• P16 Non-invasive detection of oesophageal varices: comparison of non-invasive assessment of systemic haemodynamics with laboratory parameters and predictive scores

      Rye, Kara; Mortimore, Gerri; Austin, Andrew; Freeman, Jan G.; Derby Hospitals NHS Foundation Trust (BMJ Publishing Group Ltd., 2010)
      Endoscopic screening for varices (OV) is advised in cirrhosis, repeated every 1–3 years, with primary prophylaxis given to large OV. This is costly to endoscopy units, unpleasant for patients and multiple procedures may affect compliance. Cirrhosis is characterised by a hyperdynamic circulation; novel tools make non-invasive assessment possible.
    • P193 Experiences of delivering a nurse-led fracture risk assessment for patients with inflammatory rheumatological conditions in primary care

      Hawarden, Ashley W; Paskins, Zoe; Desilva, Erandie Ediriweera; Herron, Daniel; Machin, Anabelle; Jinks, Clare; Hider, Samantha; Chew-Graham, Carolyn; Primary Care Centre Versus Arthritis, School of Primary, Community and Social Care, Stoke on Trent; Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke on Trent; et al. (Oxford University Press (OUP), 2020-04-20)
      The INCLUDE (INtegrating and improving Care for patients with infLammatory rheUmatological DisordErs in the community) pilot trial aimed to evaluate the feasibility and acceptability of a nurse-delivered review in primary care for people with inflammatory rheumatological conditions (IRCs), to identify and manage common comorbidities including anxiety and depression, cardiovascular and fracture risk. We report analysis of data focusing on the fracture risk assessment component of the review. Ethical approvals obtained. Semi-structured interviews were conducted to explore experiences of participating in INCLUDE, with 20 patients, the two nurses delivering the intervention and three General Practitioners (GPs) within participating practices. 24 consenting patients had their INCLUDE review recorded for fidelity checking. Selected extracts were played within some interviews to stimulate discussion (tape-assisted recall). Extracts from recorded consultations relating to fracture risk assessment were transcribed and coded. Interviews were digitally recorded, with consent, transcribed and anonymised. Thematic analysis of the interview data was followed by mapping to the Theoretical Domains Framework (TDF). Findings mapped to 10/14 TDF domains relating to knowledge, skills, social/professional role and identity, beliefs about capabilities, optimism, beliefs about consequences, reinforcement, intentions, memory attention and decision processes and environmental context/resources. GPs and nurses identified a lack of knowledge and skills in relation to the identification and management of osteoporosis, due to lack of exposure and repeated changes in clinical guidance. GPs reported differing opinions about whether osteoporosis screening was the role of primary or secondary care. GPs and nurses had differing views about the limits of the nurse role in communicating risk. The INCLUDE nurses reported confidence (self-efficacy) in undertaking FRAX assessments. Nurses valued the opportunity to learn new skills and believed that they were improving patient care. They described practical barriers using FRAX including the difficulty navigating between different IT systems. Nurses described uncertainty over when to refer to the GP. Fidelity checks of recorded reviews, showed that FRAX was appropriately calculated for 22/24 patients; whilst INCLUDE nurses introduced the reason for calculating fracture risk, explanations of the meaning of risk were limited, and patients’ understanding was not always checked and queries not responded to; patient interview findings confirmed patients had limited understanding of the meaning of FRAX. Life-style advice related to bone health was given in few consultations. Screening for fracture risk in people with IRCs in a review consultation is acceptable and feasible, although explanations of the meaning of risk assessment could be improved. Integration of a fracture risk assessment tool within GP software would facilitate risk calculation. More work is needed to understand barriers to risk assessment, including clarity over roles and professional boundaries, and develop management pathways to optimise management of fracture risk in people with IRCs.
    • P24 Presence of impaired baroreceptor sensitivity is a poor prognostic marker in cirrhosis

      Rye, Kara; Mortimore, Gerri; Austin, Andrew; Freeman, Jan G.; University of Derby (BMJ Publishing Group Ltd., 2011)
      Autonomic function is essential for blood pressure control and baroreceptor sensitivity (BRS) acts as a composite marker of overall function. Both sympathetic and parasympathetic function is impaired in cirrhosis. Impaired BRS predicts death in cardiovascular diseases and chronic kidney disease.
    • P35 Long-term remission is achievable in autoimmune hepatitis using Tacrolimus or Mycophenolate mofetil and results in regression of fibrosis

