Father involvement has been associated with positive child social, emotional, psychological, developmental, and health outcomes. However, tools for measuring father involvement have not kept pace with the expanding understanding of the roles of fathers, and in the area of child health, are blunt. The purpose of this study was to develop and validate a self-report measure of father involvement in preschooler's health, the Father Involvement in Health-Pre-School (FIH-PS). In phase 1 item generation, 47 items were developed based on previous qualitative work and vetted through cognitive interviews with 21 fathers of children ages 3-5 (preschool). In phase 2 psychometric validation, 560 fathers of 3-5 year olds (n=392 resident, n=168 non-resident) completed the FIH-PS item bank. Participants were predominantly white (64%), had private health insurance (53%), had a mean age of 33 years, and half were married. Item Response Theory was used to determine measurement scoring. The FIH-PS scale was reduced from a 47-item bank to a total of 20 items supporting a 4-factor scale made up of Acute Illness, General Well-being, Emotional Health, and Role Modeling. Following exploratory (n=280) and confirmatory factor (n=280) analyses, the scale followed a bifactor structure, was internally consistent (Cronbach's α=0.953), and discriminated among fathers with lower involvement. A sum-to-T-score crosswalk table was produced to standardize the scores along a normal distribution (mean=50, S=10, range 10.8-71.3). Future research and clinical applications of the FIH-PS are discussed.

中文翻译：

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父亲参与健康措施的制定和验证。

父亲的参与与孩子积极的社交、情感、心理、发育和健康结果有关。然而，衡量父亲参与度的工具并没有跟上人们对父亲角色的日益深入的了解，而且在儿童健康领域，这些工具也很生硬。本研究的目的是制定并验证父亲参与学龄前儿童健康的自我报告衡量标准，即学前儿童健康中的父亲参与 (FIH-PS)。在第一阶段的项目生成中，根据之前的定性工作开发了 47 个项目，并通过对 21 名 3-5 岁（学前）儿童的父亲进行认知访谈进行了审查。在第 2 阶段心理测量验证中，560 名 3-5 岁孩子的父亲（n=392 名居民，n=168 名非居民）完成了 FIH-PS 项目库。参与者主要是白人 (64%)，拥有私人健康保险 (53%)，平均年龄为 33 岁，其中一半已婚。项目反应理论用于确定测量评分。FIH-PS 量表从 47 个项目库减少到总共 20 个项目，支持由急性疾病、一般幸福感、情绪健康和角色塑造组成的 4 因素量表。经过探索性因素 (n=280) 和验证性因素 (n=280) 分析后，该量表遵循双因素结构，内部一致（Cronbach's α=0.953），并且区分参与度较低的父亲。生成 T 分数总和人行横道表，以将分数标准化为正态分布（平均值 = 50，S = 10，范围 10.8-71.3）。讨论了 FIH-PS 的未来研究和临床应用。