Turkish teachers’ self-efficacy to manage food allergy and anaphylaxis: A psychometric testing study

Main Article Content

M. Ozturk Haney
S. Ozbıcakcı
G. Karada˘g

Keywords

Anaphylaxis, Food allergy, Management, Self-efficacy, Teachers

Abstract

Introduction and objectives: Food allergy in school children ranges between 5.7 and 6.4% in Turkey. Studies emphasize the importance of improving school personnel’s self-efficacy in managing food allergy and anaphylaxis. However, a brief and valid measurement tool for school personnel is not available in Turkey. The aim of this study was to determine the validity and reliability of the Turkish version of the School Personnel’s Self-efficacy in Managing Food Allergy and Anaphylaxis (SPSMFAA-T) scale with teachers.


Patients or materials and methods: This methodological study was conducted by 282 primary school teachers. Data were collected with a demographic characteristics form and SPSMFAAT. The psychometric properties of the SPSMFAA-T were evaluated by content, discriminant, construct validity and internal consistency.


Results: Cronbach’s alpha for the scale was 0.91 and item-total correlations were between 0.50 and 0.82 (p < 0.001). The discriminant validity suggested that the scale successfully discriminated the teachers who had training on food allergy and anaphylaxis from the teachers who did not. The model fit indices of scale were determined to be the root mean square error of approximation (RMSEA) at 0.08, goodness of fit index (GFI) at 0.96, comparative fit index (CFI) at 0.99.


Conclusions: The results supported that the SPSMFAA-T was a valid and reliable measurement tool to assess Turkish teachers’ self-efficacy levels to manage food allergy and anaphylaxis in school setting. The scale can be used in education programs to improve school personnel’s skills to manage food allergy and anaphylaxis.

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References

1. Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G, Beyer K, Bindslev-Jensen C, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69:1008-25, http://dx.doi.org/10.1111/all.12429.

2. Branum AM, Lukacs SL. Food allergy among children in the United States. Pediatrics. 2009;124:1549-55, http://dx.doi.org/10.1542/peds.2009-1210.

3. Muraro A, Clark A, Beyer K, Borrego LM, Borres M, Lødrup Carlsen KC, et al. The management of the allergic child at school: EAACI/GA2LEN Task Force on the allergic child at school. Allergy. 2010;65:681-9, http://dx.doi.org/10.1111/j.1398-9995.2010.02343.x.

4. Orhan F, Karakas T, Cakir M, Aksoy A, Baki A, Gedik Y. Prevalence of immunoglobulin E-mediated food allergy in 6-9-year-old urban school children in the eastern Black Sea region of Turkey. Clin Exp Allergy. 2009;39:1027-35, http://dx.doi.org/10.1111/j.1365-2222.2009.03263.x.

5. Yardımcı G, Canıtez Y, Sapan N, Ra˘gbetli C. Prevalence of food allergy and allergic diseases at 6-14 age group children and their family in a city centre. KUMF J. 2015;17:21-8 (in Turkish).

6. Muraro A, Agache I, Clark A, Sheikh A, Roberts G, Akdis CA, et al. EAACI food allergy and anaphylaxis guidelines: managing patients with food allergy in the community. Allergy. 2014;69:1046-57, http://dx.doi.org/10.1111/all.12441.

7. Nowak-Wegrzyn A, Conover-Walker MK, Wood RA. Food allergic reactions in schools and preschools. Arch Pediatr Adolesc Med. 2001;155:790-5, http://dx.doi.org/10.1001/archpedi.155.7.790.

8. Tsuang A, Wang J. Child care and school management issues in food allergy. Curr Allergy Asthma Rep. 2016;16:83, http://dx.doi.org/10.1007/s11882-016-0663-0.

9. Le TM, Kummeling I, Dixon D, Barreales Tolosa L, BallmerWeber B, Clausen M, et al. Low preparedness for food allergy as perceived by school staff: a EuroPrevall survey across Europe. J Allergy Clin Immunol Pract. 2014;2:480-2, http://dx.doi.org/10.1016/j.jaip.2014.02.019.

10. Sampson HA, Mendelson L, Rosen JP. Fatal and near-fatal anaphylactic reactions to food in children and adolescents. N Engl J Med. 1992;327:380-4, http://dx.doi.org/10.1056/NEJM199208063270603.

11. Watura JC. Nut allergy in school children: a survey of schools in the Severn NHS Trust. Arch Dis Child. 2002;86:240-4, http://dx.doi.org/10.1136/adc.86.4.240.

12. Bac¸c¸ıo˘glu A, Sö˘güt A, Kılıc¸ Ö, Beyhun NE, C¸ayır A, Özkan A. Primary school teachers’ knowledge and attitudes about food allergy. Asthma Allergy Immunol. 2013;1l:185-92.

13. Ercan H, Ozen A, Karatepe H, Berber M, Cengizlier R. Primary school teachers’ knowledge about and attitudes toward anaphylaxis. Pediatr Allergy Immunol. 2012;23:428-32, http://dx.doi.org/10.1111/j.1399-3038.2012.01307.x.

14. Sasaki K, Sugiura S, Matsui T, Nakagawa T, Nakata J, Kando N, et al. A workshop with practical training for anaphylaxis management improves the self-efficacy of school personnel. Allergol Int. 2015;64:156-60, http://dx.doi.org/10.1016/j.alit.2014.10.005.

15. Polloni L, Baldi I, Lazzarotto F, Bonaguro R, Toniolo A, Celegato N, et al. School personnel’s self-efficacy in managing food allergy and anaphylaxis. Pediatr Allergy Immunol. 2016;27:356-60, http://dx.doi.org/10.1111/pai.12550.

16. Brown AT. Confirmatory factor analysis for applied research. In: Brown AT, editor. Statistical power and sample size. 2nd ed. New York: A Division of Guilford Publications; 2015. p. 380-1.

17. Pierce AG. Measurement. In: Talbot LA, editor. Principles and practice of nursing research. St. Louis: Mosby; 1995. p. 265-91.

18. Burns N, Grove SK. The practice of nursing research: appraisal synthesis and generation of evidence. USA: Saunders; 2009.

19. Devellis RF. Scale development theory and applications. Thousand Oaks, CA: Sage Publications; 2003.

20. Tang ML, Mullins RJ. Food allergy: is prevalence increasing? Intern Med J. 2017;47:256-61, http://dx.doi.org/10.1111/imj.13362.

21. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: guidelines for determining model fit. EJBRM. 2008;6:53-60.

22. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1-55, http://dx.doi.org/10.1080/10705519909540118.

23. Knibb RC, Barnes C, Stalker C. Parental confidence in managing food allergy: development and validation of the food allergy self-efficacy scale for parents (FASE-P). Clin Exp Allergy. 2015;45:1681-9, http://dx.doi.org/10.1111/cea.12599.

24. Bock SA, Munoz-Furlong A, Sampson H.A. Further fatalities caused by anaphylactic reactions to food, 2001-2006. J Allergy Clin Immunol. 2007;119:1016-8, http://dx.doi.org/10.1016/j.jaci.2006.12.622.

25. Dumeier HK, Richter LA, Neininger MP, Prenzel F, Kiess W, Bertsche A, et al. Knowledge of allergies and performance in epinephrine auto-injector use: a controlled intervention in preschool teachers. Eur J Pediatr. 2018;177:575-81, http://dx.doi.org/10.1007/s00431-017-3073-y.