ArticlePloS one2026
Development and preliminary validation of the Inadequate Child Care Scale in China.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSocio-economic changes and evolving family structures have created unique caregiving challenges in China, highlighting the need for tools to systematically measure child care deficits. This study aims to develop and preliminarily validate the Inadequate Child Care Scale (ICCS), a culturally relevant instrument designed to measure deficits in child care specific to the Chinese context.
methodsThe development and validation of the Inadequate Child Care Scale (ICCS) were conducted through a three-phase process. Phase One involved the generation of an initial item pool informed by a prior grounded theory study. Phase Two included nationwide data collection via a structured survey administered to participants across diverse regions in China. Phase Three focused on evaluating the psychometric properties of the ICCS using Exploratory Factor Analysis (EFA; n = 468) and Confirmatory Factor Analysis (CFA; n = 702), with an emphasis on assessing convergent validity, discriminant validity, and composite reliability.
resultsThe initial item pool comprised 32 items, 30 of which were retained following expert evaluation for content validity. EFA revealed a four-factor structure underlying the scale: Inadequate Daily Life Care, Inadequate Psychological and Emotional Care, Inadequate Safety Care, and Inadequate Educational Care, encompassing 30 items in total. CFA supported the factorial validity of the ICCS, yielding favorable model fit indices (GFI = 0.929, CFI = 0.977, TLI = 0.975, RMSEA = 0.038, χ²/df = 2.025). The scale demonstrated strong internal consistency (Cronbach's alpha > 0.80) and acceptable test-retest reliability.
conclusionThe ICCS is a psychometrically sound tool for assessing child care deficits in China. Its development fills a critical gap in child care research and provides a foundation for targeted interventions and policy reforms. Future studies should refine the scale further and explore its applications in broader caregiving contexts.
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