{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:51:59Z","timestamp":1792083119016,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anaphylaxis is a life\u2010threatening allergic reaction, associated with mental health burden in patients and caregivers. Intramuscular adrenaline via autoinjector (AAI) is the recommended treatment for the management of anaphylaxis in non\u2010hospital settings; however, AAIs are underused. This study aimed to assess parental self\u2010efficacy in managing child's anaphylaxis and administering AAI to understand how to effectively support families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy\u2010five parents of children with severe food allergy completed a questionnaire to measure parental self\u2010efficacy in managing child food\u2010induced anaphylaxis (PSEMA). We conducted an exploratory factor analysis with 12 items, using principal axis factoring as the extraction method. We used Cronbach's alpha to assess the internal consistency of the factors. We used the Anderson\u2013Rubin approach to estimate the factors' scores and provide a kernel density estimate of their distributions. An assessment through linear regression between the total factors' score and total score was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A five\u2010factor model was identified. The factors that emerged were conceptually related to \u201cF1. Manage Injection,\u201d \u201cF2. Manage AAI Device,\u201d \u201cF3. Manage Anaphylaxis,\u201d \u201cF4. Manage Emergency,\u201d and \u201cF5. Manage Emotions.\u201d The questionnaire demonstrated high internal consistency, with a Cronbach's alpha of 0.91 (95% CI: 0.87\u20130.94) The variation in the total score explained 90% of the variation in the factor score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PSEMA questionnaire promises to be an easy and effective tool for measuring parents' self\u2010efficacy in managing anaphylaxis and AAI, allowing clinicians to identify gaps in education and provide effective training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pai.14265","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T08:54:14Z","timestamp":1730451254000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of parental self\u2010efficacy in managing child food\u2010induced anaphylaxis and using adrenaline autoinjectors"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0158-359X","authenticated-orcid":false,"given":"Laura","family":"Polloni","sequence":"first","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"},{"name":"Unit of Psychology Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ileana","family":"Baldi","sequence":"additional","affiliation":[{"name":"Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic and Vascular Sciences and Public Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Bianconi","sequence":"additional","affiliation":[{"name":"Unit of Psychology Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margherita","family":"Amadi","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, Department of Women's and Children's Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Tonazzo","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, Department of Women's and Children's Health University of Padua  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Bonaguro","sequence":"additional","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Lazzarotto","sequence":"additional","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Toniolo","sequence":"additional","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Morandini","sequence":"additional","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossana","family":"Schiavo","sequence":"additional","affiliation":[{"name":"Unit of Psychology Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5026-5862","authenticated-orcid":false,"given":"Antonella","family":"Muraro","sequence":"additional","affiliation":[{"name":"Food Allergy Referral Centre, Veneto Region, Department of Women's and Children's Health Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.15032"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1939-4551-7-9"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.15645"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.13732"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2019.11.027"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12211"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.06.036"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.13680"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.04.010"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5415\/apallergy.2019.9.e12"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aller.2019.07.009"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.886551"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2020.09.012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.5409\/wjcp.v11.i2.151"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.32996\/jmhs.2023.4.4.8"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12262"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alit.2017.07.002"},{"key":"e_1_2_10_19_1","first-page":"604","volume-title":"The 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