      Scott, Robert; White, Jonathan; Atwal, Gurprit Suni; Taylor, Nicholas; Mortimore, Gerri; Freeman, Jan G.; Lawson, Adam; Austin, Andrew; University of Derby (BMJ Publishing Group Ltd., 2011-09-06)
      Introduction 10–20% of patients do not respond to conventional treatment of autoimmune hepatitis, or are intolerant of azathioprine. There is no established second line treatment. Experience with transplant immunosuppressive agents such as Tacrolimus (TAC) and mycophenolate mofetil (MMF) is limited to small numbers and short-term follow-up. Aim To describe the progress of all patients who had failed conventional therapy and were treated with second line agents with at least 12-month follow-up. Method An audit of patients identified who received second line agents for at least 12 months on maintenance dose <10 mg prednisolone. Patient records were reviewed and treatment endpoints based on aminotransferase changes defined as; Complete response (CR) - sustained normalisation for at least 12 months, partial response (PR) - improvement by >50% but not always normal over a 12-month period. Where applicable, interval histology was reviewed by a single pathologist to assess ISHAK fibrosis scores at the start and at least 18 months after commencing second line agents. Results A total of 26 patients were identified. 9 were treated with TAC for a median 81 months (21–137), 16 with MMF for a median 81 months (30–114) and one on a combination of TAC and MMF. Median age is 56 (28–68) and 64 (40–79) respectively. The median dose of TAC is 3.5 mg/day (1–6) and MMF 1 g/day (1–2). All patients on TAC achieved CR. Two patients discontinued treatment; one renal impairment and one rationalising treatment after 27 months CR. 11/16 patients on MMF achieved CR, 5/16 achieved PR. Five patients no longer take MMF; two due to toxicity (recurrent chest infections at 60 months, GI disturbance at 78 months), one successfully withdrew treatment after 39 months CR, one switched to TAC as a treatment failure of MMF after 103 months and one was withdrawn after a diagnosis of larynx SCC. The combination patient achieved CR and has received 50 months dual treatment with confirmed histological remission. Four patients on TAC and five on MMF had interval biopsies. 3/4 patients on TAC (median 87 months) exhibited stable or reduced grades of fibrosis compared to 2/5 patients on MMF (median 101 months). Conclusion Effective long-term maintenance of remission at 10 years is achievable on MMF and TAC in the absence of significant toxicity. Achieving prolonged CR seems to confer disease control and can result in histological regression of fibrosis.
    • P37 identifying cirrhotics at risk of paracentesis-induced circulatory dysfunction (PICD): The significance of an early fall in stroke volume

      Grant, Claire; Rye, Kara; Scott, Robert; White, Jonathan; Mortimore, Gerri; Freeman, Jan G.; Austin, Andrew; University of Derby (Elsevier, 2014-04)
    • Pain and athletes: Contact sport participation and performance in pain

      Sheffield, David; Thornton, C; Jones, M.V.; University of Derby; Northumbria University; Manchester Metropolitan University (Elsevier BV, 2020-03-29)
      This study examined the effect of cold pressor pain on performance in high-contact athletes, low-contact athletes and non-athletes. A three-group between-subjects experimental design was used. Seventy-one participants completed a motor task and a cognitive task of different complexity (easy or hard) both in pain and not in pain. The motor task involved participants throwing a tennis ball at numbered targets in the correct order. In the cognitive task, participants were required to check off the numbers one to twenty-five in the correct order from a grid of randomly ordered numbers. Task difficulty was increased by adding dummy targets (motor task) or extra numbers (cognitive task). Cold pressor pain was rated as less intense by high-contact athletes during both tasks compared to low-contact athletes and non-athletes. High-contact athletes’ performance was not hampered by pain on the motor task, whereas it was in low-contact athletes and non-athletes. However, pain did not hamper performance for any group during the cognitive task. Low-contact and non-athletes did not differ from each other in their pain reports or the degree to which their performance was hampered by pain in either task. This study provides evidence that adaptation to pain through participation in high-contact sports can enhance both pain tolerance generally and motor performance specifically under increases in pain. The mechanisms behind these differences warrant further exploration.
    • Pain coping and acceptance as longitudinal predictors of health-related quality of life among people with haemophilia-related joint pain

