Journal List > J Korean Acad Nurs > v.43(1) > 1002890

Kim and Im: Validity and Reliability of Korean Version of the Family Management Measure (Korean FaMM) for Families with Children having Chronic Illness



To develop and test the validity and reliability of the Korean version of the Family Management Measure (Korean FaMM) to assess applicability for families with children having chronic illnesses.


The Korean FaMM was articulated through forward-backward translation methods. Internal consistency reliability, construct and criterion validity were calculated using PASW WIN (19.0) and AMOS (20.0). Survey data were collected from 341 mothers of children suffering from chronic disease enrolled in a university hospital in Seoul, South Korea.


The Korean version of FaMM showed reliable internal consistency with Cronbach's alpha for the total scale of .69-.91. Factor loadings of the 53 items on the six sub-scales ranged from 0.28-0.84. The model of six subscales for the Korean FaMM was validated by expiratory and confirmatory factor analysis (χ2<.001, RMR<.05, GFI, AGFI, NFI, NNFI>.08). Criterion validity compared to the Parental Stress Index (PSI) showed significant correlation.


The findings of this study demonstrate that the Korean FaMM showed satisfactory construct and criterion validity and reliability. It is useful to measure Korean family's management style with their children who have a chronic illness.

Figures and Tables

Table 1
General Characteristics of Participants (N=341)

DM=Diabetes mellitus; ADHD=Attention deficit hyperactivity disorder.

Table 2
Factor Loadings of FaMM Items
Table 3
Goodness of Fit Indices for Korean FaMM Subscales and Factor Models (N=341)

FaMM=Family management measure; GFI=Goodness of fit index; AGFI=Adjust goodness of fit index; RMR=Root mean square residual; NFI=Normal fit index; NNFI=Non-normal fit index.

Table 4
Correlation between Korean FaMM Scales and PSI Score

FaMM=Family management measure; PSI=Parenting stress index.

Table 5
Mean and Reliability for Korean FaMM Scales

FaMM=Family management measure.


1. Abidin RR. Parenting stress index: Short form. 1990. Charlottesville, VA: Pediatric Psychology Press.
2. Alderfer MA, Fiese BH, Gold JI, Cutuli JJ, Holmbeck GN, Goldbeck L, et al. Evidence-based assessment in pediatric psychology: Family measures. J Pediatr Psychol. 2008. 33(9):1046–1061.
3. Barlow JH, Ellard DR. The psychosocial well-being of children with chronic disease, their parents and siblings: An overview of the research evidence base. Child Care Health Dev. 2006. 32(1):19–31.
4. Berge JM, Patterson JM. Cystic fibrosis and the family: A review and critique of the literature. Fam Syst Health. 2004. 22(1):74–100.
5. Chae SI. Research methods in the social sciences. 2004. 3th ed. Paju: Hakhyunsa.
6. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. J Korean Acad Nurs. 2011. 41(3):325–332.
7. Graf A, Landolt MA, Mori AC, Boltshauser E. Quality of life and psychological adjustment in children and adolescents with neurofibromatosis type 1. J Pediatr. 2006. 149(3):348–353.
8. Hair JF, Tatham RL, Anderson RE, Black W. Multivariate data analysis. 1998. 5th ed. Englewood Cliffs, NJ: Prentice Hall.
9. Harris MA, Wysocki T, Sadler M, Wilkinson K, Harvey LM, Buckloh LM, et al. Validation of a structured interview for the assessmentof diabetes self-management. Diabetes Care. 2000. 23(9):1301–1304.
10. Hullmann SE, Wolfe-Christensen C, Ryan JL, Fedele DA, Rambo PL, Chaney JM, et al. Parental overprotection, perceived child vulnerability, and parenting stress: A cross-illness comparison. J Clin Psychol Med Settings. 2010. 17(4):357–365.
11. Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the international study of asthma and allergies in childhood (ISAAC) questionnaires. Pediatr Allergy Respir Dis. 2009. 19(2):165–172.
12. Kim GS. New AMOS 16.0 analysis structural equation modeling. 2007. Seoul: Hannarae Publishing Co..
13. Knafl K, Breitmayer B, Gallo A, Zoeller L. Family response to childhood chronic illness: Description of management styles. J Pediatr Nurs. 1996. 11(5):315–326.
14. Knafl K, Deatrick JA. Family management style: Concept analysis and refinement. J Pediatr Nurs. 1990. 5(1):4–14.
15. Knafl K, Deatrick JA. Further refinement of the family management style framework. J Fam Nurs. 2003. 9(3):232–256.
16. Knafl K, Deatrick JA, Gallo A, Dixon J, Grey M, Knafl G, et al. Assessment of the psychometric properties of the family management measure. J Pediatr Psychol. 2011. 36(5):494–505.
17. Knafl K, Deatrick JA, Gallo AM. The interplay of concepts, data, and methods in the development of the Family Management Style Framework. J Fam Nurs. 2008. 14(4):412–428.
18. Knafl KA, Deatrick JA. Family management style: Concept analysis and development. J Pediatr Nurs. 1990. 5(1):4–14.
19. Knafl KA, Deatrick JA. Family management style and the challenge of moving from conceptualization to measurement. J Pediatr Oncol Nurs. 2006. 23(1):12–18.
20. Knafl KA, Deatrick JA, Havill NL. Continued development of the family management style framework. J Fam Nurs. 2012. 18(1):11–34.
21. Lee EO, Lim NY, Park HA, Lee IS, Kim JI, Bae JY, et al. Nursing research and statistics. 2009. 4th ed. Paju: Soomoonsa.
22. Lee KS, Chung KM, Park JA, Kim HJ. Reliability and validity study for the Korean version of parenting stress index short form (K-PSI-SF). Korean J Woman Psychol. 2008. 13(3):363–377.
23. McQuaid EL, Walders N, Kopel SJ, Fritz GK, Klinnert MD. Pediatric asthma management in the family context: The family asthma management system scale. J Pediatr Psychol. 2005. 30(6):492–502.
24. Rodenburg R, Marie Meijer A, Dekovic M, Aldenkamp AP. Family predictors of psychopathology in children with epilepsy. Epilepsia. 2006. 47(3):601–614.
25. Stevens J. Applied multivariate statistics for the social sciences. 1996. 3rd ed. Mahwah, NJ: Lawrence Erlbaum Associates.
26. Suk MH, Yoon YM, Oh WO, Park ES. The trends of nursing research on children with chronic illness and their families in Korea. J Korean Soc Matern Child Health. 2004. 8(1):121–134.
27. Tak JK. Psychological testing. 2007. 2nd ed. Seoul: Hakjisa.
28. Thompson RJ Jr, Armstrong FD, Link CL, Pegelow CH, Moser F, Wang WC. A prospective study of the relationship over time of behavior problems, intellectual functioning, and family functioning in children with sickle cell disease: A report from the Cooperative Study of Sickle Cell Disease. J Pediatr Psychol. 2003. 28(1):59–65.
29. van Dyck PC, Kogan MD, McPherson MG, Weissman GR, Newacheck PW. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med. 2004. 158(9):884–890.
Similar articles