Parental Self-Efficacy in Managing Pediatrics’ Medications and Treatments in Jordan: A Cross-Sectional Study
Abstract
1. Introduction
2. Methods
2.1. Study Design and Setting
2.2. Study Population and Sampling Procedure
2.3. Study Instrument
2.4. Questionnaire Validity
2.5. Ethical Approval and Informed Consent
2.6. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Hua, W.; Yuwen, W.; Simoni, J.M.; Yan, J.; Jiang, L. Parental readiness for hospital discharge as a mediator between quality of discharge teaching and parental self-efficacy in parents of preterm infants. J. Clin. Nurs. 2020, 29, 3754–3763. [Google Scholar] [CrossRef]
- Prasopkittikun, T.; Tilokskulchai, F. Self-efficacy in Infant Care Scale: Revision and further psychometric testing. Nurs. Health Sci. 2010, 12, 450–455. [Google Scholar] [CrossRef]
- Lee, E.Y.; Hesketh, K.D.; Rhodes, R.E.; Rinaldi, C.M.; Spence, J.C.; Carson, V. Role of parental and environmental characteristics in toddlers’ physical activity and screen time: Bayesian analysis of structural equation models. Int. J. Behav. Nutr. Phys. Act. 2018, 15, 17. [Google Scholar] [CrossRef]
- Wittkowski, A.; Dowling, H.; Smith, D.M. Does Engaging in a Group-Based Intervention Increase Parental Self-efficacy in Parents of Preschool Children? A Systematic Review of the Current Literature. J. Child. Fam. Stud. 2016, 25, 3173–3191. [Google Scholar] [CrossRef] [PubMed]
- Callejas, E.; Byrne, S.; Rodrigo, M.J. Parental self-regulation and the promotion of healthy routines in early childhood. J. Child. Fam. Stud. 2021, 30, 1791–1802. [Google Scholar] [CrossRef]
- Brown, N.; Gallagher, R.; Fowler, C.; Wales, S. Asthma management self-efficacy in parents of primary school-age children. J. Child Health Care 2014, 18, 133–144. [Google Scholar] [CrossRef] [PubMed]
- Noser, A.E.; Patton, S.R.; Van Allen, J.; Nelson, M.B.; Clements, M.A. Evaluating Parents’ Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes. J. Pediatr. Psychol. 2017, 42, 296–303. [Google Scholar] [CrossRef]
- Clay, O.J.; Telfair, J. Evaluation of a disease-specific self-efficacy instrument in adolescents with sickle cell disease and its relationship to adjustment. Child Neuropsychol. 2007, 13, 188–203. [Google Scholar] [CrossRef] [PubMed]
- Vuorimaa, H.; Honkanen, V.; Konttinen, Y.T.; Komulainen, E.; Santavirta, N. Improved factor structure for self-efficacy scales for children with JIA (CASE) and their parents (PASE). Clin. Exp. Rheumatol. 2007, 25, 494–501. [Google Scholar]
- Brady, T.J. Measures of self-efficacy: Arthritis Self-Efficacy Scale (ASES), Arthritis Self-Efficacy Scale-8 Item (ASES-8), Children’s Arthritis Self-Efficacy Scale (CASE), Chronic Disease Self-Efficacy Scale (CDSES), Parent’s Arthritis Self-Efficacy Scale (PASE), and Rheumatoid Arthritis Self-Efficacy Scale (RASE). Arthritis Care Res. 2011, 63 (Suppl. 11), S473–S485. [Google Scholar] [CrossRef]
- Salsman, J.M.; Schalet, B.D.; Merluzzi, T.V.; Park, C.L.; Hahn, E.A.; Snyder, M.A.; Cella, D. Calibration and initial validation of a general self-efficacy item bank and short form for the NIH PROMIS®. Qual. Life Res. 2019, 28, 2513–2523. [Google Scholar] [CrossRef]
- Doupnik, S.K.; Hill, D.; Palakshappa, D.; Worsley, D.; Bae, H.; Shaik, A.; Qiu, M.K.; Marsac, M.; Feudtner, C. Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis. Pediatrics 2017, 140, e20164171. [Google Scholar] [CrossRef]
- Eccleston, C.; Palermo, T.M.; Fisher, E.; Law, E. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst. Rev. 2012, 8, Cd009660. [Google Scholar] [CrossRef]
- Gichane, M.W.; Sullivan, K.A.; Shayo, A.M.; Mmbaga, B.T.; O’ Donnell, K.; Cunningham, C.K.; Dow, D.E. Caregiver role in HIV medication adherence among HIV-infected orphans in Tanzania. AIDS Care 2018, 30, 701–705. [Google Scholar] [CrossRef] [PubMed]
- Ge, P.; Liu, S.T.; Xu, S.X.; Zhang, J.Z.; Lai, Y.J.; Fu, R.C.; Ke, X.Y.; Zhao, J.; Bian, Y.; Wu, Y.B. The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model. Front. Public Health 2022, 10, 845032. [Google Scholar] [CrossRef]
- Sanders, M.R.; Woolley, M.L. The relationship between maternal self-efficacy and parenting practices: Implications for parent training. Child Care Health Dev. 2005, 31, 65–73. [Google Scholar] [CrossRef]
- Galvan, T. Parental self-Efficacy, Parenting Stress, and Mental Health Among Latina Mothers of Young Children. Ph.D. Thesis, University of Denver, Denver, CO, USA, 2021. [Google Scholar]
- Ardelt, M.; Eccles, J.S. Effects of mothers’ parental efficacy beliefs and promotive parenting strategies on inner-city youth. J. Fam. Issues 2001, 22, 944–972. [Google Scholar] [CrossRef]
