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

Jackson, K.; Gardiner, E.; Sheppard, Z.A.; Ersser, S. J.; Farasat, H.; Jackson, Karina; Gardiner, Eric; Sheppard, Z. A.; Cowdell, F.

Authors

K. Jackson

Z.A. Sheppard

S. J. Ersser

H. Farasat

Karina Jackson

Z. A. Sheppard

F. Cowdell

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.

Journal Article Type Article
Publication Date 2015-12
Journal British journal of dermatology
Print ISSN 0007-0963
Electronic ISSN 1365-2133
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 173
Issue 6
Pages 1479-1485
Institution Citation Ersser, S. J., Farasat, H., Jackson, K., Gardiner, E., Sheppard, Z. A., & Cowdell, F. (2015). Parental self-efficacy and the management of childhood atopic eczema: development and testing of a new clinical outcome measure. British journal of dermatology, 173(6), 1479-1485. https://doi.org/10.1111/bjd.14175
DOI https://doi.org/10.1111/bjd.14175
Keywords Childhood eczema; Education; Atopic eczema; Parental management; Self-efficacy; Outcome measure; Self-management
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/bjd.14175/abstract
Copyright Statement ©2016 University of Hull
Additional Information Authors' accepted manuscript of article: Ersser, S.J., Farasat, H., Jackson, K., Gardiner, E., Sheppard, Z.A. and Cowdell, F. (2015), Parental self-efficacy and the management of childhood atopic eczema: development and testing of a new clinical outcome measure. Br J Dermatol, 173: 1479–1485. doi:10.1111/bjd.14175

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