Development, preliminary validation and reliability testing of SEDA – Self-Efficacy in Daily Activities for children with pain. (3rd April 2022)

• Record Type: Journal Article
• Authors: Frygner-Holm, Sara; Igelström, Helena; Demmelmaier, Ingrid
• Is Part Of: Physiotherapy theory and practice. Volume 38:Number 4(2022)
• Page Start: 561
• Page End: 571
• Publication Date: 2022-04-03
• Subjects: Pain -- children -- self-efficacy -- measure; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2020.1771797
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: Background : Self-efficacy can affect a child's ability to perform important activities, infuse him/her with a sense of control and is likely an integral target for successful treatment in pediatric pain rehabilitation. Modern physical therapy treatment includes behavioral aspects and valid measures of self-efficacy are important for both research and clinical practice. In this study, the aim was to develop and perform preliminary testing of a self-efficacy scale for children and adolescents with pain. Methods : Children and adolescents participated, along with researchers and healthcare staff, in developing the Self-Efficacy in Daily Activities (SEDA) measure. A total of 109 children and adolescents seeking physical therapy treatment for pain lasting longer than 3 months responded to the SEDA. Pain and pain-related disability were assessed using the Functional Disability Inventory (FDI). Exploratory analyzes for testing validity and reliability – principal component analyses (PCA), intraclass correlation coefficients (ICCs) and bivariate correlations – were performed. Results : The PCA revealed a 16-item SEDA and a three-component scale. The components represented self-efficacy for physical activities, self-efficacy for personal care and self-efficacy for daily exertion. Validity correlation analyses showed moderate association between SEDA and FDI, −0.72 ( p < .01), and low correlation with pain intensity, −0.29 ( p = .03). Conclusions : The 16-item SEDA has satisfactory psychometric properties in children moderately affected by long-term pain. Further validation of the SEDA in other populations and confirmatory analyses are warranted.