Development and validation of the needs of children questionnaire: An instrument to measure children\u27s self-reported needs in hospital

AIM: To develop and psychometrically test the needs of children questionnaire (NCQ), a new instrument to measure school-aged children\u27s self-reported psychosocial physical and emotional needs in paediatric wards. DESIGN: This is an instrument development study based on recommendations for developing a reliable and valid questionnaire. METHOD: The NCQ was developed over three phases between February 2013-April 2017 and included item generation; content adequacy assessment; questionnaire administration; factor analysis; internal consistency assessment and construct validity. Psychometric properties were assessed after 193 school-aged children completed the needs of children\u27s questionnaire in four paediatric areas in Australia and New Zealand. RESULTS: The development and validation of the NCQ over two countries resulted in a 16-item, four-category tool to measure the self-reported importance and fulfilment of school-aged children\u27s needs in hospital. Cronbach\u27s alpha for the combined samples was 0.93. CONCLUSION: The NCQ bridges a gap to measure the level of importance and fulfilment of school-aged children\u27s self-reported needs in hospital. Future testing and validation is needed in other paediatric areas and countries. IMPACT: The 16-item NCQ is a valid measure to evaluate if the quality of care delivered and received in hospital is in line with what children self-report as important and required and to date indicates good usability and utility. Child self-reports are essential to inform healthcare delivery, policy, research and theory development from a child and family-centred care lens that honours the United Nations Convention on the Rights of the Child and the best interests of the child

Promoting performance and motivation through a combination of intrinsic motivation stimulation and an extrinsic incentive

During the early stages of secondary education students’ motivation and performance levels decline. This study employed a case study approach to evaluate a learning environment called GUTS; Differentiated Challenging of Talent in School. GUTS was specifically designed to raise performance and motivation through a combination of (a) talent lessons as an intrinsic motivator and (b) a higher promotion standard as an extrinsic incentive. Participants were 156 students who started secondary education in grade 7 in school year 2013/2014, and participated in GUTS for three successive school years. Performance and motivation measures were longitudinally collected between grades 7 and 9 and were analysed in comparison to previous cohorts of students at the same school and students at other schools. Additionally, measures of well-being and self-esteem were included to explore possible collateral effects of the intervention. The GUTS cohort displayed generally higher levels of performance and motivation than the comparison groups. However, the GUTS cohort still showed the decline of performance and motivation between grades 7 and 9 that was also observed in the comparison groups. This study showed that performance and motivation levels were increased without collateral damage to the students’ overall sense of well-being and self-esteem, while GUTS was not a strong enough intervention to counter the motivation and performance decline over time. Possible reasons for the persistent decline of student performance and motivation are discussed in terms of various factors at the level of GUTS, the educational context and the needs of the developing adolescent

An investigation into the influence of positive peer feedback on self-relevant cognitions in social anxiety

Pathways through Adolescenc