      Elander, James; Morris, J.; Robinson, G.; University of Derby (Wiley, 2012-12-14)
      Interventions based on coping and acceptance can be adapted for people with different painful conditions. Evidence about baseline characteristics that predict improved outcomes is informative for matching people to interventions, whereas evidence about changes that predict improved outcomes is informative about the processes that interventions should target. Participants in a low-intensity program to promote self-management of hemophilia-related chronic joint pain (n=101) reported pain intensity, coping, acceptance and quality of life at baseline and 6-month follow-up. Baseline and change measures of pain intensity, coping and acceptance were used to predict follow-up quality of life, taking account of baseline quality of life. Changed (reduced) pain intensity predicted better physical quality of life, independently of age, hemophilia severity, baseline pain intensity and baseline physical quality of life. Lower baseline passive coping and changed (increased) pain acceptance predicted better mental quality of life, independently of age, severity, and baseline mental quality of life. Increased activity engagement but not pain willingness predicted better mental quality of life when pain acceptance was decomposed. Changed (reduced) negative thoughts also predicted better mental quality of life when separate acceptance subscales were used. Active pain coping did not predict physical or mental quality of life. Initially high levels of passive coping may be an obstacle to improving mental quality of life. Acceptance rather than coping may be a more useful behavioral change target, but more research is needed about the meanings and therapeutic implications of different elements of pain acceptance.
    • Pain coping, pain acceptance and analgesic use as predictors of health-related quality of life among women with primary dysmenorrhea

      Kapadi, Romaana; Elander, James; University of Derby (Elsevier, 2019-12-24)
      Primary dysmenorrhea causes menstrual pain that affects women’s quality of life (QoL) and analgesics are only moderately effective. Pain coping and pain acceptance influence QoL among people affected by other chronic pain conditions, so we examined pain coping, pain acceptance and analgesic use as predictors of QoL among women with primary dysmenorrhea. 145 women with primary dysmenorrhea completed an online survey including the Menstrual Symptoms Questionnaire (MSQ), the Coping Strategies Questionnaire (CSQ), the Chronic Pain Acceptance Questionnaire (CPAQ-8), questions about analgesic use, and the Short Form-12 (SF-12), a measure of physical and mental health-related QoL. In multiple regression, pain acceptance predicted better physical and mental QoL, whereas pain coping did not predict mental or physical quality of life. Being married or cohabiting and menstrual pain that was less severe and shorter in duration predicted better physical QoL, and those effects were mediated by pain acceptance. Being older at the onset of painful periods predicted better mental QoL and that effect was also mediated by pain acceptance. More severe menstrual pain and congestive rather than spasmodic dysmenorrhea predicted worse mental QoL but those effects were not mediated by other factors. Analgesic use did not predict physical or mental QoL. The results show the impact that menstrual pain has on women’s quality of life, and suggest that initiatives to increase pain acceptance among women with menstrual pain are worthwhile. More research is needed to understand more fully the factors that influence health-related quality of life among women with menstrual pain.
    • Pain management and symptoms of substance dependence among patients with sickle cell disease

      Elander, James; Lusher, Joanne; Bevan, David; Telfer, Paul; University of Derby (2003)
      Concerns about dependence on prescribed analgesia may compromise pain management, but there was previously little reliable evidence about substance dependence among patients with sickle cell disease (SCD). We conducted indepth, semi-structured interviews with SCD patients in London, UK, to assess DSM-IV symptoms of substance dependence and abuse. Criteria were applied to differentiate between pain-related symptoms, which corresponded to the DSM-IV symptoms but involved analgesics used to control pain, and non-pain-related symptoms, which involved analgesic use beyond pain management. Pain-related symptoms are informative about how the pattern of recurrent acute pain in SCD may make patients vulnerable to perceptions of drug dependence. Non-pain-related symptoms are informative about more stringently defined dependence on analgesia in SCD. Inter-rater reliability was high, with mean Kappa coefficients of 0.67–0.88. The criteria could be used to assess analgesic dependence in other painful conditions. Pain-related symptoms were more frequent, accounting for 88% of all symptoms reported. When pain-related symptoms were included in the assessment, 31% of the sample met the DSM-IV criteria for substance dependence, compared with only 2% when the assessment was restricted to non-pain-related symptoms. Qualitative analysis of participants’ descriptions of analgesic use showed that active coping attempts (attempts to anticipate pain and avoid hospital admissions) and awareness of dependence were themes in descriptions of both pain-related and non-painrelated symptoms. Seeking a more normal lifestyle and impaired activities were themes associated with pain-related symptoms. Psychological disturbance was a theme associated with non-pain-related symptoms. The implications are for more responsive treatment of pain in SCD and greater awareness of how patients’ pain coping may be perceived as analgesic dependence. Further research could examine ways that pain-related and non-pain-related symptoms of dependence may be associated with other pain coping strategies and with the outcomes of treatment for painful episodes in hospital.
    • PaintingDigitalPhotography conference