- Fang, Y.; Boelens, M.; Windhorst, D.A.; Raat, H.; van Grieken, A. Factors associated with parenting self-efficacy: A systematic review. J. Adv. Nurs. 2021, 77, 2641–2661. [Google Scholar] [CrossRef]
- Dijkstra-de Neijs, L.; Boeke, D.B.; van Berckelaer-Onnes, I.A.; Swaab, H.; Ester, W.A. Parental Stress and Quality of Life in Parents of Young Children with Autism. Child Psychiatry Hum. Dev. 2024, 1, 1–15. [Google Scholar] [CrossRef] [PubMed]
- Öztürk, M.; Küçük Alemdar, D. The care burden of mothers of children with disability: Association between family quality of life and fatigue. J. Pediatr. Nurs. 2023, 73, e418–e425. [Google Scholar] [CrossRef] [PubMed]
- Vonneilich, N.; Lüdecke, D.; Kofahl, C. The impact of care on family and health-related quality of life of parents with chronically ill and disabled children. Disabil. Rehabil. 2016, 38, 761–767. [Google Scholar] [CrossRef] [PubMed]
- El-Qasem, A.; Taybeh, E.O.; Alwafi, H.; Taybeh, A.; Alsharif, A.A.; Al Rajeh, A.M.; Alqahtani, J.S.; Aldhahir, A.M.; Alqarni, A.A.; Jarab, A.S.; et al. Paediatrics hospitalization profile in England: A longitudinal ecological study. Medicine 2025, 104, e43113. [Google Scholar] [CrossRef]
- Naser, A.Y.; Alshehri, H. Paediatric hospitalisation related to medications administration errors of non-opioid analgesics, antipyretics and antirheumatics in England and Wales: A longitudinal ecological study. BMJ Open 2023, 13, e080503. [Google Scholar] [CrossRef]
- Naser, A.Y.; Al-Shehri, H. Postprocedural Complications Hospitalization Pattern Among Paediatric Patients at National Health Service Trusts: An Ecological Study in England and Wales. J. Multidiscip. Healthc. 2023, 16, 3545–3554. [Google Scholar] [CrossRef]
- Naser, A.Y.; Al-Shehri, H. Parental knowledge, attitudes and practices on the use of antibiotics among their children in Jordan: A cross-sectional study. BMJ Paediatr. Open 2025, 9, e003698. [Google Scholar] [CrossRef]
- Foster, C.C.; Blackwell, C.K.; Kan, K.; Morales, L.; Cella, D.; Shaunfield, S. Parental self-efficacy managing a child’s medications and treatments: Adaptation of a PROMIS measure. J. Patient-Rep. Outcomes 2023, 7, 10. [Google Scholar] [CrossRef] [PubMed]
- Kalaman, C.R.; Ibrahim, N.; Shaker, V.; Cham, C.Q.; Ho, M.C.; Visvalingam, U.; Shahabuddin, F.A.; Abd Rahman, F.N.; MRT, A.H.; Kaur, M.; et al. Parental Factors Associated with Child or Adolescent Medication Adherence: A Systematic Review. Healthcare 2023, 11, 501. [Google Scholar] [CrossRef] [PubMed]
- Glatz, T.; Lippold, M.; Chung, G.; Jensen, T.M. A Systematic Review of Parental Self-efficacy Among Parents of School-Age Children and Adolescents. Adolesc. Res. Rev. 2024, 9, 75–91. [Google Scholar] [CrossRef]
- Teagle, S.E. Parental problem recognition and child mental health service use. Ment. Health Serv. Res. 2002, 4, 257–266. [Google Scholar] [CrossRef]
- Stiffman, A.R.; Pescosolido, B.; Cabassa, L.J. Building a model to understand youth service access: The gateway provider model. Ment. Health Serv. Res. 2004, 6, 189–198. [Google Scholar] [CrossRef]
- Costello, E.J.; Pescosolido, B.A.; Angold, A.; Burns, B.J. A family network-based model of access to child mental health services. Res. Community Ment. Health 1998, 9, 165–190. [Google Scholar]
- Vance, A.J.; Knafl, K.; Brandon, D.H. Patterns of Parenting Confidence Among Infants With Medical Complexity: A Mixed-Methods Analysis. Adv. Neonatal Care 2021, 21, 160–168. [Google Scholar] [CrossRef] [PubMed]
- Kohlhoff, J.; Barnett, B. Parenting self-efficacy: Links with maternal depression, infant behaviour and adult attachment. Early Hum. Dev. 2013, 89, 249–256. [Google Scholar] [CrossRef] [PubMed]
- Silver, E.J.; Heneghan, A.M.; Bauman, L.J.; Stein, R.E. The relationship of depressive symptoms to parenting competence and social support in inner-city mothers of young children. Matern. Child. Health J. 2006, 10, 105–112. [Google Scholar] [CrossRef]
- Shulhan-Kilroy, J.; Elliott, S.A.; Scott, S.D.; Hartling, L. Parents’ self-reported experiences and information needs related to acute pediatric asthma exacerbations: A mixed studies systematic review. PEC Innov. 2022, 1, 100006. [Google Scholar] [CrossRef]
- Bloomfield, L.; Kendall, S. Parenting self-efficacy, parenting stress and child behaviour before and after a parenting programme. Prim. Health Care Res. Dev. 2012, 13, 364–372. [Google Scholar] [CrossRef]
