Objectives: The study develops Coping Self-Efficacy Assessment and compares these scores between difference gender and cleft type in Thai adolescents with cleft lip and palate. Methods: The in-depth interview collects from 18 selective adolescents with repaired cleft lip and palate. Qualitative data is constructed items of Coping Self-Efficacy. Five experts examine content validity and questionnaire collects from 64 bilateral clefts and 157 unilateral clefts, age range 10-19 years. Participants recruited from four orthodontic clinics. Cronbach�s Alpha coefficient measure internal consistency and Confirmatory Factor Analysis show construct validity. Independent sample t-test is used for statistical significant differences. The study is approved by the Human Research Ethics Committee of University. Results: Stressful situations can category into 4 domains: physical symptoms, functional limitations, unpleasant emotions, and social exclusion. This questionnaire consists of 16 items and adolescents rate their degrees of confidence from o (Cannot do) to 10 (Highly certain can do). Three factors of their coping strategies under 4 stress domains are: Problem-focused coping factor (5 items, α=.677); Emotion-focused coping factor (6 items, α=.607); and Getting support from others factor (5 items, α=.751). Overall score has excellent reliability coefficient (α=.892). The goodness-of-fit indicate that the measurement model fit the data well. Internal consistency and reliability are strong for all factors. Score do not differ significantly between difference gender (t=.188, p>.05) and cleft type (t=.634, p>.05). Conclusions: Coping Self-efficacy Assessment is a very good validity and reliability psychometric instrument. Participants both gender and cleft type have quite highly confident to cope their stress.
Jutharat Chimruang, Naresuan University, Thailand
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