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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)


Graduate Nursing

First Advisor

Haifa Samra


Parent activation is a form of collaborative involvement through which the parent becomes willing and vested in making healthcare decisions that minimizes risks that their infant faces (Bodenheimer, 2005). However, parent activation has not been explored in mothers of preterm neonates. This study was a sub-study of a large, longitudinal development and validation design led by a PhD researcher. The focus of this particular study was to perform a comprehensive literature review on the topic, assist in the scale modification, and independently perform a Delphi round to examine the content validity of the newly developed Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale, using two panels of judges. A sample of mother and nurse expert judges rated the instrument’s items for clarity, relevance, and fit utilizing a fourpoint Likert scale. Content validity indices for each item were calculated and items with an I-CVI lower than 0.78 were deleted or modified (Lynn, 1986; Schilling et al., 2007) after items were reviewed by the research team and a consensus was reached on whether to modify or delete those items. Results demonstrated that the I-CVIs for 35 of 41 items ranged between 0.9 and 1 for all three categories for both mother and expert judges, with some of the 41 items needing minor modification. One item had I-CVIs lower than 0.78 for all three categories for the expert judges. However, this item had I-CVIs greater than 0.95 for the mother judges and required major modifications. The combined Scale-CVI for mother and nurse experts was 0.97. Based on the judge’s feedback, the scale was modified to include three additional items under self-efficacy to better reflect the mother’s health literacy level, and motivation to participate in their infant’s medical decision process. The revised scale included 44 items. Study findings support the content validity of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale.

Library of Congress Subject Headings

Newborn infants -- Health risk assessment -- Evaluation
Mother and infant
Parent and child


Includes bibliographical references (pages 65-77)



Number of Pages



South Dakota State University


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