- Liyana Amin, N.A.; Tam, W.W.S.; Shorey, S. Enhancing first-time parents’ self-efficacy: A systematic review and meta-analysis of universal parent education interventions’ efficacy. Int. J. Nurs. Stud. 2018, 82, 149–162. [Google Scholar] [CrossRef]
- Ashcraft, L.E.; Asato, M.; Houtrow, A.J.; Kavalieratos, D.; Miller, E.; Ray, K.N. Parent Empowerment in Pediatric Healthcare Settings: A Systematic Review of Observational Studies. Patient 2019, 12, 199–212. [Google Scholar] [CrossRef]
- Derwig, M.; Tiberg, I.; Björk, J.; Kristensson Hallström, I. Changes in perceived parental self-efficacy after a Child-Centred Health Dialogue about preventing obesity. Acta Paediatr. 2022, 111, 1956–1965. [Google Scholar] [CrossRef]
- Holley, C.E.; Haycraft, E. Mothers’ perceptions of self-efficacy and satisfaction with parenting are related to their use of controlling and positive food parenting practices. Matern. Child. Nutr. 2022, 18, e13272. [Google Scholar] [CrossRef]
- Campbell, K.; Hesketh, K.; Silverii, A.; Abbott, G. Maternal self-efficacy regarding children’s eating and sedentary behaviours in the early years: Associations with children’s food intake and sedentary behaviours. Int. J. Pediatr. Obes. 2010, 5, 501–508. [Google Scholar] [CrossRef]
- Brown, R.; Ogden, J. Children’s eating attitudes and behaviour: A study of the modelling and control theories of parental influence. Health Educ. Res. 2004, 19, 261–271. [Google Scholar] [CrossRef]
- Hart, E.; Chow, C.M. “I just don’t want to be fat!”: Body talk, body dissatisfaction, and eating disorder symptoms in mother-adolescent girl dyads. Eat Weight Disord. 2020, 25, 1235–1242. [Google Scholar] [CrossRef]
- Chisholm, V.; Atkinson, L.; Donaldson, C.; Noyes, K.; Payne, A.; Kelnar, C. Maternal communication style, problem-solving and dietary adherence in young children with type 1 diabetes. Clin. Child Psychol. Psychiatry 2011, 16, 443–458. [Google Scholar] [CrossRef] [PubMed]
- Berge, J.M.; Rowley, S.; Trofholz, A.; Hanson, C.; Rueter, M.; MacLehose, R.F.; Neumark-Sztainer, D. Childhood obesity and interpersonal dynamics during family meals. Pediatrics 2014, 134, 923–932. [Google Scholar] [CrossRef]
- Harvey, H.; Coleman, G. Raising healthy eaters: A parenting and nutrition curriculum. J. Nutr. Educ. Behav. 2008, 40, 52–53. [Google Scholar] [CrossRef] [PubMed]
- Willis, T.A.; George, J.; Hunt, C.; Roberts, K.P.; Evans, C.E.; Brown, R.E.; Rudolf, M.C. Combating child obesity: Impact of HENRY on parenting and family lifestyle. Pediatr. Obes. 2014, 9, 339–350. [Google Scholar] [CrossRef]
- Garrido-Miguel, M.; Oliveira, A.; Cavero-Redondo, I.; Álvarez-Bueno, C.; Pozuelo-Carrascosa, D.P.; Soriano-Cano, A.; Martínez-Vizcaíno, V. Prevalence of Overweight and Obesity among European Preschool Children: A Systematic Review and Meta-Regression by Food Group Consumption. Nutrients 2019, 11, 1698. [Google Scholar] [CrossRef]
- Sagar, R.; Gupta, T. Psychological Aspects of Obesity in Children and Adolescents. Indian J. Pediatr. 2018, 85, 554–559. [Google Scholar] [CrossRef]
- Afshin, A.; Forouzanfar, M.H.; Reitsma, M.B.; Sur, P.; Estep, K.; Lee, A.; Marczak, L.; Mokdad, A.H.; Moradi-Lakeh, M.; Naghavi, M.; et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N. Engl. J. Med. 2017, 377, 13–27. [Google Scholar] [CrossRef] [PubMed]
- Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet 2017, 390, 2627–2642. [CrossRef]
- Skinner, A.C.; Perrin, E.M.; Moss, L.A.; Skelton, J.A. Cardiometabolic Risks and Severity of Obesity in Children and Young Adults. N. Engl. J. Med. 2015, 373, 1307–1317. [Google Scholar] [CrossRef]
- Salarkia, N.; Omidvar, N.; Zaeri, F.; Zeinab, H.E.; Neyestani, T.R. Mother’s Self-Efficacy Mediates the Relationship Between Household Food Insecurity and Maternal Infant Feeding Styles. Matern. Child Health J. 2016, 20, 602–612. [Google Scholar] [CrossRef]
- Moulaei, K.; Sheikhtaheri, A.; Fatehi, F.; Shanbehzadeh, M.; Bahaadinbeigy, K. Patients’ perspectives and preferences toward telemedicine versus in-person visits: A mixed-methods study on 1226 patients. BMC Med. Inform. Decis. Mak. 2023, 23, 261. [Google Scholar] [CrossRef] [PubMed]
- Catapan, S.C.; Snoswell, C.L.; Haydon, H.M.; Banbury, A.; Thomas, E.E.; Caffery, L.J.; Smith, A.C.; Kelly, J. Trust and confidence in telehealth-delivered services: A nation-wide cross-sectional study. Health Mark. Q. 2025, 42, 48–66. [Google Scholar] [CrossRef]
- University of Michigan Health System. Parents’ Participation in Medical Decisions Linked to Self-Efficacy. 2007. Available online: https://www.sciencedaily.com/releases/2007/09/070919101722.htm (accessed on 13 July 2025).
