Preliminary validation of a self-efficacy scale for child functioning despite chronic pain (child and parent versions)
Preliminary validation of a self-efficacy scale for child functioning despite chronic pain (child and parent versions)
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DOI：
10.1016/j.pain.2006.04.026
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发表时间：
2006-11-01
期刊：
影响因子：
7.4
通讯作者：
Zeltzer, Lonnie K.
中科院分区：
文献类型：
--
作者：
Bursch, Brenda;Tsao, Jennie C. I.;Zeltzer, Lonnie K.
尽管儿科慢性疼痛治疗干预措施经常以健康信念为目标，但目前还没有针对慢性疼痛儿童及其父母的可靠有效的自我效能测量。目前的研究检查了与孩子在疼痛时正常运作有关的自我效能感测量的父母和孩子版本的心理测量特性。 9-18 岁的小儿疼痛患者和护理人员在初次三级护理诊所预约之前完成了调查问卷。我们样本中的 67 名患者平均有 1.7 个疼痛部位，包括腹痛 (43.3%)、头痛 (50.7%)、身体疼痛 (25.4%)、背痛 (23.9%)、四肢疼痛 (20.9%) 和/或胸痛 (9.0%)。新措施的可靠性非常好； 7 个子项目的 Cronbach's alpha 为 0.89，7 个父项目的 Cronbach's alpha 为 0.90。 27 种假设相关性中有 23 种得到证实，因此也获得了构建有效性的有力证据。正如预测的那样，父母和孩子对孩子在疼痛时正常运作的自我效能感增强的评价彼此显着相关，并且父母报告由于身体或情感问题而导致的运作问题较少；家长报告身体、行为或情绪症状较少；家长报告自尊心增强，与孩子的疼痛、年龄和性别无关。此外，儿童对自我效能感增强的评价与儿童自尊心增强和躯体症状减少的报告显着相关。表明了更大样本量、更复杂模型和前瞻性研究的重复性。 (c) 2006 年国际疼痛研究协会。由 Elsevier B.V. 出版。保留所有权利。
Despite frequent targeting of health beliefs in pediatric chronic pain treatment interventions, there are currently no reliable and valid self-efficacy measures for children with chronic pain and their parents. The current study examined the psychometric properties of parent and child versions of a self-efficacy measure related to the child functioning normally when in pain. Pediatric pain patients, 9-18 years of age, and a caregiver completed questionnaires before an initial tertiary care clinic appointment. The 67 patients in our sample had an average of 1.7 pain locations, including abdominal pain (43.3%), headaches (50.7%), body pain (25.4%), back pain (23.9%), limb pain (20.9%), and/or chest pain (9.0%). Reliability for the new measures was excellent; the Cronbach's alpha was .89 for the 7 child items and .90 for the 7 parent items. Strong evidence for construct validity was also obtained as 23 of the 27 hypothesized correlations were confirmed. As predicted, parent and child ratings of increased self-efficacy for the child functioning normally when in pain were significantly correlated with each other, and to parent reports of fewer problems functioning due to physical or emotional problems; parent reports of fewer somatic, behavioral or emotional symptoms; parent reports of increased self-esteem, and unrelated to child pain, age and gender. Additionally, child ratings of increased self-efficacy were significantly correlated with child reports of increased self-esteem and fewer somatic symptoms. Replication with a larger sample size, more complex modeling, and prospective studies are indicated. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.