PMID- 26215853 OWN - NLM STAT- MEDLINE DCOM- 20160803 LR - 20151015 IS - 1365-2222 (Electronic) IS - 0954-7894 (Linking) VI - 45 IP - 11 DP - 2015 Nov TI - Parental confidence in managing food allergy: development and validation of the Food Allergy Self-Efficacy Scale for Parents (FASE-P). PG - 1681-9 LID - 10.1111/cea.12599 [doi] AB - BACKGROUND: Food allergy is often a life-long condition that requires constant vigilance 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 this 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-12 (GHQ-12) and the Food Allergy Impact Measure (FAIM). A total of 250 parents completed the retest of the FASE-P. RESULTS: Factor and reliability analysis resulted in a 21-item scale with five subscales. The overall scale and subscales have good to excellent internal consistency (Cronbach's alpha of 0.63-0.89), and the scale is stable over time. There were low to moderate significant correlations with the GSES, FAIM and GHQ-12 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. CI - (c) 2015 John Wiley & Sons Ltd. FAU - Knibb, R C AU - Knibb RC AD - Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK. FAU - Barnes, C AU - Barnes C AD - Psychology, College of Life and Natural Sciences, University of Derby, Derby, UK. FAU - Stalker, C AU - Stalker C AD - Psychology, College of Life and Natural Sciences, University of Derby, Derby, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Factor Analysis, Statistical MH - Female MH - Food Hypersensitivity/*prevention & control MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Parents/*psychology MH - Quality of Life MH - Reproducibility of Results MH - *Self Efficacy OTO - NOTNLM OT - confidence OT - food allergy OT - parents OT - quality of life OT - self-efficacy EDAT- 2015/07/29 06:00 MHDA- 2016/08/04 06:00 CRDT- 2015/07/29 06:00 PHST- 2014/10/20 00:00 [received] PHST- 2015/07/03 00:00 [revised] PHST- 2015/07/19 00:00 [accepted] PHST- 2015/07/29 06:00 [entrez] PHST- 2015/07/29 06:00 [pubmed] PHST- 2016/08/04 06:00 [medline] AID - 10.1111/cea.12599 [doi] PST - ppublish SO - Clin Exp Allergy. 2015 Nov;45(11):1681-9. doi: 10.1111/cea.12599.