Development and Validation of the Children's Medication Self-Efficacy Scale
Yu, z.; Yu, j.; Gao, y.; Wang, t.; Wang, x.; Liu, p.; Meng, q.; Wu, y.
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This study developed and validated the Childrens Medication Self-Efficacy Scale (CMSES), a psychometric tool grounded in Banduras self-efficacy theory, to assess medication self-efficacy in pediatric populations. Using data from 2,258 Chinese children, the four-item scale demonstrated robust psychometric properties through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), revealing a two-factor structure (magnitude and strength) that accounted for 76% of the total variance. The scale exhibited excellent internal consistency (Cronbachs = 0.92). Latent profile analysis (LPA) identified three distinct self-efficacy profiles and Receiver operating characteristic (ROC) curve analysis established a cut-off score to effectively distinguish low self-efficacy cases. These findings confirm the CMSES as a reliable and valid tool for evaluating medication self-efficacy in children, offering clinicians a practical instrument to design tailored interventions aimed at improving medication adherence in pediatric care.
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