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Development and validation of Parental Self-Efficacy Scale for Dietary Management of Children with Food Allergies
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  • Soo Jin Lee,
  • Seoyoung Yoo,
  • Jayun Kim,
  • Yeji Kim,
  • Yunna Lee,
  • Chiehyeon Lim,
  • Hyemee Kim,
  • Minyoung Jung
Soo Jin Lee
Pusan National University
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Seoyoung Yoo
Kosin University Gospel Hospital
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Jayun Kim
Ulsan National Institute of Science and Technology
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Yeji Kim
Kosin University Gospel Hospital
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Yunna Lee
Kosin University College of Medicine
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Chiehyeon Lim
Ulsan National Institute of Science and Technology
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Hyemee Kim
Pusan National University
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Minyoung Jung
Kosin University Gospel Hospital

Corresponding Author:[email protected]

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Abstract

Background: It is necessary to evaluate the parental ability to achieve nutritional adequacy while avoiding allergens for children with food allergies (FA), yet this area is currently understudies. Our study aimed to develop and validate the Parental Self-Efficacy Scale for Dietary Management of Children with Food Allergies (PSED-FA). Methods: PSED-FA was developed through a literature review and semi-structured interviews, refined by a panel of five allergists and five dietitians, and validated using responses from caregivers of children with FA. The construction of the tool involved exploratory factor analysis (EFA), confirmatory factor analysis for model fit, and evaluation of internal consistency using Cronbach’s alpha. Convergent and divergent validity were assessed using the average variance extracted (AVE), maximum shared variance (MSV), and average shared variance (ASV). Results: Participants included nine focus interview groups, with 114 individuals in the validation group. Egg whites (55.2 %), tree nuts (35.2%), and peanuts (22.8%) were the most common allergens. The EFA identified three factors: preparing allergen-free meals, knowledge of nutrition management, and management of food restrictions. The goodness of fit of our model met all the criteria. The tool showed high internal consistency (overall Cronbach’s alpha: 0.902) and met the criteria for both convergent (AVE >0.5) and divergent validity (AVE >MSV and ASV). Conclusion: This study validated a reliable and effective tool for assessing parental self-efficacy in managing the dietary needs of children with FA. This tool can aid health professionals in evaluating parental confidence and identifying areas for improving dietary management in children with FA.
25 Apr 2024Submitted to Pediatric Allergy and Immunology
26 Apr 2024Submission Checks Completed
26 Apr 2024Assigned to Editor
26 Apr 2024Review(s) Completed, Editorial Evaluation Pending
14 Jun 2024Editorial Decision: Revise Major
12 Sep 20241st Revision Received
09 Oct 2024Submission Checks Completed
09 Oct 2024Assigned to Editor
09 Oct 2024Review(s) Completed, Editorial Evaluation Pending
17 Oct 2024Reviewer(s) Assigned
30 Oct 2024Editorial Decision: Revise Minor