Preliminary Psychometric Characteristics of the Cystic Fibrosis Coping Self-Efficacy (CF-CSE) Scale.

IF 2.7 3区 医学 Q1 PEDIATRICS
Deborah Friedman, Alexandra L Quittner, Jianghua He, Nivedita Chaudhary, Tara M D Mullen, Amanda S Bruce, Yelizaveta Sher, Beth A Smith, Anna M Georgiopoulos
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引用次数: 0

Abstract

Objective: This study aimed to examine the preliminary psychometric characteristics of the Cystic Fibrosis Coping Self-Efficacy Scale (CF-CSE), a new measure of coping self-efficacy assessing confidence in one's ability to cope with challenges of living with cystic fibrosis (CF).

Methods: Measure development included cognitive testing with people with CF who participated in a pilot trial of CF-CBT, a CF-specific cognitive behavioral therapy skills-based intervention. Data were then collected from a baseline assessment in a multi-center randomized-controlled trial of CF-CBT for adults with mild symptoms of depression and/or anxiety (N = 60). Multitrait analysis was used to evaluate how individual CF-CSE items loaded on five hypothesized subscales, followed by assessment of subscale internal consistency and construct validity.

Results: Multitrait analysis supported retention of four subscales (21 items total; 4-7 items each) reflecting coping skill domains: Acceptance-Based Strategies/Self-Compassion, Cognitive Coping, Active Stress Management, and Coping with Daily Self-Care. Each scale had excellent internal consistency (Cronbach ⍺ = 0.81 to 0.90). Medium to large effect-size (ES) correlations were found for all CF-CSE subscales with self-reported Perceived Stress Scale scores, and medium to large ES correlations for all subscales with Cystic Fibrosis Questionnaire-Revised (CFQ-R) Emotional Functioning. There were medium ES correlations between the Coping with Daily Self-Care subscale and CFQ-R Social and Role Functioning and Health Perceptions.

Conclusion: CF-CSE is a new CF-specific measure of coping self-efficacy with preliminary evidence of reliability and construct validity. It offers a promising strengths-based patient-reported outcome measure identifying targets for clinical intervention and evaluating outcomes in CF mental health care.

囊性纤维化应对自我效能量表的初步心理测量特征。
目的:探讨囊性纤维化应对自我效能量表(CF- cse)的初步心理测量特征。CF- cse是一种新的应对自我效能量表,用于评估患者应对囊性纤维化(CF)生活挑战的能力。方法:测量发展包括对CF患者进行认知测试,这些患者参加了CF- cbt的试点试验,CF- cbt是一种针对CF的认知行为治疗技能干预。然后从一项针对轻度抑郁和/或焦虑症状的成人(N = 60)的CF-CBT多中心随机对照试验的基线评估中收集数据。采用多特质分析评估CF-CSE单项在5个假设分量表上的加载情况,然后评估分量表内部一致性和构念效度。结果:多特质分析支持4个分量表(共21项)的保留;(每项4-7项)反映应对技能领域:基于接受的策略/自我同情、认知应对、主动压力管理和应对日常自我照顾。各量表具有良好的内部一致性(Cronbach = 0.81 ~ 0.90)。所有CF-CSE子量表与自我报告的感知压力量表得分均存在中到大的效应量(ES)相关性,所有囊性纤维化问卷-修订(CFQ-R)情绪功能子量表均存在中到大的效应量相关性。日常自我照顾应对分量表与CFQ-R社会角色功能和健康感知存在中等ES相关。结论:CF-CSE是一种新的针对cf的应对自我效能测量方法,具有初步的信度和结构效度证据。它提供了一种有希望的基于优势的患者报告的结果测量方法,确定了临床干预的目标,并评估了CF精神卫生保健的结果。
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来源期刊
Pediatric Pulmonology
Pediatric Pulmonology 医学-呼吸系统
CiteScore
6.00
自引率
12.90%
发文量
468
审稿时长
3-8 weeks
期刊介绍: Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.
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