Chapter 6 Children’s Hope Scale (CHS) - Peabody College

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Peabody Treatment Progress Battery 2007.1Chapter 6Children’s Hope Scale(CHS)BackgroundPurposeThe Children’s Hope Scale 5 (CHS; Snyder et al., 1997) is a measure of youth hopefulness. TheCHS asks youth to report on their ability to generate paths toward goals and persevere towardthose goals. Youth hopefulness is conceptually an important factor in the successful treatment ofemotional or behavioral disorders, constituting an outcome that may be affected by the treatmentprocess.TheoryHistorically, theories about hope developed out of the motivational literature, with hopeconceptualized as a cognitive motivational process (Snyder, 2002). Although there is somecontroversy in the literature as to whether hope is predominantly a cognitive or emotionalconstruct, most authors agree that both cognitions and emotions are involved in the experience ofhope. For example, Shorey and colleagues (Shorey, Snyder, Rand, Hockemeyer, & Feldman,2002) describe hope as a process in which emotions follow cognitive appraisals and then interactwith future appraisals. This suggests that both thoughts and feelings are important to theongoing experience of hope.As with the general psychological literature, the majority of empirical work on hope has beenconducted with adult samples, although hope has long been considered an important experiencethroughout childhood and adolescence. In our review of the literature, we identified two issues ofimportance in selecting a measure of hope appropriate for youth. The first corresponds towhether one measures hopefulness or hopelessness. The Hopelessness Scale for Children (HSC;Kazdin, French, Unis, Esveldt-Dawson, & Sherick, 1983) was derived from the BeckHopefulness Scale (Beck, Weissman, Lester, & Trexler, 1974), an adult measure. The HSCconsists of 17 true-false items describing negative expectations about oneself and the future.While such negative expectations may be important aspects of a youth’s experience, lackingnegative expectations does not necessarily indicate having positive expectations (Snyder et al.,1997).The second issue concerns the definition of hope used in constructing the measure. In broadterms, hope is a way of thinking about goals. As such, hope refers to a wish or desire for5The Childrens’ Hope Scale is in the public domain ).66

Peabody Treatment Progress Battery 2007.1something accompanied by the expectation of obtaining it. Snyder, Michael and Cheavens(1999) define hope as the perceived ability to produce pathways to attain goals (pathwaythinking) and move on the path toward those goals (agency thinking). Given that hope is amotivational process that can affect behavior and subsequent thoughts and feelings, it representsa clinically meaningful outcome of treatment.The Hopefulness Scale for Adolescents (HAS; Hinds et al., 1999) is a 24-item self-report visualanalogue scale developed to measure the positive future orientation felt by adolescents at thetime of measurement (Hinds et al., 1999). The HSA was developed to capture hope, defined as“the degree to which an adolescent experiences a comforting or life-sustaining reality-basedbelief that a positive future exists for self and others” (Hinds, 1988, p.85). This definition is lessconcrete and goal-oriented. General beliefs or expectations may not adequately capture thepathway and agency thinking asserted to be critical components of hopefulness.Snyder and colleagues (Snyder et al., 1997) developed the six-item CHS to adequately captureboth the pathway and agency thinking components of hope in a brief, developmentallyappropriate measure. Given the importance of capturing hopefulness rather than hopelessness,items focus on the positive or hopeful cognitions that youth may possess. This is also consistentwith a strengths-based approach. The measure was originally designed for use with youth ages 8– 16 but subsequent validation studies suggest that it is appropriate for adolescents up to age 19(Valle, Huebner, & Suldo, 2004).History of DevelopmentDevelopment of the CHS began by generating a pool of items reflecting agency and pathwaythinking in children. A consensus was attained among Snyder’s research group on twelve items(six agency and six pathway items) reflecting youths’ hopeful thinking. The initial scale wasadministered to a pilot sample, with psychometric analyses suggesting the need to eliminate sixitems. Subsequent analyses were conducted on the resulting scale (six total items- three agencyand three pathway items), with evidence for a cohesive two-factor scale (Snyder et al., 1997).The reliability and validity of the CHS has been repeatedly supported across samples (Snyder etal., 1997; Valle et al., 2004).StructureThe CHS measures goal-oriented thinking using six youth-appropriate items. Each item hasresponse options rated on a six-point Likert-type scale ranging from one (None of the Time) tosix (All of the Time). The CHS Total Score represents the mean of the responses across all itemsif at least 85% of the items are completed. All items are positively worded, with a high CHSTotal Score indicating positive goal-oriented thinking. While the scale authors (Snyder et al.,1997) found a two-factor structure, the evidence was weak given that they were intercorrelatedfactors based on a very small number of items. Valle et al. (2004) also found two factors butgoodness of fit indices suggested a poor fit. Our psychometric analyses (presented later in thischapter) support a one-factor structure. Therefore, suggested scoring for the CHS is a total scoreonly, representing the mean of all six items. The psychometrics described here are based on the67

