The Capacity of Perceived Coping Self-Efficacy in Adolescents with Repaired Cleft Lip and Cleft Palate


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.

Author Information
Jutharat Chimruang, Naresuan University, Thailand

Paper Information
Conference: ACP2015
Stream: Linguistics

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Posted by James Alexander Gordon