      Robinson, Carl; University of Derby (2017-05-09)
      The PaintingDigitalPhotography conference seeks to investigate how artists and theorists are currently engaged in critical discourses around the shifting relationships of painting, photography, and digital manipulation. How are these mediums being defined in their connection to one another as new hybrid forms are being created through their combination? What do these combinations tell us about these mediums and disciplines, their natures and practices, in the digital age? In what ways might digital imaging and manipulation enable a painting / photography interconnectivity? Central to the debate will be the focus on the blurred boundaries, common threads, antagonisms, distinctions, and growing interrelationship between painting, photography, and ‘the digital’ in the development of new creative practices.
    • PaintingDigitalPhotography: Synthesis and difference in the age of media equivalence

      Hilliard, John; Honlold, Astrid; Robinson, Carl; Rosenstein, Tatiana; Rushton, Stephanie; Simson, Henrietta; Speidel, Klaus; Walker, Jame Faure; Weir, Catherine M; Wooldridge, Duncan; et al. (Cambridge Scholars Publishing, 01/09/2018)
      We live in a digital age where the mediums of art are inextricably bound to the binary code, and painting and photography are redefined in their interconnected relationship through digital reconfiguration. As digitisation unmoors these mediums from their traditional supports, their modes of production, display and dissemination shift. These changes bring about new ways of creating, and engaging with, artworks. Through this, the innate qualities of the mediums, previously anchored in their analogue nature, are re-evaluated through their connection with “the digital”. Born out of the PaintingDigitalPhotography conference, held at QUAD Derby, UK, in May 2017, this anthology of essays investigates aspects of interconnectivity between painting, digital and photography in contemporary art practices. It contributes to critical discourses around networks of associations by examining where syntheses occur, and differences remain, between these mediums at the beginning of the twenty first century.
    • Palgrave advances in John Clare studies

      Kovesi, Simon; Lafford, Erin; Oxford Brookes University; University of Derby (Palgrave Macmillan, 2020-09-18)
      Contributes to ongoing conversations about John Clare's work while offering new perspectives and directions on Clare scholarship, in an accessible writing style Serves as both a useful introduction to Clare and his work for students that are new to it, and a rich resource for scholars already working in the area Essays look at interdisciplinary topics including ecocriticism, environmental humanities, medical humanities, and posthumanism Features essays from established and early career scholars Is comprehensive in its coverage of popular and new topics in Clare studies.
    • Pandemic burnout in frontline healthcare professionals: Can Meditation Help?

      Van Gordon, William; University of Derby (Royal College of General Practitioners, 2020-11-17)
    • Paradoxical invitations: challenges in soliciting more information from child witnesses

      Childs, Carrie; Walsh, Dave; University of Derby (Taylor & Francis, 2018-11-15)
      This article analyses how police officers conducting interviews with children reporting their being victim of alleged sexual offenses ask witness if they would like to add to what has been said or whether they have any questions. Interviewing guidelines recommend that this be done during interview closure. The data set comprises twenty-seven videotaped interviews. Data are in British English. Using Conversation Analysis, we show that the understanding of interview closure as an appropriate place in which to request for the initiation of a new topic is paradoxical. We also outline practices for soliciting additional information throughout the course of the interview.
    • Parallel dialogues

