Parental self-efficacy and the management of childhood atopic eczema: Development and testing of a new clinical outcome measure
Open accessAbstract
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.
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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].”
From Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema (2023) · cites this paper as [23]
The Introduction (page unavailable) equates parental confidence in managing childhood eczema with self-efficacy and says effective parental management improves child and family quality of life. But the Results and Discussion (pages unavailable) say the relationship between measured parental self-efficacy and child quality of life was not established. The paper does not establish that high parental self-efficacy causes better mental health outcomes or HRQoL. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe roles of psychological flexibility and self-compassion remain unexplored in families with children diagnosed with eczema.
“However, these roles remain unexplored in families with children diagnosed with eczema. The existing literature is predominantly focused on parental self-efficacy [23,48], leaving a critical gap in our understanding of the unique psychological aspects experienced by parents of children with eczema.”
From Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema (2023) · cites this paper as [23]
The Introduction (page unavailable) and Discussion (page unavailable) show that this paper studies parental self-efficacy in childhood eczema. They do not establish that psychological flexibility or self-compassion remain unexplored in these families. The Introduction also says self-efficacy in dermatology had received little attention, rather than showing that the literature predominantly focused on it. (LLM, conf=0.83)
Experimental — accuracy not yet measured
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Percentages, sums and reported differences re-computed from the paper’s own numbers.
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- Authors
- Ersser, S. J., Farasat, H., Jackson, K., Gardiner, E., Sheppard, Z. A., & Cowdell, F.
- Affiliations
- University of Leeds (GB)
- Bournemouth University (GB)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- University of Hull (GB)
- Corresponding author
- Ersser, S.J.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-11-08
- Volume
- 173
- Issue
- 6
- Pages
- 1479-1485
- ISSN
- 0007-0963 (ISSN-L)
- OpenAlex
- W2120598126
- Cited by
- 17
- References
- 25
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2016: 2
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- Locations
- British Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Bournemouth University Research Online (Bournemouth University) (submittedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, other-oa)
- BCU Open Access Repository (Birmingham City University) (submittedVersion)
- Funders
- Guy's and St Thomas' Charity
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- parental self-efficacy, outcome measure development, parent education, eczema management, scale reliability and validity, chronic disease management
- MeSH terms
- Adolescent, Child, Child, Preschool, Dermatitis, Atopic, Humans, Infant, Infant, Newborn, Parents, Reproducibility of Results, Treatment Outcome, Self Efficacy
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