Peabody Treatment Progress Battery 2007.1complete sample of the psychometric study. See Chapter 2 for more detail on the psychometricsample and test development procedures.AdministrationThe CHS should be completed by the youth and may be administered during all phases oftreatment, intake through follow-up, as shown in Table 6.1. The suggested frequency ofadministration is once a month or at least every two months.Table 6.1 Administration of CHS by PhaseIntakeYATreatmentCYADischargeCYAFollow-UpC Y Youth (age 11-18); A Adult Caregiver; C ClinicianSuggested frequency: Once a month or at least every two monthsYAC The suggested administration schedule of all the measures in the Peabody Treatment ProgressBattery is presented in Appendix A. All PTPB measures with self-scoring tables can be found inAppendix B.DescriptionBasic DescriptivesTotal scores for the CHS had a bimodal distribution with 16% and 26% of cases endorsing allsix-items with “Some of the Time” or “All of the Time” respectively. As Table 6.2 summarizes,the mean total score was 3.88, which is very near the median. CHS Total Scores were notskewed but the distribution of responses was slightly flattened (kurtosis -0.5). At the high end(from four to six), the distribution is somewhat constrained by “perfect” or “quasi perfect” scoresof those endorsing “All of the Time” on every item. The comprehensive psychometric itemanalysis, presented in Table 6.6, shows the impact of the non-normal distribution of scores.Table 6.2 Descriptive Statistics for CHS Summary ScoresCHS TotalScoreNMeanStd Dev6013.881.15Skewness Kurtosis0.0068-0.51MinMax16

Peabody Treatment Progress Battery 2007.1QuartilesTable 6.3 shows quartiles for the CHS Total Score for youth. High scores are those in the topquarter, with low scores in the bottom quarter as presented in Table 6.3. For the CHS TotalScore, a score greater than 4.67 is considered to be high, while a score less than 3.0 is consideredlow.To aid interpretation, the quartiles were used to create low, medium, and high scores andpercentile ranks based on comparison to the psychometric sample. This information is presentedin the last section of this chapter.Table 6.3 CHS QuartilesQuartileScore100% Max75% Q350% Median25% Q10% Min6.004.673.833.001.00Evidence of ReliabilityReliability CoefficientsThe Cronbach’s alpha internal consistency reliability correlations are presented in Table 6.4.These alphas suggest a satisfactory degree of internal consistency for the total score.Table 6.4 Cronbach’s Alphas for the CHSScaleUnstandardizedAlphaStandardizedAlphaCHS Total Score0.840.8469

Peabody Treatment Progress Battery 2007.1Comprehensive Item PsychometricsTable 6.5 presents the comprehensive item psychometrics. Shaded cells indicate that a criterion was out of the range of soughtvalues, as described previously in Table 2.2 in chapter two. Only items with two or more shaded cells are consideredproblematic. All items in the CHS showed satisfactory scale characteristics.MeanSt DevKurtosisItem-TotalStd CFALoadingsMeasureInfitOutfitDiscriminationDoing pretty well6234.141.33-0.800.640.7347.540.740.81.17Can get things in s quit, I gs in past help ng just as well as other kids6183.841.55-1.020.640.7350.360.940.911.05Can solve temNTable 6.5 Comprehensive Item Analysis for the CHSNote: Items listed in ascending order by item difficulty (Measure).70