- Howland, K.; Edvardsson, K.; Lees, H.; Hooker, L. Telehealth use in the well-child health setting. A systematic review of acceptability and effectiveness for families and practitioners. Int. J. Nurs. Stud. Adv. 2025, 8, 100277. [Google Scholar] [CrossRef]
- Lam, M.K.; Nguyen, M.; Lowe, R.; Nagarajan, S.V.; Lincoln, M. “I can do it”: Does confidence and perceived ability in learning new ICT skills predict pre-service health professionals’ attitude towards engaging in e-healthcare? Stud. Health Technol. Inform. 2014, 204, 60–66. [Google Scholar]
- Gabellone, A.; Marzulli, L.; Matera, E.; Petruzzelli, M.G.; Margari, A.; Giannico, O.V.; Margari, L. Expectations and Concerns about the Use of Telemedicine for Autism Spectrum Disorder: A Cross-Sectional Survey of Parents and Healthcare Professionals. J. Clin. Med. 2022, 11, 3294. [Google Scholar] [CrossRef] [PubMed]
- Teti, D.M.; Gelfand, D.M. Behavioral competence among mothers of infants in the first year: The mediational role of maternal self-efficacy. Child. Dev. 1991, 62, 918–929. [Google Scholar] [CrossRef] [PubMed]
- MacPhee, D.; Fritz, J.; Miller-Heyl, J. Ethnic variations in personal social networks and parenting. Child Dev. 1996, 67, 3278–3295. [Google Scholar] [CrossRef]
- Zill, N.; Morrison, D.R.; Coiro, M.J. Long-term effects of parental divorce on parent-child relationships, adjustment, and achievement in young adulthood. J. Fam. Psychol. 1993, 7, 91. [Google Scholar] [CrossRef]
- Leahy-Warren, P.; McCarthy, G.; Corcoran, P. First-time mothers: Social support, maternal parental self-efficacy and postnatal depression. J. Clin. Nurs. 2012, 21, 388–397. [Google Scholar] [CrossRef]
- Petrica, E.; Pânişoară, G. The Implications of Parental Self-Efficacy, Parental Competence, and Stress in Educating and Raising Children. In Educatia 21; Babes-Bolyai University: Cluj-Napoca, Romania, 2024; pp. 258–266. [Google Scholar]
- Rapoport, A.; Shaheed, J.; Newman, C.; Rugg, M.; Steele, R. Parental perceptions of forgoing artificial nutrition and hydration during end-of-life care. Pediatrics 2013, 131, 861–869. [Google Scholar] [CrossRef] [PubMed]
- Kelly, K.P.; Ganong, L. Moving to place: Childhood cancer treatment decision making in single-parent and repartnered family structures. Qual. Health Res. 2011, 21, 349–364. [Google Scholar] [CrossRef]
- Sharman, M.; Meert, K.L.; Sarnaik, A.P. What influences parents’ decisions to limit or withdraw life support? Pediatr. Crit. Care Med. 2005, 6, 513–518. [Google Scholar] [CrossRef] [PubMed]
- Scannell, C. Parental self-efficacy and parenting through adversity. In Parenting-Studies by an Ecocultural and Transactional Perspective; IntechOpen: London, UK, 2020. [Google Scholar]
- Morawska, A.; Sanders, M.R. Concurrent predictors of dysfunctional parenting and maternal confidence: Implications for parenting interventions. Child Care Health Dev. 2007, 33, 757–767. [Google Scholar] [CrossRef]
- Scaramella, L.V.; Sohr-Preston, S.L.; Callahan, K.L.; Mirabile, S.P. A test of the Family Stress Model on toddler-aged children’s adjustment among Hurricane Katrina impacted and nonimpacted low-income families. J. Clin. Child. Adolesc. Psychol. 2008, 37, 530–541. [Google Scholar] [CrossRef] [PubMed]
- Jackson, A.P.; Scheines, R. Single mothers’ self-efficacy, parenting in the home environment, and children’s development in a two-wave study. Social Work Res. 2005, 29, 7–20. [Google Scholar] [CrossRef]
- Coleman, P.K.; Karraker, K.H. Parenting self-efficacy among mothers of school-age children: Conceptualization, measurement, and correlates. Fam. Relat. 2000, 49, 13–24. [Google Scholar] [CrossRef]
- Hurwich-Reiss, E.; Watamura, S.E. Family processes among Latino Early Head Start families: Understanding the role of caregiver acculturation. J. Community Psychol. 2019, 47, 1433–1448. [Google Scholar] [CrossRef]
