Development and testing of the Survey of Family Environment (SFE): a novel instrument to measure family functioning and needs for family support

J Nurs Meas. 2012;20(3):212-29. doi: 10.1891/1061-3749.20.3.212.

Abstract

Background and purpose: Hohashi's Concentric Sphere Family Environment Model (CSFEM; Hohashi & Honda, 2011) is a newly proposed family nursing theory for holistically understanding the family environment that acts on family well-being. The purpose of this article is to develop and psychometrically test the Japanese version of the Survey of Family Environment (SFE-J), grounded in the CSFEM, for measuring family's perceived family functioning and family's perceived needs for family support.

Methods: The SFE-J is a 30-item self-administered instrument that assesses five domains (suprasystem, macrosystem, microsystem, family internal environment system, and chronosystem) and has been subjected to rigorous reliability and validity investigations among paired partners in child-rearing families (N of family = 1,990).

Results: Internal consistency reliability was high as measured by Cronbach's alpha coefficients. Temporal stability over a 2-week interval was supported by high (substantial or perfect) and significant intraclass correlation coefficients. The total score for the SFE-J was significantly correlated with the Japanese version of the Feetham Family Functioning Survey (FFFS-J), indicating an acceptable concurrent validity. Construct validity was supported by a confirmatory factor analysis that evaluated the five-factor structure to measure the concept of CSFEM. Results also demonstrate that the SFE-J family functioning scores show no significant differences between paired partners.

Conclusions: The SFE-J is a reliable and valid instrument to assess not only intrafamily functioning but also interfamily functioning and, by identifying items/domains with high requirements for family support, serves to facilitate the providing of appropriate support to families.

Publication types

  • Multicenter Study
  • Validation Study

MeSH terms

  • Family / psychology*
  • Family Health*
  • Family Nursing
  • Female
  • Humans
  • Japan
  • Least-Squares Analysis
  • Male
  • Nursing Assessment*
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires