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Journal of Pediatric Psychology 12(3) pp. 429-443, 1987
© 1987 Society of Pediatric Psychology

research-article

Children's Attitudes About Health Care: Initial Development of a Questionnaire1

Joseph P. Bush2 and Grayson N. Holmbeck

Virginia Commonwealth University

2All correspondence should be sent to Joseph P. Bush, Department of Psychology, Box 2018, Virginia Commonwealth University, Richmond, Virginia 23284–0001

This study is a preliminary report of the development and initial psychometric evaluation of a new instrument designed to measure children's attitudes toward health care. The Children's Health Care Attitudes Questionnaire (CHCAQ) taps attitudes toward health care providers, settings, and procedures across the following dimensions: like-dislike, attributed effectiveness-ineffectiveness, and approach-avoidance. The questionnaire incorporates nonverbal as well as verbal respon alternatives, in order to improve its suitability for younger children. Acceptable levels of internal consistency, test-retest reliability, and construct vaiidity (relationships with children's pain ratings) were also demonstrated. Factor-analytic findings suggest that children's attitudes cluster along the three attitudinal dimensions, providing further evidence for the measure's construct validity. Preliminary normative data are presented for which significant age patterns emerged. The potential research utility of the instrument is discussed.

Key words: health attitudes; attitude measurement.


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