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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.
Neurogastroenterology and Motility
|October 6, 2017
Summary
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.
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.
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