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Journal of Pediatric Psychology Advance Access published online on May 18, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp034
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Assessment of the Psychometric Properties of the Family Management Measure

Kathleen Knafl, PhD, FAAN1, Janet A. Deatrick, RN, PhD, FAAN2, Agatha Gallo, RN, PhD, FAAN3, Jane Dixon, PhD4, Margaret Grey, RN DrPH FAAN4, George Knafl, PhD1 and Jean O’Malley, MPH5

1University of North Carolina at Chapel Hill School of Nursing, 2University of Pennsylvania School of Nursing, 3University of Illinois at Chicago College of Nursing, 4Yale University School of Nursing and 5Oregon Health & Science University School of Nursing

All correspondence concerning this article should be addressed to Kathleen Knafl, School of Nursing, 2007 Carrington, CB#7460, University of North Carolina, Chapel Hill, NC 27599-746, USA. E-mail: kknafl{at}email.unc.edu


  Abstract

Objective This paper reports development of the Family Management Measure (FaMM) of parental perceptions of family management of chronic conditions. Method By telephone interview, 579 parents of children age 3 to 19 with a chronic condition (349 partnered mothers, 165 partners, 65 single mothers) completed the FaMM and measures of child functional status and behavioral problems and family functioning. Analyses addressed reliability, factor structure, and construct validity. Results Exploratory factor analysis yielded six scales: Child's Daily Life, Condition Management Ability, Condition Management Effort, Family Life Difficulty, Parental Mutuality, and View of Condition Impact. Internal consistency reliability ranged from .72 to .91, and test-retest reliability from .71 to .94. Construct validity was supported by significant correlations in hypothesized directions between FaMM scales and established measures. Conclusion Results support FaMM's; reliability and validity, indicating it performs in a theoretically meaningful way and taps distinct aspects of family response to childhood chronic conditions.

Key words: children's chronic conditions; family illness management; instrument development.

Received May 8, 2008; revision received March 25, 2009; accepted March 30, 2009


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