Peabody Treatment Progress Battery 2007.1Standard Errors of MeasurementFor the CHS Total Score, the standard error of measurement (SEM) is 0.46 points. With95% confidence, we can say that the true score is between approximately 2 SEMS, or0.90 points on a one to six point scale.Reliable Change IndexThe reliable change threshold is 0.75 points with 75% confidence for the CHS TotalScore, and gives us 75% confidence that a difference of more than 0.75 points is not dueto chance. If the change is in a positive direction (i.e., increase in score value) itrepresents an improvement in perceived hopefulness, while a change in the negativedirection (i.e., reduction in score value) indicates that the level of perceived hopefulnessis declining.Test–Retest ReliabilityNot available at this time.Evidence of ValidityScree PlotA scree plot of eigenvalues (Figure 6.1) suggests that the CHS is a one-factor scale, sincethe second eigenvalue is less than one. While the scree plot suggests that it is reasonableto view the CHS as having a single factor, the final factor structure was tested usingconfirmatory factor analysis 1234NumberFigure 6.1 Scree Plot of Eigenvalues for CHS7156

Peabody Treatment Progress Battery 2007.1Confirmatory Factor AnalysisA confirmatory factor analysis (CFA) was conducted with SAS CALIS in a modeemulating Bentler & Wu’s (1995) EQS. We first fit a model with two factors assuggested by the theory of the original scale authors. However, the correlation betweenthe two factors was so high (0.94) that we could not justify two individual factors. Next,we evaluated how well a one-factor model could explain the observed data. Resultssuggested that a one-factor model had a less than satisfactory fit with the data for two ofthe three fit indices. As shown in Table 6.6, the GFI and RMSEA were below par,although the Bentler CFI was adequate. Because of the otherwise good scalecharacteristics of the CHS, we decided that this lack of perfect factorial validity istolerable and does not pose a significant problem in regard to the interpretation of thescores. Standardized factor loadings ranged from 0.63 to 0.73.Table 6.6 Evaluation of the CHS Factor StructureScaleCHS One-Factor ModelBentler CFIJoreskog GFIRMSEA0.930.880.12For the CFI and GFI, values greater than 0.90 indicate good fit between a model and the data. For theRMSEA, a value of 0.05 indicates close fit, 0.08 fair fit, and 0.10 marginal fit (Browne & Cudeck, 1993).Scoring the CHSScoringUse Table 6.7 to calculate the CHS Total Score. Enter the value for the answer choicesin fields A-F and calculate fields G and H as instructed. There are no reverse coded itemsin the CHS. The self-scoring form is also available in Appendix B: Measures and SelfScoring Forms.Use the scoring form in the case where measures are fully completed (100% responserate). In cases with missing data, the total score should be determined by computing themean of completed items. Determining when too much missing data occurs forcomputing a total score is at the discretion of the user. The analyses presented in thischapter required 85% of the items to have valid answers.72

Peabody Treatment Progress Battery 2007.1Table 6.7 CHS Self-Scoring FormNone of the timeA little of thetimeSome of thetimeA lot of the timeMost of the timeAll of the timeValues for Enter value forselected responseshere and calculatescores as instructedA6B6C6D6E6FSum of A-F:GG / 6:HCHS Total Score HInterpretationThe literature on hopefulness suggests that it is a dynamic process and as such, it can fluctuatesignificantly over time (e.g., Hinds et al., 1999). Thus, it is important to monitor scores todetermine whether changes represent clinically significant change and also the cause of suchchanges. Administering the CHS throughout treatment will help reliably assess the variations inhopefulness a youth is experiencing. Overall, a positive trend indicates that the youthincreasingly believes that he or she can generate paths towards goals and persevere toward thosegoals.The scores on the CHS can range from one to six, where a six represents high hopefulness whilea one indicates low hopefulness. The tables presented below help to judge whether a scoreshould be considered relatively low, medium, or high. Youth who rate their hopefulness as highbelieve that they have strategies for achieving their targeted goals, and they can institute andcontinue using those strategies.When a youth reports low hopefulness, it does not necessarily mean that the treatment has noeffect. Rather, it shows that youth do not believe there are ways to meet goals and/or do notperceive they have the ability to pursue their goals. If youth do not perceive themselves to havethe capacity to pursue their goals, they may become less motivated to be in, or even be resistant73