      Jones, Rhiannon; Cologni, Elena; University of Derby; University of Lincoln (InDialogue, 2016-08)
      This paper was presented by Elena Cologni and Rhiannon Jones and was delivered at Nottingham Contemporary for InDialogue Symposium 2016. The paper set out to provide some provocations found through their shared, or parallel dialogues. They described how their practices share a commonality, they both work within the contextual frame named ‘the dialogic’ or, as both having ‘dialogic practices’. These overlaps provided a framework from which the paper emerged dialogically, through conversation. Their individual approaches and practices utilise a performative and experiential approach, the orchestration of space, and the dialogic architectures of site and body. The paper provided a series of provocations - such as how is dialogue used in our practice and how do you define conversation? The paper resulted in a series of discussions, sharing of theoretical frameworks that both presenters use in their research to facilitate practice. The paper set out the context and territory for each of their 'parallel' and dialogic practices for other researchers to engage with the discourse. Parallel Dialogues was the result of a series of conversations between Rhiannon Jones and Elena Cologni which were then turned into a research framework for the paper, The paper became an example of a live process of practice as research through its iterative and reactive series of provocations and open ended dialogue in order to use the paper as both a conversation starter and as part of testing a new methodology for dialogic provocations as practice as research. The working paper for the artists was also a key text for them to discuss their practice research with one another, and with the InDialogue delegates (other artists and researchers) and collectively it sparked a wider discourse about the form and shape of papers, the performativity of papers and its relationship to dialogue.
    • Parallel Monte Carlo search for Hough Transform.

      Lopes, Raul; Franqueira, Virginia N. L.; Reid, Ivan D.; Hobson, Peter; Brunel University London; University of Derby (IOP Publishing Ltd, 2017-11)
      We investigate the problem of line detection in digital image processing and in special how state of the art algorithms behave in the presence of noise and whether CPU efficiency can be improved by the combination of a Monte Carlo Tree Search, hierarchical space decomposition, and parallel computing. The starting point of the investigation is the method introduced in 1962 by Paul Hough for detecting lines in binary images. Extended in the 1970s to the detection of space forms, what came to be known as Hough Transform (HT) has been proposed, for example, in the context of track fitting in the LHC ATLAS and CMS projects. The Hough Transform transfers the problem of line detection, for example, into one of optimization of the peak in a vote counting process for cells which contain the possible points of candidate lines. The detection algorithm can be computationally expensive both in the demands made upon the processor and on memory. Additionally, it can have a reduced effectiveness in detection in the presence of noise. Our first contribution consists in an evaluation of the use of a variation of the Radon Transform as a form of improving theeffectiveness of line detection in the presence of noise. Then, parallel algorithms for variations of the Hough Transform and the Radon Transform for line detection are introduced. An algorithm for Parallel Monte Carlo Search applied to line detection is also introduced. Their algorithmic complexities are discussed. Finally, implementations on multi-GPU and multicore architectures are discussed.
    • Paranoid beliefs and self-criticism in students.

      Mills, Alison; Gilbert, Paul; Bellew, Rebecca; McEwan, Kirsten; Gale, Corinne; University of Derby; Kingsway Hospital (Wiley, 2007-09)
      Paranoid beliefs are associated with negative and malevolent views of others. This study, however, explored hostile and compassionate self‐to‐self relating in regard to paranoid beliefs. A total of 131 students were given a series of scales measuring paranoid ideation, forms and functions of self‐criticism, self‐reassurance, self‐compassion and depression. Test scores were subjected to correlation and hierarchical regression analyses to explore the relative contribution of study variables to paranoid beliefs. In this population, paranoid beliefs were associated with forms and functions of self‐criticism, especially self‐hating and self‐persecution. Paranoid beliefs were negatively correlated with self‐kindness and abilities to be self‐reassuring. These variables were also associated with depression (as were paranoid beliefs). A hierarchical regression found that self‐hatred remained a predictor of paranoid ideation even after controlling for depression and self‐reassurance. Paranoid beliefs seem to be associated with a critical and even hating experience of self. These inner experiences of self may be profitable targets for therapeutic interventions. 
    • Parent-child mathematics affect as predictors of children's mathematics achievement

      Sari, Mehmet Hari; Hunt, Thomas; Nevsehir Haci Bektas Veli University; University of Derby (Final International University, 2020-06-30)
      The current study investigated the relationship between children’s and parents’ self-reported maths affect and children’s maths achievement. Participants comprised 186 child-parent dyads in Turkey. Findings showed that maths affect in children and their parents was unrelated. However, maths affect was a significant predictor of children’s maths achievement. Importantly, this varied by grade. In grade three, child maths affect significantly predicted maths achievement, whereas parent maths affect was unrelated to achievement. Conversely, in grade four, the opposite pattern emerged; parent maths affect significantly predicted children’s maths achievement, whereas child maths affect was unrelated to achievement. Furthermore, children’s maths achievement significantly varied according to parents’ level of education, whereby children whose parents were educated to undergraduate level considerably outperformed those whose parents were educated only to primary level. Parents with a lower educational status also reported significantly more difficulty in supporting their child’s maths learning. These findings point towards the importance of parent maths affect, their level of education, and perceived difficulty in supporting children, as predictors of children’s maths achievement. This is only the case in grade four, as maths becomes more challenging and there is a greater emphasis on competitive assessment. As such, the home numeracy environment and family maths tension should be addressed in preparation for children moving into grade four.
    • Parental and health professional evaluations of a support service for parents of excessively crying infants

