Parents’ self-efficacy, outcome expectations, and self-reported task performance when managing atopic dermatitis in children: Instrument reliability and validity
Abstract
Background Support and education for parents faced with managing a child with atopic dermatitis is crucial to the success of current treatments. Interventions aiming to improve parent management of this condition are promising. Unfortunately, evaluation is hampered by lack of precise research tools to measure change.Objectives To develop a suite of valid and reliable research instruments to appraise parents' self-efficacy for performing atopic dermatitis management tasks; outcome expectations of performing management tasks; and self-reported task performance in a community sample of parents of children with atopic dermatitis.Methods The Parents' Eczema Management Scale (PEMS) and the Parents' Outcome Expectations of Eczema Management Scale (POEEMS) were developed from an existing self-efficacy scale, the Parental Self-Efficacy with Eczema Care Index (PASECI). Each scale was presented in a single self-administered questionnaire, to measure self-efficacy, outcome expectations, and self-reported task performance related to managing child atopic dermatitis. Each was tested with a community sample of parents of children with atopic dermatitis, and psychometric evaluation of the scales' reliability and validity was conducted.Setting and participants A community-based convenience sample of 120 parents of children with atopic dermatitis completed the self-administered questionnaire. Participants were recruited through schools across Australia.Results Satisfactory internal consistency and test-retest reliability was demonstrated for all three scales. Construct validity was satisfactory, with positive relationships between self-efficacy for managing atopic dermatitis and general perceived self-efficacy; self-efficacy for managing atopic dermatitis and self-reported task performance; and self-efficacy for managing atopic dermatitis and outcome expectations. Factor analyses revealed two-factor structures for PEMS and PASECI alike, with both scales containing factors related to performing routine management tasks, and managing the child's symptoms and behaviour. Factor analysis was also applied to POEEMS resulting in a three-factor structure. Factors relating to independent management of atopic dermatitis by the parent, involving healthcare professionals in management, and involving the child in the management of atopic dermatitis were found. Parents' self-efficacy and outcome expectations had a significant influence on self-reported task performance.Conclusions Findings suggest that PEMS and POEEMS are valid and reliable instruments worthy of further psychometric evaluation. Likewise, validity and reliability of PASECI was confirmed.
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Parents with high self-efficacy acquire great perceived confidence in managing their child's health conditions, resulting in better mental health outcomes and HRQoL.
“It is well documented that parents who possess high levels of self-efficacy acquire great perceived confidence in managing their child’s health conditions, thereby resulting in better mental health outcomes and HRQoL [22,23].”
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- Authors
- Mitchell, A. E., & Fraser, J. A.
- Affiliations
- Queensland University of Technology (AU)
- The University of Sydney (AU)
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 48
- Issue
- 2
- Pages
- 215-226
- ISSN
- 0020-7489 (ISSN-L)
- OpenAlex
- W2079160207
- Cited by
- 22
- References
- 52
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 7 · 2015: 1 · 2014: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Studies (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bournemouth University
- ACT Government
- Queensland University of Technology
- Department of Education and Training
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- atopic dermatitis, parental self-efficacy, outcome expectations, psychometric validation, scale development, parent education
- MeSH terms
- Adult, Child, Dermatitis, Atopic, Humans, Psychometrics, Treatment Outcome, Self Efficacy
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