Parental confidence in managing food allergy: development and validation of the food allergy self-efficacy scale for parents (FASE-P)

Journal article


Knibb, Rebecca C., Barnes, Christopher and Stalker, C. 2015. Parental confidence in managing food allergy: development and validation of the food allergy self-efficacy scale for parents (FASE-P). Clinical & Experimental Allergy. https://doi.org/10.1111/cea.12599
AuthorsKnibb, Rebecca C., Barnes, Christopher and Stalker, C.
Abstract

Background: Food allergy is often a life-long condition that requires constant vigilance in order to prevent accidental exposure and avoid potentially life-threatening symptoms. Parents’ confidence in managing their child’s food allergy may relate to the poor quality of life anxiety and worry reported by parents of food allergic children. Objective: The aim of the current study was to develop and validate the first scale to measure parental confidence (self-efficacy) in managing food allergy in their child. Methods: The Food Allergy Self-Efficacy Scale for Parents (FASE-P) was developed through interviews with 53 parents, consultation of the literature and experts in the area. The FASE-P was then completed by 434 parents of food allergic children from a general population sample in addition to the General Self-Efficacy Scale (GSES), the Food Allergy Quality of Life Parental Burden Scale (FAQL-PB), the General Health Questionnaire (GHQ12) and the Food Allergy Impact Measure (FAIM). A total of 250 parents completed the re-test of the FASE-P. Results: Factor and reliability analysis resulted in a 21 item scale with 5 sub-scales. The overall scale and sub-scales has good to excellent internal consistency (α’s of 0.63-0.89) and the scale is stable over time. There were low to moderate significant correlations with the GSES, FAIM and GHQ12 and strong correlations with the FAQL-PB, with better parental confidence relating to better general self-efficacy, better quality of life and better mental health in the parent. Poorer self-efficacy was related to egg and milk allergy; self-efficacy was not related to severity of allergy. Conclusions and clinical relevance: The FASE-P is a reliable and valid scale for use with parents from a general population. Its application within clinical settings could aid provision of advice and improve targeted interventions by identifying areas where parents have less confidence in managing their child’s food allergy.

Keywordsfood allergy; self-efficacy; confidence; parents; quality of life
Year2015
JournalClinical & Experimental Allergy
PublisherWiley
ISSN09547894
Digital Object Identifier (DOI)https://doi.org/10.1111/cea.12599
Web address (URL)http://hdl.handle.net/10545/604747
hdl:10545/604747
http://www.scopus.com/inward/record.url?eid=2-s2.0-84944184916&partnerID=MN8TOARS
Publication dates28 Jul 2015
Publication process dates
Deposited07 Apr 2016, 15:04
Accepted19 Jul 2015
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Archived with thanks to Clinical & Experimental Allergy

ContributorsAston University, University of Derby, University of Derby, Psychology; School of Life and Health Sciences; Aston University; Birmingham UK, Psychology; College of Life and Natural Sciences; University of Derby; Derby UK and Psychology; College of Life and Natural Sciences; University of Derby; Derby UK
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