- Institute of Medicine; Committee on the Consequences of Uninsurance. Health Insurance Is a Family Matter; National Academies Press (US): Washington, DC, USA, 2002. [Google Scholar]
- Nasr, R.; Saab, S.A.; Nasr, N.; Haddad, C.; Swaidan, E.; Ibrahim, S.A.; Karam, J. Financial crisis and its association with parental stress and children’s mental health in Lebanon. BMC Public Health 2025, 25, 156. [Google Scholar] [CrossRef] [PubMed]
- Office of the Surgeon General. Parents Under Pressure: The US Surgeon General’s Advisory on the Mental Health & Well-Being of Parents; US Department of Health and Human Services: Washington, DC, USA, 2024. [Google Scholar]
- Ku, L.; Ross, D.C. Staying covered: The importance of retaining health insurance for low-income families. In Task Force on the Future of Health Insurance; Commonwealth Fund: New York, NY, USA, 2002. [Google Scholar]
- National Research Council; Institute of Medicine; Committee on Children, Health Insurance, and Access to Care. America’s Children: Health Insurance and Access to Care; Edmunds, M., Coye, M.J., Eds.; National Academies Press (US): Washington, DC, USA, 1998. [Google Scholar]
- Glick, A.F.; Farkas, J.S.; Nicholson, J.; Dreyer, B.P.; Fears, M.; Bandera, C.; Stolper, T.; Gerber, N.; Yin, H.S. Parental Management of Discharge Instructions: A Systematic Review. Pediatrics 2017, 140, e20164165. [Google Scholar] [CrossRef]
- Kajioka, E.H.; Itoman, E.M.; Li, M.L.; Taira, D.A.; Li, G.G.; Yamamoto, L.G. Pediatric prescription pick-up rates after ED visits. Am. J. Emerg. Med. 2005, 23, 454–458. [Google Scholar] [CrossRef] [PubMed]
- Bender, B.G. Overcoming barriers to nonadherence in asthma treatment. J. Allergy Clin. Immunol. 2002, 109, S554–S559. [Google Scholar] [CrossRef]
- Drotar, D.; Bonner, M.S. Influences on adherence to pediatric asthma treatment: A review of correlates and predictors. J. Dev. Behav. Pediatr. 2009, 30, 574–582. [Google Scholar] [CrossRef]
- Adams, C.D.; Dreyer, M.L.; Dinakar, C.; Portnoy, J.M. Pediatric asthma: A look at adherence from the patient and family perspective. Curr. Allergy Asthma Rep. 2004, 4, 425–432. [Google Scholar] [CrossRef]
- Forry, N.; Tout, K.; Rothenberg, L.; Sandstrom, H.; Vesely, C. Child Care Decision-Making Literature Review (OPRE Brief No. 2013-45); US Department of Health and Human Services, Administration for Children and Families, Office of Planning: Washington, DC, USA, 2013. [Google Scholar]
- Rungvivatjarus, T.; Huang, M.Z.; Winckler, B.; Chen, S.; Fisher, E.S.; Rhee, K.E. Parental Factors Affecting Pediatric Medication Management in Underserved Communities. Acad. Pediatr. 2023, 23, 155–164. [Google Scholar] [CrossRef]
- Marmot, M. Health equity in England: The Marmot review 10 years on. BMJ 2020, 368, m693. [Google Scholar] [CrossRef]
- Bambra, C.; Riordan, R.; Ford, J.; Matthews, F. The COVID-19 pandemic and health inequalities. J. Epidemiol. Community Health 2020, 74, 964–968. [Google Scholar] [CrossRef] [PubMed]
- Taylor-Robinson, D.; Lai, E.T.C.; Wickham, S.; Rose, T.; Norman, P.; Bambra, C.; Whitehead, M.; Barr, B. Assessing the impact of rising child poverty on the unprecedented rise in infant mortality in England, 2000–2017: Time trend analysis. BMJ Open 2019, 9, e029424. [Google Scholar] [CrossRef]
- Smeeding, T.M.; Torrey, B.B. Poor children in rich countries. Science 1988, 242, 873–877. [Google Scholar] [CrossRef]
- Robertson, E.G.; Wakefield, C.E.; Shaw, J.; Darlington, A.S.; McGill, B.C.; Cohn, R.J.; Fardell, J.E. Decision-making in childhood cancer: Parents’ and adolescents’ views and perceptions. Support. Care Cancer 2019, 27, 4331–4340. [Google Scholar] [CrossRef] [PubMed]
- Liu, S.M.; Lin, H.R.; Lu, F.L.; Lee, T.Y. Taiwanese parents’ experience of making a “do not resuscitate” decision for their child in pediatric intensive care unit. Asian Nurs. Res. (Korean Soc. Nurs. Sci.) 2014, 8, 29–35. [Google Scholar] [CrossRef]
