CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE CO-PARTNER INDONESIAN VERSION - Original Article

Sep 29, 2026

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The CO-PARTNER instrument was developed to measure parental participation in neonatal care settings, but an Indonesian-language version is not currently available. This study adapted the CO-PARTNER instrument for cross-cultural use in Indonesian using Sousa’s guidelines and conducted psychometric testing from September to December 2025 with 257 respondents. Confirmatory factor analysis in RStudio identified and eliminated one low-loading item (CCI 31), producing a 30-item, six-domain structure with strong internal consistency (Cronbach’s alpha > 0.70) and satisfactory model fit (CFI 0.994, RMSEA 0.044, DF 390).

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages11

Reading Time28 min

AccessFree to download

ABSTRACT

BACKGROUND

Family-Centered Care (FCC) and implementation barriers

Family-Integrated Care and evidence on outcomes

Parental involvement in NICU and the need for Indonesian instruments

Rahmawati, [E. et. al](E. et. al). (2026) Jurnal Keperawatan Soedirman – Vol 21, No 2 page 131-141 [http://jos.unsoed.ac.id/index.php/jks/index](http://jos.unsoed.ac.id/index.php/jks/index) ORIGINAL ARTICLE CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE CO-PARTNER INDONESIAN VERSION Eni Rahmawati1*, Yeni Rustina2, Dessie Wanda2, Nicole R. van Veenendaal3, Kasiyah4, M. Agung Akbar1 1. Doctoral Nursing Program, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia 2. Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia 3. Department of Pediatrics, Emma Children’s Hospital, Amsterdam UMC, University of Amsterdam, Vrije Universiteit, Amsterdam, Netherlands 4. Faculty of Computer Science, Universitas Indonesia, Depok, Indonesia Article Information Received: 29 January 2026 Revised: 17 April 2026 Accepted: 28 June 2026 *Corresponding Author Eni Rahmawati [eni.rahma.ed@gmail.com](eni.rahma.ed@gmail.com) DOI 10.20884/1.jks.2026.21.2.21515 ABSTRACT The CO-PARTNER instrument was developed to measure parental participation in neonatal care settings, but an Indonesian-language version is not currently available. The purpose of this study was to adapt the CO-PARTNER instrument for cross-cultural use in Indonesian. Cross-cultural adaptation was conducted following Sousa's guidelines. Psychometric testing was conducted between September and December 2025. Eligibility criteria for participants were parents of infants admitted to a neonatal care unit. The study involved 257 respondents. The questionnaire's structural variables were tested using Confirmatory Factor Analysis (CFA) in RStudio version 4.5.2. Based on established CFA criteria, one item (CCI 31) was eliminated due to low factor loading, resulting in a refined CO-PARTNER structure comprising 30 items across six domains. Cronbach’s alpha coefficients demonstrated strong internal consistency at both initial testing and retest for each of the six subscales (all > 0.70) . Model fit indices showed satisfactory values: Comparative Fit Index (CFI) = 0.994; Root Mean Square Error of Approximation (RMSEA)=0 .044; and degrees of freedom (DF)=390 . The CO-PARTNER Indonesia Version proved to be a reliable and valid tool for evaluating parental involvement in infant care within neonatal care units across six key components: daily care, medical care, acquiring information, parent advocacy, time spent with the infant, and closeness and comforting of the infant. The CO-PARTNER Indonesia Version is applicable for assessing parental involvement in neonatal wards, where such participation contributes to improved outcomes for both infants and parents. Keywords: Involvement; neonatal; nurse; NICU; parents | | ISSN : 1907-6637 | e-ISSN : 2579-9320 | | --- | --- | --- | BACKGROUND Family-Centered Care (FCC) is a healthcare approach that prioritizes collaboration among healthcare providers, patients, and families (Cantarino et al. , 2020; Maatman et al. , 2020) . FCC programs have been associated with improved parental well-being, reduced anxiety, and increased participation in care for both infants and parents (Ding et al. , 2019; Larocque et al. , 2021) . However, implementing FCC often encounters significant barriers from both healthcare professionals and parents. Resource constraints, including limited staffing and high workloads, present substantial challenges (Mirlashari et al. , 2020) . Furthermore, insufficient knowledge and training among healthcare professionals regarding FCC principles and neonatal care practices have also been reported. Increased parental presence and involvement may elevate ward workload, potentially diminishing nurses' supportiveness and hindering effective communication between nurses and parents (Jafari, Kermanshahi, & Vanaki, 2023) . Additionally, a lack of support from nurses, peers, and extended family members has been identified as a barrier to FCC implementation (Zauche et

FAQs

What was the aim of this study?

To adapt the CO-PARTNER instrument into an Indonesian version for cross-cultural use in neonatal settings.

How was cross-cultural adaptation and testing conducted?

The adaptation followed Sousa’s guidelines, and psychometric testing was performed between September and December 2025 with parents of infants in a neonatal care unit.

What were the main psychometric results of the Indonesian CO-PARTNER version?

Confirmatory factor analysis led to removing item CCI 31 due to low factor loading, resulting in a refined 30-item structure across six domains with internal consistency (alpha > 0.70) and satisfactory model fit (CFI 0.994, RMSEA 0.044, DF 390).

Sep 29, 2026

Upload by jay