ArticleInternational journal of nursing studies advances2026
Psychometric evaluation of the 28-item coping orientation to problems experienced inventory (Brief COPE) amongst parents of preschool children from low-income backgrounds.
Article in International journal of nursing studies advances, 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
Background: The 28-item Coping Orientation to Problems Experienced Inventory (Brief COPE) is widely used to assess coping strategies, but reported factor structures range from 2 to 15 factors, raising concerns about structural stability. Only one study has applied Rasch analysis to examine unidimensionality and overall model fit of a four-factor French Brief COPE among cancer patients and caregivers. However, item fit and response categories were not evaluated. Objective: This study examined the psychometric properties of the Brief COPE among parents of preschoolers from low-income backgrounds. Specifically, we evaluated reliability using internal consistency and composite reliability; construct validity through structural validity, convergent validity, discriminant validity, and hypothesis testing with stress, anxiety, depression, and hair cortisol; and item- and response-option performance using item response theory analysis. Methods: We analyzed baseline data from three clinical trials conducted between 2021 and 2024. Participants were parents of preschoolers enrolled in Head Start programs in the Midwestern United States. Participants completed online surveys assessing coping, stress, anxiety, depression, and demographics, and provided hair samples for cortisol analysis. Results: The sample included 348 parents ( Conclusions: Findings support the reliability and validity of a four-factor, 24-item Brief COPE in parents of preschoolers with low-income. However, variability in item- and response-option performance indicates opportunities for targeted item consolidation and response-option refinement. Future efforts should implement these revisions and cross-validate the refined scale.
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