Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ)
Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ)
Perceived self-efficacy is the belief that one can manage prospective situations. Good asthma self-management self-efficacy is associated with better asthma outcomes. However, a well-developed and validated tool to measure adolescent asthma self-management self-efficacy is lacking. Our objective was to develop and validate an Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).The first stage of the study included a review of the literature, interviews with adolescents with asthma and consultations with parents and relevant healthcare professionals to develop a prototype scale. To assess reliability and validity, a further group of adolescents completed the prototype scale, the General Self-Efficacy Scale and KidCope (measures coping styles). Re-testing was undertaken to assess longitudinal validity.Interviews with 28 adolescents and consultations with other stakeholders resulted in a 38-item prototype scale. Key themes were medication, symptom management, triggers, knowledge, attitude and beliefs around asthma, supportive relationships, schools and healthcare professionals. The prototypte scale was completed by 243 adolescents. Factor and reliability analysis reduced it to a 27-item scale with 4 sub-sections: symptom management; medication; friends, family and school; asthma beliefs. The 27-item scale had respectable to excellent internal consistency (α's 0.78-0.91) with results that were stable over time (ICC=0.82) in 63 who completed it twice. Better adolescent asthma self-efficacy was associated with better general self-efficacy and indices of better asthma management.The AASEQ is a reliable and valid tool that is likely to aid future research and practice focused on adolescent asthma self-management and could be a useful intermediate outcome measure to assess the impact of behavioural interventions.
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Knibb, Rebecca
3842f934-1037-4969-8e22-1e13a12b6a86
Latter, Susan
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Liossi, Christina
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Mitchell, Frances
74275354-246c-4ea2-bb7a-e6ed2dfa0833
Radley, Ruth
af812356-b006-4800-b884-15cc30808b4f
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
1 June 2019
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Knibb, Rebecca
3842f934-1037-4969-8e22-1e13a12b6a86
Latter, Susan
83f100a4-95ec-4f2e-99a5-186095de2f3b
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Mitchell, Frances
74275354-246c-4ea2-bb7a-e6ed2dfa0833
Radley, Ruth
af812356-b006-4800-b884-15cc30808b4f
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Holley, Simone, Knibb, Rebecca, Latter, Susan, Liossi, Christina, Mitchell, Frances, Radley, Ruth and Roberts, Graham
(2019)
Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).
European Respiratory Journal, 54 (1).
(doi:10.1183/13993003.01375-2018).
Abstract
Perceived self-efficacy is the belief that one can manage prospective situations. Good asthma self-management self-efficacy is associated with better asthma outcomes. However, a well-developed and validated tool to measure adolescent asthma self-management self-efficacy is lacking. Our objective was to develop and validate an Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).The first stage of the study included a review of the literature, interviews with adolescents with asthma and consultations with parents and relevant healthcare professionals to develop a prototype scale. To assess reliability and validity, a further group of adolescents completed the prototype scale, the General Self-Efficacy Scale and KidCope (measures coping styles). Re-testing was undertaken to assess longitudinal validity.Interviews with 28 adolescents and consultations with other stakeholders resulted in a 38-item prototype scale. Key themes were medication, symptom management, triggers, knowledge, attitude and beliefs around asthma, supportive relationships, schools and healthcare professionals. The prototypte scale was completed by 243 adolescents. Factor and reliability analysis reduced it to a 27-item scale with 4 sub-sections: symptom management; medication; friends, family and school; asthma beliefs. The 27-item scale had respectable to excellent internal consistency (α's 0.78-0.91) with results that were stable over time (ICC=0.82) in 63 who completed it twice. Better adolescent asthma self-efficacy was associated with better general self-efficacy and indices of better asthma management.The AASEQ is a reliable and valid tool that is likely to aid future research and practice focused on adolescent asthma self-management and could be a useful intermediate outcome measure to assess the impact of behavioural interventions.
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AASEQ Online methods supplement_R2_2019 01 30 FINAL
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Restricted to Repository staff only until 9 October 2020.
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13993003.01375-2018.full
- Accepted Manuscript
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More information
Accepted/In Press date: 9 April 2019
e-pub ahead of print date: 2 May 2019
Published date: 1 June 2019
Additional Information:
Copyright ©ERS 2019.
Identifiers
Local EPrints ID: 430253
URI: https://eprints.soton.ac.uk/id/eprint/430253
ISSN: 0903-1936
PURE UUID: f32c7851-16f9-4af9-80e3-5d881a29c54a
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Date deposited: 23 Apr 2019 16:30
Last modified: 15 Aug 2019 00:48
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Author:
Rebecca Knibb
Author:
Frances Mitchell
Author:
Ruth Radley
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