Pediatric Gastroenterology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
School of Administration, Kent State University, Kent, OH, USA.
Neurogastroenterol Motil. 2018 Mar;30(3). doi: 10.1111/nmo.13222. Epub 2017 Oct 4.
Children with functional constipation fear painful bowel movements leading to stool withholding behavior. Self-efficacy is the belief that an individual can accomplish a given goal. If children with constipation avoid defecation because they think that they are unable defecate comfortably, this low self-efficacy may prevent treatment success. The aim of the current study was to develop and validate a constipation specific self-efficacy scale.
The self-efficacy for functional constipation questionnaire (SEFCQ) was developed by the authors and evaluated by 10 children and seven experts. Ninety-nine healthy children and 122 children with functional constipation completed the SEFCQ and three other questionnaires measuring related constructs.
Minor changes were made in wording based on feedback from experts and children. Factor analysis showed two scales, a 7 item Action scale (Cronbach's α = 0.88) and a 7 item Emotion scale (Cronbach α = 0.86). The SEFCQ total scale correlated positively with general self-efficacy (r = .32, P < .001) and quality of life (r = .20; P < .01) and negatively with anxiety (r = -.15; P < .05). Scores on the SEFCQ were higher in children without functional constipation compared to those with functional constipation (53.33 + 3.38 vs 39.34 + 7.19, P < .001).
CONCLUSIONS & INFERENCES: We developed a constipation specific self-efficacy questionnaire with good initial internal reliability, excellent face validity and adequate content validity. A low self-efficacy for defecation, may make the child resist their physical urge to defecate and hence, the need for further studies to assess its effect on treatment outcomes.
患有功能性便秘的儿童害怕排便疼痛，导致便意抑制行为。自我效能是指个体相信自己能够完成特定目标的信念。如果便秘儿童因为认为自己无法舒适地排便而避免排便，这种低自我效能可能会妨碍治疗成功。本研究旨在开发和验证一种专门针对便秘的自我效能量表。
作者开发了功能性便秘自我效能问卷（SEFCQ），并由 10 名儿童和 7 名专家进行了评估。99 名健康儿童和 122 名功能性便秘儿童完成了 SEFCQ 以及另外三个测量相关结构的问卷。
根据专家和儿童的反馈，对措辞进行了一些小的修改。因子分析显示，该量表有两个分量表，一个是包含 7 个项目的行动量表（Cronbach's α = 0.88），另一个是包含 7 个项目的情绪量表（Cronbach α = 0.86）。SEFCQ 总分与一般自我效能感（r = 0.32，P < 0.001）和生活质量（r = 0.20；P < 0.01）呈正相关，与焦虑呈负相关（r = -0.15；P < 0.05）。与功能性便秘儿童相比，无功能性便秘儿童的 SEFCQ 评分更高（53.33 ± 3.38 与 39.34 ± 7.19，P < 0.001）。
我们开发了一种具有良好初始内部信度、良好表面效度和足够内容效度的便秘特异性自我效能问卷。排便自我效能低下，可能使儿童抗拒生理排便冲动，因此需要进一步研究来评估其对治疗结果的影响。
