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Development and validation of a childhood self-efficacy for functional constipation questionnaire.

N R Santucci1, P E Hyman1, A Karpinski2

  • 1Pediatric Gastroenterology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.

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Researchers developed a new questionnaire to measure self-efficacy in children with functional constipation. This tool helps assess a child's belief in their ability to manage constipation, which is crucial for successful treatment.

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Area of Science:

  • Pediatric Gastroenterology
  • Psychology
  • Health Measurement

Background:

  • Functional constipation in children is often linked to a fear of painful bowel movements, leading to stool withholding.
  • Low self-efficacy, or a child's belief in their ability to defecate comfortably, can hinder treatment success.
  • A validated tool is needed to specifically assess self-efficacy related to functional constipation in pediatric populations.

Purpose of the Study:

  • To develop and validate a constipation-specific self-efficacy scale for children.
  • To create a reliable instrument for measuring children's confidence in managing their bowel movements.

Main Methods:

  • The Self-Efficacy for Functional Constipation Questionnaire (SEFCQ) was developed and refined with input from children and experts.
  • The SEFCQ was administered to 99 healthy children and 122 children diagnosed with functional constipation.
  • Psychometric properties were evaluated using factor analysis and correlation with related constructs.

Main Results:

  • The SEFCQ demonstrated good internal reliability with two scales: Action (Cronbach's α = 0.88) and Emotion (Cronbach α = 0.86).
  • The questionnaire showed positive correlations with general self-efficacy and quality of life, and a negative correlation with anxiety.
  • Children without functional constipation scored significantly higher on the SEFCQ than those with the condition.

Conclusions:

  • A constipation-specific self-efficacy questionnaire (SEFCQ) was successfully developed and validated.
  • The SEFCQ exhibits good reliability and validity for assessing self-efficacy in children with functional constipation.
  • Further research is warranted to explore the impact of low defecation self-efficacy on treatment outcomes in pediatric functional constipation.