title: Parenting children with food allergy: preliminary development of a measure assessing child-rearing behaviors in the context of pediatric food allergy.
abstract: BACKGROUND
  Food allergy affects up to 8% of children and is increasingly common. Although adult caregivers initially assume the primary role in children's daily allergy management activities, as children approach school age they assume greater responsibility for the prevention of allergic exposures. The ways that parents prepare children for this transition are likely to influence children's subsequent risk for allergic exposures, yet few studies have examined parent behaviors in the context of pediatric food allergy.
  
  
  OBJECTIVE
  To develop a brief measure to evaluate specific parenting practices related to caring for a child with food allergy.
  
  
  METHODS
  A total of 292 primary caregivers of food-allergic children completed an Internet-based survey that included the Parenting Children with Food Allergy (PCFA) questionnaire.
  
  
  RESULTS
  Factor analysis of the PCFA items suggested 3 factors that accounted for 98% of the variance: autonomy support, protection/monitoring, and emergency education. Internal consistencies for the 3 scales were acceptable (alpha = .79, .73, and .82, respectively). Child age and medical variables (history of emergency epinephrine use, perceived severity of worst allergic reaction, and number of different food allergies) were associated with parenting practices.
  
  
  CONCLUSIONS
  Although additional psychometric data for the PCFA are needed, preliminary findings suggest that this measure may be useful in evaluating parenting within the context of pediatric food allergy.
authors.affiliation: Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi, USA. Natalie.Williams@stjude.org
authors.forename: Natalie A
authors.initials: NA
authors.lastname: Williams
authors.forename: Gilbert R
authors.initials: GR
authors.lastname: Parra
authors.forename: T David
authors.initials: TD
authors.lastname: Elkin
mesh_terms: D000328:Adult; D001519:Behavior; D002648:Child; D002668:Child Rearing / Q000523:psychology*; D002675:Child, Preschool; D005163:Factor Analysis, Statistical; D005260:Female; D005512:Food Hypersensitivity / Q000523:psychology* / Q000628:therapy; D006306:Health Surveys; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D011594:Psychometrics; D011795:Surveys and Questionnaires / Q000592:standards*