Construction and reliability and validity test of self-management scale for epilepsy medication in children_Journal of Epilepsy

Authors：

YANG Chunsong ^1,2 , YANG Yaya ^1,2 , YU Dan ³ ,  ZHANG Lingli ^1,2

1. Department of Pharmacy/Evidence-based Pharmacy Center, West China Second Hospital, Sichuan University, Chengdu 610041, China;
2. Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu 610041, China;
3. Department of pediatrics , West China Second Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

ZHANG Lingli, Email: zhlingli@sina.com

Keywords：

Children epilepsy; Self-management of medication; Scale development; Reliability; Validity

DOI：

10.7507/2096-0247.202311011

Video：

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Objective We aimed to develop a self-management assessment scale for children with epilepsy and test its reliability and validity. Methods A research group was established, and the items were revised through literature review, group discussion and pre-investigation, and 280 patients with epilepsy in children were included, and the reliability and validity of the scale were tested. Results 28 items in 4 dimensions were developed to form the scale, namely, knowledge and belief of diseases and medication, compliance of medication and treatment, self-efficacy of medication and obstacles of medication. Confirmatory factor analysis extracted four common factors with characteristic roots greater than 1, and the cumulative variance explanation rate was 65.639%. The factor load of all items is > 0.5. The overall Cronbach’s alpha is 0.880, and the coefficients in seven measurement dimensions are all greater than 0.8. Conclusion The self-management assessment scale for children’s epilepsy drugs has good reliability and validity, and can provide a measuring tool for the drug management of children’s epilepsy diseases.

Citation： YANG Chunsong, YANG Yaya, YU Dan, ZHANG Lingli. Construction and reliability and validity test of self-management scale for epilepsy medication in children. Journal of Epilepsy, 2024, 10(1): 26-31. doi: 10.7507/2096-0247.202311011 Copy

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3.	Song P, Liu Y, Yu X, et al. Prevalence of epilepsy in China between 1990 and 2015: a systematic review and meta-analysis. J Glob Health, 2017, 7(2): 020706.
4.	肖小嫱. 中文版成人癫痫患者自我管理量表(C-ESMS)信效度检验及应. 西南医科大学, 硕士学位论文, 2019.
5.	Tanya L Packer, America Fracini, Åsa Audulv, et al. What we know about the purpose, theoretical foundation, scope and dimensionality of existing self-management measurement tools: a scoping review. Patient Educ Couns, 2018, 101(4): 579-595.
6.	Émilie Hudon, Catherine Hudon, Mireille Lambert, et al. Generic self-reported questionnaires measuring self-management: a scoping review. Clin Nurs Res, 2021, 30(6): 855-865.
7.	Smith G, Modi AC, Johnson EK, et al. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia, 2018, 59(3): 509-522.
8.	Avani C Modi, Sally Monahan, Dee Daniels, et al. Development and validation of the pediatric epilepsy medication self-management questionnaire. Epilepsy Behav, 2010, 18(1-2): 94-9.
9.	于桂玲, 王爱敏, 李莎, 等. 应用Delphi法构建4~11岁哮喘儿童家庭自我管理评价指标体系. 中国护理管理, 2013, 13(9): 39-42.
10.	Kathleen J Sawin, Amy Heffelfinger, Susan E Cashin, et al. The development of the Adolescent/Young Adult Self-Management and Independence Scale II: Psychometric data. J Pediatr Rehabil Med, 2018, 11(4): 311-322.
11.	康洪彬, 李艳君. 中文版改良服药信念量表在临床中的应用价值探讨. 中国卫生统计, 2021, 38(5): 766-768.
12.	Megan Loew, Justin L Williams, Kathryn Russell, et al. The adolescent and caregiver sickle cell disease self-management skills checklist: preliminary reliability and validity. J Pediatr Hematol Oncol, 2020, 42(1): 12-19.
13.	徐晶晶, 顾愹, 朱敏, 等. 中文版青少年糖尿病行为评定量表的跨文化调试及信度、效度检验研究. 中国糖尿病杂志, 2018, 26(6): 463-469.
14.	Çağrı Çövener Özçelik, Eda Aktaş, Nesrin Şen Celasin, et al. The development and validation of a turkish insulin treatment self-management scale child form (ages 8-18) and parent form. J Clin Res Pediatr Endocrinol, 2019, 11(3): 278-286.
15.	Jessica S Pierce, Sara S Jordan, Randolph C Arnau. Development and validation of the pediatric diabetes routines questionnaire for adolescents. J Clin Psychol Med Settings, 2019, 26(1): 47-58.
16.	Morisky DE, DiMatteo MR. Improving the measurement of self reported medication nonadherence: response to authors. J Clin Epidemiol, 2011, 64(3): 255-257.
17.	胡平, 张际, 黄英, 等. 哮喘儿童自我管理量表的编制. 中国全科医学, 2010, 13(31): 3513-3515.
18.	杨春松, 张伶俐, 李佳圆, 等. 基于保护动机理论的儿童抽动障碍患者用药依从性研究. 中国药房, 2021, 32(19): 2415-2420.
19.	B Bursch, L Schwankovsky, J Gilbert, et al. Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. J Asthma, 1999, 36(1): 115-128.
20.	Escoffery C. Factor analyses of an adult epilepsy self-management measurement instrument (AESMMI). Epilepsy Behav, 2015, 50: 184-189.
21.	Luedke MW, Blalock DV, Goldstein KM, et al. Self-management of epilepsy: a systematic review. Ann Intern Med. 2019, 171(2): 117-126.
22.	Yang C, Hao Z, Yu D, et al. The prevalence rates of medication adherence and factors influencing adherence to antiepileptic drugs in children with epilepsy: a systematic review and meta analysis. Epilepsy Res, 2018, 142: 88-99.
23.	Jing Wen Tan, Teik Beng Khoo, Nurul Farhana Burharudin, et al. Medication self-management among parents of children with epilepsy at a tertiary care center in Malaysia. Epilepsy Behav, 2020, 111: 107317.
24.	张芷菡, 贲新宇, 栾超, 等. 癫痫患者健康管理模式应用的研究进展. 癫痫杂志, 2023, 9(5): 417-422.