- Zaal-Schuller, I.H.; Willems, D.L.; Ewals, F.; van Goudoever, J.B.; de Vos, M.A. How parents and physicians experience end-of-life decision-making for children with profound intellectual and multiple disabilities. Res. Dev. Disabil. 2016, 59, 283–293. [Google Scholar] [CrossRef]
- Beecham, E.; Oostendorp, L.; Crocker, J.; Kelly, P.; Dinsdale, A.; Hemsley, J.; Russell, J.; Jones, L.; Bluebond-Langner, M. Keeping all options open: Parents’ approaches to advance care planning. Health Expect. 2017, 20, 675–684. [Google Scholar] [CrossRef] [PubMed]
- Atout, M.; Hemingway, P.; Seymour, J. The Experience of Decision Making in the Care of Children with Palliative Care Needs: The Experiences of Jordanian Mothers. Compr. Child Adolesc. Nurs. 2017, 40, 240–256. [Google Scholar] [CrossRef]
- Stewart, J.L.; Pyke-Grimm, K.A.; Kelly, K.P. Making the right decision for my child with cancer: The parental imperative. Cancer Nurs. 2012, 35, 419–428. [Google Scholar] [CrossRef]
- Hoang, K.; Halpern-Felsher, B.; Brooks, M.; Blankenburg, R. Shared Decision-making With Parents of Hospitalized Children: A Qualitative Analysis of Parents’ and Providers’ Perspectives. Hosp. Pediatr. 2020, 10, 977–985. [Google Scholar] [CrossRef]
- Pyke-Grimm, K.A.; Stewart, J.L.; Kelly, K.P.; Degner, L.F. Parents of children with cancer: Factors influencing their treatment decision making roles. J. Pediatr. Nurs. 2006, 21, 350–361. [Google Scholar] [CrossRef]
- Boland, L.; Graham, I.D.; Légaré, F.; Lewis, K.; Jull, J.; Shephard, A.; Lawson, M.L.; Davis, A.; Yameogo, A.; Stacey, D. Barriers and facilitators of pediatric shared decision-making: A systematic review. Implement. Sci. 2019, 14, 7. [Google Scholar] [CrossRef] [PubMed]
- Mitchell, S.; Spry, J.L.; Hill, E.; Coad, J.; Dale, J.; Plunkett, A. Parental experiences of end of life care decision-making for children with life-limiting conditions in the paediatric intensive care unit: A qualitative interview study. BMJ Open 2019, 9, e028548. [Google Scholar] [CrossRef]
- Edwards, J.D.; Panitch, H.B.; Nelson, J.E.; Miller, R.L.; Morris, M.C. Decisions for Long-Term Ventilation for Children. Perspectives of Family Members. Ann. Am. Thorac. Soc. 2020, 17, 72–80. [Google Scholar] [CrossRef]
- Carnevale, F.A.; Benedetti, M.; Bonaldi, A.; Bravi, E.; Trabucco, G.; Biban, P. Understanding the private worlds of physicians, nurses, and parents: A study of life-sustaining treatment decisions in Italian paediatric critical care. J. Child Health Care 2011, 15, 334–349. [Google Scholar] [CrossRef]
- Yazdani, N.; Chartrand, J.; Stacey, D. Exploring Parental Decision Making for a Child With a Life-Limiting Condition: An Interpretive Description Study. J. Hosp. Palliat. Nurs. 2022, 24, 140–146. [Google Scholar] [CrossRef] [PubMed]
- Carlisle, E.M.; Shinkunas, L.A.; Lieberman, M.T.; Hoffman, R.M.; Reisinger, H.S. Empowering Parents of Pediatric Surgical Oncology Patients Through Collaborative Engagement with Surgeons. J. Pediatr. Surg. 2023, 58, 1736–1743. [Google Scholar] [CrossRef]
- Huang, T.Y.; Mu, P.F.; Chen, Y.W. The Lived Experiences of Parents Having a Child With a Brain Tumor During the Shared Decision-Making Process of Treatment. Cancer Nurs. 2022, 45, 201–210. [Google Scholar] [CrossRef] [PubMed]
- Parker, K.; Cottrell, E.; Stork, L.; Lindemulder, S. Parental decision making regarding consent to randomization on Children’s Oncology Group AALL0932. Pediatr. Blood Cancer 2021, 68, e28907. [Google Scholar] [CrossRef] [PubMed]
- Carnevale, F.A.; Canoui, P.; Cremer, R.; Farrell, C.; Doussau, A.; Seguin, M.J.; Hubert, P.; Leclerc, F.; Lacroix, J. Parental involvement in treatment decisions regarding their critically ill child: A comparative study of France and Quebec. Pediatr. Crit. Care Med. 2007, 8, 337–342. [Google Scholar] [CrossRef]
