Content validity testing of the Omaha Healthy Start Knowledge and Skills Assessment tool

Valid measures are needed to assess outcomes of maternal health programs like Omaha Healthy Start that are directed at decreasing health disparities. The purpose of the study was to assess the content validity of the Omaha Healthy Start Knowledge and Skills Assessment tool. Items are based on “Partners for a Healthy Baby Home Curriculum” (Florida State University Center for Prevention and Early Intervention Policy, 2001). The tool measures the mother's knowledge gained and personal efficacy or confidence in carrying out health related behaviors associated with “My pregnancy” and “My infant”. Studies have shown that while measuring knowledge gives an indication of level of learning or comprehension, it does not necessarily correlate with action or behavior. Perceived self-efficacy has been strongly correlated with whether a behavior is carried out. Personal efficacy facilitates the undertaking of tasks that build competence and confidence even if faced with barriers or adverse situations. Developing self-efficacy is an indicator or desirable pattern of adaptive maternal child health transition such as becoming a mother/parent. Lynn's (1986) two step methodology was used for determination and quantification of content validity. Results of the content validity testing will be reported, as well as changes made to the instrument. Implications for practice include use of the instrument to help identify those who are at risk for poor maternal and infant outcomes. This will assist in tailoring educational efforts to identified needs and facilitate preventive supportive interventions and referrals as necessary in this population.