@article { , title = {Parental self-efficacy and the management of childhood atopic eczema: development and testing of a new clinical outcome measure}, abstract = {© 2015 British Association of Dermatologists. 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 α and factor analyses were undertaken. Results PASECI has face, content and construct validity. It is reliable, with high item internal consistency (α > 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.}, doi = {10.1111/bjd.14175}, eissn = {1365-2133}, issn = {0007-0963}, issue = {6}, journal = {British journal of dermatology}, pages = {1479-1485}, publicationstatus = {Published}, publisher = {Wiley}, url = {https://hull-repository.worktribe.com/output/380981}, volume = {173}, keyword = {Health and Health Inequalities, Childhood eczema, Education, Atopic eczema, Parental management, Self-efficacy, Outcome measure, Self-management}, year = {2015}, author = {Ersser, S. J. and Farasat, H. and Jackson, Karina and Gardiner, Eric and Sheppard, Z. A. and Cowdell, F.} }