Parental self-efficacy and the management of childhood atopic eczema: development and testing of a new clinical outcome measure

作者：Ersser S J^*; Farasat H; Jackson K; Gardiner E; Sheppard Z A; Cowdell F

来源：British Journal of Dermatology, 2015, 173(6): 1479-1485.

DOI：10.1111/bjd.14175

Background Effective parental management of childhood eczema requires education and support to reduce disease severity and improve the child's quality of life. Self-efficacy is a key factor influencing effective chronic disease management, yet there are no published scales to measure parental self-efficacy in managing childhood eczema. The Parental Self-Efficacy with Eczema Care Index (PASECI) was designed to measure parental self-efficacy in managing childhood eczema as a pre-and postintervention tool in the evaluation of a structured Eczema Education Programme (EEP).
Objectives To develop and test the validity, reliability and sensitivity of a new outcome measure (PASECI) designed to assess parental self-efficacy in managing their child's eczema to determine pre-vs. postintervention changes in educational intervention evaluation studies.
Methods PASECI was developed from the literature, expert consultation and piloting of a 40-item prototype. The final 29-item scale is arranged in four subscales. Parents of children with eczema aged 0-16 years (n = 242) attending the EEP were assessed at 1 week pre-EEP and 4 weeks postintervention. Cronbach's a and factor analyses were undertaken.
Results PASECI has face, content and construct validity. It is reliable, with high item internal consistency (alpha > 0.87 in all domains). Factor analysis revealed four viable domains. It was sensitive to change for postintervention measures using sign tests (P < 0.001).
Conclusions PASECI is a useful, valid, reliable and sensitive evaluative outcome measure of self-efficacy in parents managing childhood eczema.

• 出版日期2015-12