Family resilience in the neonatal intensive care unit (NICU) is a promising avenue for promoting parental mental health, yet no tool is available to assess it. This study aimed to develop a new scale to measure family resilience in French-speaking parents during the NICU hospitalization and evaluate content validation. This methodological study was conducted in Quebec and included two phases: (a) item development process and (b) content validity evaluation process using successive quantitative and qualitative methods. A total sample of 14 experts evaluated item clarity, relevance, and representativeness on 1-4 rating scales and provided qualitative feedback on scale characteristics. An initial scale of 55 items was developed. Excellent content validity (Scale Content Validity Index > .90) and consensus regarding item selection and scale presentation were achieved. This content-validated 55-item Communication, Organization, and Intrafamilial Beliefs in Neonatology (COCINL) scale should be psychometrically tested in the Quebec NICU parent population.
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