Peabody Treatment Progress Battery 2007.1to, treatment. They may also be less likely to make changes in their behavior, or in the way theythink and feel about themselves.Low, Medium, High ScoresBased on the psychometric sample, a youth CHS Total Score greater than 4.67 is consideredhigh, and indicates that the youth reports a strong positive perception of self-capacity to achievegoals. If the total score is less than 3.0, it is considered low and indicates that the youth’sperception of hope is lower than the hopefulness experienced by participants in the psychometricstudy. These criteria are presented in Table 6.8.Table 6.8 CHS Low, Medium, and High ScoresScaleLowMediumHighCHS Total Score 3.03.0 - 4.67 4.67Percentile RanksTable 6.9 shows the percentile ranks of total scores in the psychometric study sample. Forexample, a total score of 3.83 is in the 50th percentile. This means that for the psychometricsample, 50 % scored 3.83 or lower and 50 % scored higher.Table 6.9 CHS Percentile 3932.50104.33656.009774

Peabody Treatment Progress Battery 2007.1ReferencesBeck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessismism:The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861-865.Bentler, P. M. & Wu, E. J. C. (1995). EQS for Windows user’s guide. Encino, CA: MultivariateSoftware, Inc.Browne, M. W. & Cudeck, R. (1993). Alternative ways of accessing model fit. In K. A. Bollen &J. S. Long (Eds.), Testing structural equation models (pp. 136-162). Newbury Park: Sage.Cantrell, M. A. & Lupinacci, P. (2004). A predictive model of hopefulness for adolescents.Journal of Adolescent Health, 35, 478-485.Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159.Hinds, P. S. (1988). Adolescent hopefulness in illness and health. Advances in Nursing Science,10, 79-88.Hinds, P. S., Quargnenti, A., Fairclough, D., Bush, A. J., Betcher, D., Rissmiller, G. et al.(1999). Hopefulness and its characteristics in adolescents with cancer. Western Journalof Nursing Research, 21 (5), 600-620.Kazdin, A. E., French, N. H., Unis, A. S., Esveldt-Dawson, K., & Sherick, R. B. (1983).Hopelessness, depression, and suicidal intent among psychiatrically disturbed children.Journal of Consulting and Clinical Psychology, 51, 504-510.Shorey, H. S., Snyder, C. R., Rand, K.L., Hockemeyer, J. R., & Feldman, D. B. (2002).Somewhere over the rainbow: Hope theory weathers its first decade. PsychologicalInquiry, 322-331.Snyder, C. R. (2002). Hope theory: Rainbows in the mind. Psychological Inquiry, 13, 249-275.Snyder, C. R., Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., Danovsky, M., et al. (1997). Thedevelopment and validation of the Children's Hope Scale. Journal of PediatricPsychology, 22, 399-421.Snyder, C. R., Michael, S. T., & Cheavens, J. S. (1999). Hope as a psychotherapeutic foundationof common factors, placebos, and expectancies. In M.A. Hubble, B.L. Duncan & S.D.Miller (Eds.), The heart and soul of change: What works in therapy (pp. 179-200).Washington DC: American Psychological Association.75

Peabody Treatment Progress Battery 2007.1Valle, M. F., Huebner, E. S., Suldo, S. M. (2004). Further evaluation of the Children’s HopeScale. Journal of Psychoeducational Assessment, 22, 320 – 337.76

Children’s Hope Scale (CHS) Background Purpose The Children’s Hope Scale. 5 (CHS; Snyder et al., 1997) is a measure of youth hopefulness. The CHS asks youth to report on their ability to generate paths toward goals and persevere toward those goals. Youth hopefulness is conceptually an important factor in the successful treatment ofFile Size: 1MBPage Count: 11

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