1. World Health Organization. Epilepsy: a public health imperative. 2019.
2. Olusanya BO, Wright SM, Nair MKC, et al. Global Research on Developmental Disabilities Collaborators (GRDDC). Global burden of childhood epilepsy, intellectual disability, and sensory impairments. Pediatrics, 2020, 146(1): e20192623.
3. Song P, Liu Y, Yu X, et al. Prevalence of epilepsy in China between 1990 and 2015: a systematic review and meta-analysis. J Glob Health, 2017, 7(2): 020706.
4. 肖小嫱. 中文版成人癫痫患者自我管理量表(C-ESMS)信效度检验及应. 西南医科大学, 硕士学位论文, 2019.
5. Tanya L Packer, America Fracini, Åsa Audulv, et al. What we know about the purpose, theoretical foundation, scope and dimensionality of existing self-management measurement tools: a scoping review. Patient Educ Couns, 2018, 101(4): 579-595.
6. Émilie Hudon, Catherine Hudon, Mireille Lambert, et al. Generic self-reported questionnaires measuring self-management: a scoping review. Clin Nurs Res, 2021, 30(6): 855-865.
7. Smith G, Modi AC, Johnson EK, et al. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia, 2018, 59(3): 509-522.
8. Avani C Modi, Sally Monahan, Dee Daniels, et al. Development and validation of the pediatric epilepsy medication self-management questionnaire. Epilepsy Behav, 2010, 18(1-2): 94-9.
9. 于桂玲, 王爱敏, 李莎, 等. 应用Delphi法构建4~11岁哮喘儿童家庭自我管理评价指标体系. 中国护理管理, 2013, 13(9): 39-42.
10. Kathleen J Sawin, Amy Heffelfinger, Susan E Cashin, et al. The development of the Adolescent/Young Adult Self-Management and Independence Scale II: Psychometric data. J Pediatr Rehabil Med, 2018, 11(4): 311-322.
11. 康洪彬, 李艳君. 中文版改良服药信念量表在临床中的应用价值探讨. 中国卫生统计, 2021, 38(5): 766-768.
12. Megan Loew, Justin L Williams, Kathryn Russell, et al. The adolescent and caregiver sickle cell disease self-management skills checklist: preliminary reliability and validity. J Pediatr Hematol Oncol, 2020, 42(1): 12-19.
13. 徐晶晶, 顾愹, 朱敏, 等. 中文版青少年糖尿病行为评定量表的跨文化调试及信度、效度检验研究. 中国糖尿病杂志, 2018, 26(6): 463-469.
14. Çağrı Çövener Özçelik, Eda Aktaş, Nesrin Şen Celasin, et al. The development and validation of a turkish insulin treatment self-management scale child form (ages 8-18) and parent form. J Clin Res Pediatr Endocrinol, 2019, 11(3): 278-286.
15. Jessica S Pierce, Sara S Jordan, Randolph C Arnau. Development and validation of the pediatric diabetes routines questionnaire for adolescents. J Clin Psychol Med Settings, 2019, 26(1): 47-58.
16. Morisky DE, DiMatteo MR. Improving the measurement of self reported medication nonadherence: response to authors. J Clin Epidemiol, 2011, 64(3): 255-257.
17. 胡平, 张际, 黄英, 等. 哮喘儿童自我管理量表的编制. 中国全科医学, 2010, 13(31): 3513-3515.
18. 杨春松, 张伶俐, 李佳圆, 等. 基于保护动机理论的儿童抽动障碍患者用药依从性研究. 中国药房, 2021, 32(19): 2415-2420.
19. B Bursch, L Schwankovsky, J Gilbert, et al. Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. J Asthma, 1999, 36(1): 115-128.
20. Escoffery C. Factor analyses of an adult epilepsy self-management measurement instrument (AESMMI). Epilepsy Behav, 2015, 50: 184-189.
21. Luedke MW, Blalock DV, Goldstein KM, et al. Self-management of epilepsy: a systematic review. Ann Intern Med. 2019, 171(2): 117-126.
22. Yang C, Hao Z, Yu D, et al. The prevalence rates of medication adherence and factors influencing adherence to antiepileptic drugs in children with epilepsy: a systematic review and meta analysis. Epilepsy Res, 2018, 142: 88-99.
23. Jing Wen Tan, Teik Beng Khoo, Nurul Farhana Burharudin, et al. Medication self-management among parents of children with epilepsy at a tertiary care center in Malaysia. Epilepsy Behav, 2020, 111: 107317.
24. 张芷菡, 贲新宇, 栾超, 等. 癫痫患者健康管理模式应用的研究进展. 癫痫杂志, 2023, 9(5): 417-422.

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