      Bamber, Deborah; Powell, Charlotte; Long, Jaqui; Garratt, Rosie; Brown, Jayne; Rudge, Sally; Morris, Tom; Bhupendra Jaicim, Nishal; Plachcinski, Rachel; Dyson, Sue E.; et al. (Springer Nature/ BMC, 2019-08-22)
      The ‘Surviving Crying’ study was designed to develop and provisionally evaluate a support service for parents of excessively crying babies, including its suitability for use in the United Kingdom (UK) National Health Service (NHS). The resulting service includes three materials: a website, a printed booklet, and a Cognitive Behaviour Therapy (CBT) programme delivered to parents by a qualified professional. This study aimed to measure whether parents used the materials and to obtain parents’ and NHS professionals’ evaluations of whether they are fit for purpose. Parents were asked about participating in a randomised controlled trial (RCT) to evaluate the materials fully in health service use. Methods: Participants were 57 parents with babies they judged to be crying excessively and 96 NHS Health Visitors (HVs). Parental use and parents’ and HVs’ ratings of the Surviving Crying materials were measured. Results: Thirty four parents reported using the website, 24 the printed booklet and 24 the CBT sessions. Parents mostly accessed the website on mobile phones or tablets and use was substantial. All the parents and almost all HVs who provided data judged the materials to be helpful for parents and suitable for NHS use. If offered a waiting list control group, 85% of parents said they would have been willing to take part in a full RCT evaluation of the Surviving Crying package. Discussion and conclusions: The findings identify the need for materials to support parents of excessively crying babies within national health services in the UK. The Surviving Crying support package appears suitable for this purpose and a full community-level RCT of the package is feasible and likely to be worthwhile. Limitations to the study and barriers to delivery of the services were identified, indicating improvements needed in future research.
    • Parental confidence in managing food allergy: development and validation of the food allergy self-efficacy scale for parents (FASE-P)

      Knibb, Rebecca C.; Barnes, Christopher; Stalker, Carol; Aston University; University of Derby; University of Derby; Psychology; School of Life and Health Sciences; Aston University; Birmingham UK; Psychology; College of Life and Natural Sciences; University of Derby; Derby UK; Psychology; College of Life and Natural Sciences; University of Derby; Derby UK (Wiley, 2015-07-28)
      Background: Food allergy is often a life-long condition that requires constant vigilance in order to prevent accidental exposure and avoid potentially life-threatening symptoms. Parents’ confidence in managing their child’s food allergy may relate to the poor quality of life anxiety and worry reported by parents of food allergic children. Objective: The aim of the current study was to develop and validate the first scale to measure parental confidence (self-efficacy) in managing food allergy in their child. Methods: The Food Allergy Self-Efficacy Scale for Parents (FASE-P) was developed through interviews with 53 parents, consultation of the literature and experts in the area. The FASE-P was then completed by 434 parents of food allergic children from a general population sample in addition to the General Self-Efficacy Scale (GSES), the Food Allergy Quality of Life Parental Burden Scale (FAQL-PB), the General Health Questionnaire (GHQ12) and the Food Allergy Impact Measure (FAIM). A total of 250 parents completed the re-test of the FASE-P. Results: Factor and reliability analysis resulted in a 21 item scale with 5 sub-scales. The overall scale and sub-scales has good to excellent internal consistency (α’s of 0.63-0.89) and the scale is stable over time. There were low to moderate significant correlations with the GSES, FAIM and GHQ12 and strong correlations with the FAQL-PB, with better parental confidence relating to better general self-efficacy, better quality of life and better mental health in the parent. Poorer self-efficacy was related to egg and milk allergy; self-efficacy was not related to severity of allergy. Conclusions and clinical relevance: The FASE-P is a reliable and valid scale for use with parents from a general population. Its application within clinical settings could aid provision of advice and improve targeted interventions by identifying areas where parents have less confidence in managing their child’s food allergy.