- Janvier, A.; Farlow, B.; Barrington, K.J.; Bourque, C.J.; Brazg, T.; Wilfond, B. Building trust and improving communication with parents of children with Trisomy 13 and 18: A mixed-methods study. Palliat. Med. 2020, 34, 262–271. [Google Scholar] [CrossRef]
- Morawska, A.; Winter, L.; Sanders, M.R. Parenting knowledge and its role in the prediction of dysfunctional parenting and disruptive child behaviour. Child Care Health Dev. 2009, 35, 217–226. [Google Scholar] [CrossRef]
- Huang, K.-Y.; Caughy, M.O.B.; Genevro, J.L.; Miller, T.L. Maternal knowledge of child development and quality of parenting among White, African-American and Hispanic mothers. J. Appl. Dev. Psychol. 2005, 26, 149–170. [Google Scholar] [CrossRef]
- Hess, C.R.; Teti, D.M.; Hussey-Gardner, B. Self-efficacy and parenting of high-risk infants: The moderating role of parent knowledge of infant development. J. Appl. Dev. Psychol. 2004, 25, 423–437. [Google Scholar] [CrossRef]
- Conrad, B.; Gross, D.; Fogg, L.; Ruchala, P. Maternal confidence, knowledge, and quality of mother-toddler interactions: A preliminary study. Infant Ment. Health J. 1992, 13, 353–362. [Google Scholar] [CrossRef]
- Bornstein, M.H.; Cote, L.R.; Haynes, O.M.; Hahn, C.S.; Park, Y. Parenting knowledge: Experiential and sociodemographic factors in European American mothers of young children. Dev. Psychol. 2010, 46, 1677–1693. [Google Scholar] [CrossRef] [PubMed]
- Dowling, H. Parental Self-Efficacy in Early Years Parenting; The University of Manchester: Manchester, UK, 2014. [Google Scholar]
- Hong, X.; Liu, Q. Parenting stress, social support and parenting self-efficacy in Chinese families: Does the number of children matter? Early Child Dev. Care 2021, 191, 2269–2280. [Google Scholar] [CrossRef]
- Gao, Y.; Qu, Z. ‘More Children, More Happiness?’: New Evidence from Elderly Parents in China; Global Labor Organization: Geneva, Switzerland, 2019. [Google Scholar]
- Hofstede, G.; Minkov, M. Cultures and Organizations: Software of the Mind; McGraw-Hill: New York, NY, USA, 2005. [Google Scholar]
- Rahayu, W.F.; Mangunsong, F.M. Parenting self-efficacy mediates the effect of parental acceptance on the social-emotional abilities of children with special needs. Life Span Disabil. 2020, 23, 211–238. [Google Scholar]
- Wei, H.; Wang, Q.; Wu, Y.; Zhou, P. More children, more “efficacy”: The relationship between fertility and self-efficacy among the post-80 s and post-90 s generations. Reprod. Health 2024, 21, 157. [Google Scholar] [CrossRef]
- Setia, M.S. Methodology Series Module 3: Cross-sectional Studies. Indian J. Dermatol. 2016, 61, 261–264. [Google Scholar] [CrossRef]
Sociodemographic Characteristics | N | % | |
---|---|---|---|
Age (years) | 18–23 | 41 | 6.9% |
24–29 | 84 | 14.1% | |
30–34 | 133 | 22.3% | |
35–39 | 79 | 13.2% | |
40–44 | 102 | 17.1% | |
45–49 | 77 | 12.9% | |
50 and older | 81 | 13.6% | |
Gender | Female | 438 | 73.4% |
Male | 159 | 26.6% | |
Marital status | Married | 503 | 84.3% |
Widowed | 31 | 5.2% | |
Divorced | 63 | 10.6% | |
Education level | Less than high school | 116 | 19.4% |
Bachelor’s | 269 | 45.1% | |
Diploma | 148 | 24.8% | |
Postgraduate | 64 | 10.7% | |
Income (JOD) | Less than 500 | 271 | 45.4% |
500–1000 | 209 | 35.0% | |
1001–1500 | 91 | 15.2% | |
1501 and above | 26 | 4.4% | |
Occupation | Not working | 239 | 40.0% |
Student | 29 | 4.9% | |
Working in medical fields | 73 | 12.2% | |
Working not in medical fields | 211 | 35.3% | |
Retired | 45 | 7.5% | |
Insurance | No | 186 | 31.2% |
Yes | 411 | 68.8% | |
Comorbidities | No | 424 | 71.0% |
Yes | 173 | 29.0% | |
Number of children | 1 | 105 | 17.6% |
2–3 | 246 | 41.2% | |
4–5 | 174 | 29.1% | |
6 and more | 72 | 12.1% | |
Are you the one who takes care of the child? | No | 87 | 14.6% |
Yes | 324 | 54.3% | |
Yes, alternatively with the other party where “the two parents share the responsibility and included in decision making” | 186 | 31.2% |
Sociodemographic Variable | Mean ± SD | p Value | |
