Elizabeth Burmeister, Wendy Chaboyer, Linda Shields


Background: Family-Centred-Care (FCC) is a model of care used in paediatric and, recently, in adult settings. In order to generate evidence on the effect of interventions to improve family centredness a valid and reliable means of measuring FCC is required.     

Aim: The aim was to test the psychometric properties of an instrument – the “FCC Survey – Adult Scale”, designed to measure family members’ perception of FCC in an adult acute care setting.

Methods: The survey was administered to family members of intensive care patients during their hospital visit. The survey had 20 items divided into 3 sections: Collaboration (9 items); Respect (6 items) and Support (5 items). Exploratory factor analysis was performed using orthogonal rotation.

Results: Responses from 160 participants were analysed. The exploratory factor analysis with 3 factors had a total variance of 46.6%. Factor loadings varied from 0.37 to 0.7. The survey’s total Cronbach’s alpha was 0.81 with Factor 1 at 0.68; Factor 2 and 3 were 0.76 and 0.35 respectively.

Discussion: The overall tool showed internal consistency. Analysis revealed a variance of less than 50% and a number of loadings were low. Factor 1 and 3 were problematic with low variance, loadings and Cronbach’s. 

Conclusion: Preliminary psychometric analyses of the data set indicate that the factor analysis does not support the score interpretation of the “FCC Survey - Adult Scale”. The “FCC Survey - Adult Scale” cannot be recommended as a tool to measure the perceptions of FCC in its current form. Further work is required.


Adult acute care, family-centred care, psychometric testing, survey

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