Jura L Augustinavicius1, Sarah M Murray2, Itziar Familiar-Lopez3, Michael J Boivin4, Alex Mutebe5, Ethan Arima5, Judith K Bass6. 1. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Room 780, Baltimore, MD, 21205, USA. Jaugust6@jhu.edu. 2. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Room 863, Baltimore, MD, 21205, USA. 3. Department of Psychiatry, Michigan State University, 909 Fee Rd, East Lansing, MI, 48824, USA. 4. Departments of Psychiatry and Neurology & Ophthalmology, The Michigan State University College of Osteopathic Medicine0, 909 Fee Rd., Room 327, East Lansing, MI, 48824, USA. 5. Global Health Uganda, Mawanda Road, Plot 667, P.O. BOX 33842, Kampala, Uganda. 6. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Room 861, Baltimore, MD, 21205, USA.
Abstract
OBJECTIVES: Parenting self-efficacy has been associated with positive parenting behaviors, fewer parental mental health problems, less family dysfunction, and better child development outcomes. The parenting sense of competence (PSOC) scale is commonly used to measure parenting self-efficacy in high-resource settings. This study sought to examine the factor structure, internal consistency, and convergent construct validity of the PSOC in a sample of predominantly HIV-infected women in Uganda. METHODS: Using data from 155 HIV-affected caregivers who participated in a randomized controlled trial of a parenting intervention, two and three factor models of a 16-item translated version of the PSOC were tested using confirmatory factor analysis. Multivariable regression models were used to examine relationships between parenting confidence (operationalized using the best-fitting PSOC model), caregiver mental health symptoms (depression and anxiety), social support, family dysfunction, and family wealth, after adjusting for covariates. RESULTS: Neither the two- nor three-factor models of the PSOC demonstrated adequate model fit; however, adequate model fit was demonstrated for a one-factor model that included only items from the PSOC efficacy subscale. Cronbach's alpha was 0.73 for this subscale. Correlates of parenting self-efficacy in this sample included caregiver depression, family dysfunction, and family wealth, but not caregiver anxiety or social support. CONCLUSIONS FOR PRACTICE: These findings lend support for future use of the PSOC efficacy subscale among HIV-affected caregivers of children in low-resource settings such as rural Uganda.
OBJECTIVES: Parenting self-efficacy has been associated with positive parenting behaviors, fewer parental mental health problems, less family dysfunction, and better child development outcomes. The parenting sense of competence (PSOC) scale is commonly used to measure parenting self-efficacy in high-resource settings. This study sought to examine the factor structure, internal consistency, and convergent construct validity of the PSOC in a sample of predominantly HIV-infected women in Uganda. METHODS: Using data from 155 HIV-affected caregivers who participated in a randomized controlled trial of a parenting intervention, two and three factor models of a 16-item translated version of the PSOC were tested using confirmatory factor analysis. Multivariable regression models were used to examine relationships between parenting confidence (operationalized using the best-fitting PSOC model), caregiver mental health symptoms (depression and anxiety), social support, family dysfunction, and family wealth, after adjusting for covariates. RESULTS: Neither the two- nor three-factor models of the PSOC demonstrated adequate model fit; however, adequate model fit was demonstrated for a one-factor model that included only items from the PSOC efficacy subscale. Cronbach's alpha was 0.73 for this subscale. Correlates of parenting self-efficacy in this sample included caregiver depression, family dysfunction, and family wealth, but not caregiver anxiety or social support. CONCLUSIONS FOR PRACTICE: These findings lend support for future use of the PSOC efficacy subscale among HIV-affected caregivers of children in low-resource settings such as rural Uganda.
Entities:
Keywords:
HIV; Measurement; Parenting self-efficacy; Parenting sense of competence scale; Psychometrics
Authors: Judith K Bass; Noeline Nakasujja; Itziar Familiar-Lopez; Alla Sikorskii; Sarah M Murray; Robert Opoka; Jura Augustinavicius; Michael J Boivin Journal: AIDS Care Date: 2016-02-17