Scholarlink

Background <p>The rising burden of pediatric allergic diseases underscores parental intentions and behaviors as critical to allergic prevention and management. This study aims to develop and validate a Protection Motivation Theory (PMT) based scale for parents of children with allergic diseases, and to examine the associations between parental protection motivation, their management intentions and behaviors, and pediatric health outcomes.</p> Methods <p>We conducted a cross-sectional study among parents of children with allergic diseases at Hangzhou Children’s Hospital, Zhejiang Province, China, from July to December 2022. The PMT scale was developed using data from a pilot survey (<i>N</i> = 440) and validated in an empirical study (<i>N</i> = 443). Structural equation modeling mapped interconnections between parental protective motivation, intention, and behavior. Multiple linear regression explored PMT dimensions’ association with parental intentions and behaviors, while machine learning models evaluated their clinical relevance to children’s disease outcomes.</p> Results <p>The PMT scale demonstrated good reliability (Cronbach’s α coefficient = 0.844) and validity (χ<sup>2</sup>/df = 2.918, RMSEA = 0.066, GFI = 0.906, CFI = 0.937, NFI = 0.908, IFI = 0.937, TLI = 0.919). In structural equation model, protection motivation showed significant overall interconnections with parental intention (0.78, <i>p</i> &lt; 0.001). PMT dimensions were associated to 48.2% and 45.5% of the variance in parental intention and behavior related to allergic diseases in multiple linear regressions, with self-efficacy and perceived susceptibility being the most strongly associated factors. Random forest models demonstrated good discrimination in identifying associations between PMT dimensions and children’s atopic severity and attacks, achieving AUC of 0.84 and 0.88 respectively, with all six PMT dimensions among the top-15 related variables.</p> Conclusions <p>Our findings reveal the relevance of measuring parental protective motivation as captured by the developed PMT scale. It had significant associations with key parental intentions and behaviors in managing childhood atopy. This implies the necessity of refined PMT-based interventions to support outcomes in childhood allergic disease management.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Associations between parental protective motivation, behaviors, and child outcomes in allergic diseases: a cross-sectional study based on protection motivation theory

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月9日

查看全文
  • Yinan He,
  • Jinghua Wu,
  • Xianglong Huang,
  • Qinzhun Zhang,
  • Xinmeng Yao,
  • Yi Yu,
  • Weihong Tang,
  • Chengyin Ye

摘要

Background

The rising burden of pediatric allergic diseases underscores parental intentions and behaviors as critical to allergic prevention and management. This study aims to develop and validate a Protection Motivation Theory (PMT) based scale for parents of children with allergic diseases, and to examine the associations between parental protection motivation, their management intentions and behaviors, and pediatric health outcomes.

Methods

We conducted a cross-sectional study among parents of children with allergic diseases at Hangzhou Children’s Hospital, Zhejiang Province, China, from July to December 2022. The PMT scale was developed using data from a pilot survey (N = 440) and validated in an empirical study (N = 443). Structural equation modeling mapped interconnections between parental protective motivation, intention, and behavior. Multiple linear regression explored PMT dimensions’ association with parental intentions and behaviors, while machine learning models evaluated their clinical relevance to children’s disease outcomes.

Results

The PMT scale demonstrated good reliability (Cronbach’s α coefficient = 0.844) and validity (χ2/df = 2.918, RMSEA = 0.066, GFI = 0.906, CFI = 0.937, NFI = 0.908, IFI = 0.937, TLI = 0.919). In structural equation model, protection motivation showed significant overall interconnections with parental intention (0.78, p < 0.001). PMT dimensions were associated to 48.2% and 45.5% of the variance in parental intention and behavior related to allergic diseases in multiple linear regressions, with self-efficacy and perceived susceptibility being the most strongly associated factors. Random forest models demonstrated good discrimination in identifying associations between PMT dimensions and children’s atopic severity and attacks, achieving AUC of 0.84 and 0.88 respectively, with all six PMT dimensions among the top-15 related variables.

Conclusions

Our findings reveal the relevance of measuring parental protective motivation as captured by the developed PMT scale. It had significant associations with key parental intentions and behaviors in managing childhood atopy. This implies the necessity of refined PMT-based interventions to support outcomes in childhood allergic disease management.