Assessing Parental Anxiety in Pediatric Food Allergy: Development of the Worry About Food Allergy Questionnaire

J Clin Psychol Med Settings. 2021 Sep;28(3):447-456. doi: 10.1007/s10880-020-09737-1.

Abstract

Food allergies (FAs) in children are increasingly common, and strict allergen avoidance and safety concerns place parents at risk for anxiety (Lau et al. in Pediatr Allergy Immunol 25:236-242, 2014). Assessing parental anxiety with generic instruments may not capture the unique experience of parents managing children's FAs. This study developed and preliminarily validated the 13-item Worry About Food Allergy (WAFA) questionnaire, a measure of FA-specific parental anxiety, in an online sample of 265 parents aged 22-66 (M = 40.25) of children with FAs. The WAFA showed good internal reliability (Cronbach's α = .89) and moderate convergent validity with other anxiety measures, indicating support for a reliable measure of a discrete, specific construct. Exploratory factor analysis indicated a single factor structure. Criterion validity was established through significant, small, positive correlations with relevant allergy variables. A coherent single factor measure, the WAFA, shows promise as a screening tool for parental anxiety in pediatric practice and FA management.

Keywords: Assessment; Measure development; Parental anxiety; Pediatric food allergy.

MeSH terms

  • Anxiety / diagnosis
  • Child
  • Food Hypersensitivity* / diagnosis
  • Humans
  • Parents
  • Reproducibility of Results
  • Surveys and Questionnaires