---|---|---|---|
Age (years) | 18–23 | 47.39 ± 11.89 | 0.18 |
24–29 | 47.76 ± 11.51 | ||
30–34 | 47.27 ± 11.67 | ||
35–39 | 48.15 ± 11.23 | ||
40–44 | 45.30 ± 11.06 | ||
45–49 | 44.05 ± 10.85 | ||
50 and older | 45.21 ± 13.37 | ||
Gender | Female | 46.93 ± 11.42 | 0.08 |
Male | 45.07 ± 12.30 | ||
Marital status | Married | 46.97 ± 11.37 | 0.01 |
Widowed | 45.61 ± 16.62 | ||
Divorced | 42.59 ± 10.66 | ||
Education level | Less than high school | 41.92 ± 13.13 | 0.001 |
Bachelor’s | 49.03 ± 10.68 | ||
Diploma | 43.42 ± 10.84 | ||
Postgraduate | 50.69 ± 10.52 | ||
Income (JOD) | Less than 500 | 43.10 ± 12.07 | 0.001 |
500–1000 | 47.39 ± 11.02 | ||
1001–1500 | 52.54 ± 8.45 | ||
1501 and above | 52.12 ± 10.62 | ||
Occupation | Not working | 45.00 ± 12.03 | 0.001 |
Student | 47.66 ± 13.30 | ||
Working in medical fields | 53.33 ± 9.51 | ||
Working not in medical fields | 45.99 ± 10.80 | ||
Retired | 44.13 ± 12.25 | ||
Insurance | No | 46.85 ± 11.86 | 0.55 |
Yes | 46.25 ± 11.60 | ||
Comorbidities | No | 46.54 ± 11.20 | 0.73 |
Yes | 46.18 ± 12.80 | ||
Number of children | 1 | 46.19 ± 12.17 | 0.34 |
2–3 | 47.41 ± 11.12 | ||
4–5 | 45.75 ± 12.05 | ||
6 and more | 45.10 ± 11.89 | ||
Are you the one who takes care of the child? | No | 43.57 ± 14.65 | 0.04 |
Yes | 46.89 ± 10.81 | ||
Yes, alternatively with the other party | 46.98 ± 11.45 |
Variable | OR (95%CI) | p Value | |
---|---|---|---|
Age (years) | 18–23 | Reference | |
24–29 | 1.73 (0.69–4.34) | 0.239 | |
30–34 | 1.10 (0.46–2.65) | 0.827 | |
35–39 | 1.17 (0.45–2.99) | 0.750 | |
40–44 | 0.78 (0.31–1.96) | 0.599 | |
45–49 | 0.87 (0.33–2.29) | 0.779 | |
50 and older | 0.83 (0.30–2.28) | 0.717 | |
Gender | Female | Reference | |
Male | 0.71 (0.43–1.18) | 0.185 | |
Marital status | Married | 0.00 (0.00–0.00) | 0.088 |
Widowed | 0.95 (0.42–2.16) | 0.906 | |
Divorced | 0.49 (0.26–0.92) | 0.028 | |
Education level | Less than high school | Reference | |
Bachelor’s | 1.62 (0.93–2.82) | 0.086 | |
Diploma | 0.62 (0.35–1.11) | 0.111 | |
Postgraduate | 1.47 (0.69–3.13) | 0.322 | |
Income (JOD) | Less than 500 | Reference | |
500–1000 | 1.51 (0.99–2.29) | 0.055 | |
1001–1500 | 4.44 (2.42–8.15) | 0.000 | |
1501 and above | 1.82 (0.69–4.78) | 0.224 | |
Occupation | Not working | Reference | |
Student | 1.08 (0.42–2.77) | 0.872 | |
Working in medical fields | 3.30 (1.69–6.45) | 0.000 | |
Working not in medical fields | 1.15 (0.72–1.85) | 0.555 | |
Retired | 0.61 (0.25–1.48) | 0.271 | |
Insurance | No | Reference | |
Yes | 0.50 (0.33–0.76) | 0.001 | |
Comorbidities | No | Reference | |
Yes | 0.74 (0.49–1.11) | 0.149 | |
Number of children | 1 | Reference | |
2–3 | 1.73 (1.00–3.00) | 0.049 | |
4–5 | 1.95 (1.05–3.63) | 0.035 | |
6 or more | 2.23 (0.98–5.08) | 0.057 | |
Are you the one who takes care of the child? | No | Reference | |
Yes | 1.10 (0.65–1.88) | 0.723 | |
Yes, alternatively with the other party | 1.37 (0.76–2.46) | 0.301 |
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Naser, A.Y.; Al-Shehri, H. Parental Self-Efficacy in Managing Pediatrics’ Medications and Treatments in Jordan: A Cross-Sectional Study. Healthcare 2025, 13, 2280. https://doi.org/10.3390/healthcare13182280
Naser AY, Al-Shehri H. Parental Self-Efficacy in Managing Pediatrics’ Medications and Treatments in Jordan: A Cross-Sectional Study. Healthcare. 2025; 13(18):2280. https://doi.org/10.3390/healthcare13182280
Chicago/Turabian StyleNaser, Abdallah Y., and Hassan Al-Shehri. 2025. "Parental Self-Efficacy in Managing Pediatrics’ Medications and Treatments in Jordan: A Cross-Sectional Study" Healthcare 13, no. 18: 2280. https://doi.org/10.3390/healthcare13182280
APA StyleNaser, A. Y., & Al-Shehri, H. (2025). Parental Self-Efficacy in Managing Pediatrics’ Medications and Treatments in Jordan: A Cross-Sectional Study. Healthcare, 13(18), 2280. https://doi.org/10.3390/healthcare13182280