Validity and reliability study of the Turkish version of the self-efficacy for managing chronic disease 6-item scale

Kübra Incirkuş, Nursen Nahcivan, Kübra Incirkuş, Nursen Nahcivan

Abstract

Background/aim: The measurement of self-efficacy is an important step toward improving chronic disease management, enhancing adherence to treatment, and assessing patients with chronic diseases. The purpose of this study was to assess the validity and reliability of the Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale.

Materials and methods: In this methodological study, the sample consisted of 211 patients receiving chronic disease care in 2 family health centers in İstanbul, Turkey. Data were analyzed with descriptive statistics, exploratory and confirmatory factor analyses, concurrent validity, Cronbach’s alpha, item-total correlation, and test-retest reliability.

Results: Most of the sample were women (72%), primary school graduates (41.7%), hypertensive (68.7%), and had comorbidities (68.2%). The mean age of the sample was 60.5 ± 10.9. The scale mean was 5.66 ± 2.28. Cronbach’s alpha reliability was 0.90. Item-total correlations were between 0.64–0.85 and test-retest reliability was high (R = 0.95, P < 0.001). A positive, significant correlation was found in concurrent validity. According to the results of factor analysis, the scale had a 2-dimensional structure.

Conclusion: The Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale is a valid and reliable instrument to assess perceived the self-efficacy level of patient with chronic disease.

Keywords: Chronic disease; reliability; self-efficacy; validity.

Conflict of interest statement

The authors declare that there is no conflict of interest.

This work is licensed under a Creative Commons Attribution 4.0 International License.

Figures

Figure
Figure
Standardized confirmatory factor analysis (CFA) path diagram for Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale.

References

    1. Turkey burden of disease study 2004. Ankara, Turkey: Aydogdu Ofset Printing Industry and Trade Co. Ltd . 2006.
    1. Health perspectives in Turkey 2007. Ankara, Turkey: Boluk Ofset Printing . 2007.
    1. World Health Organization. Burden, mortality, morbidity and risk factors: global status report on non-communicable diseases 2010. Italy: WHO Library Cataloguing in Publication Data . 2011.
    1. Lorig KR Holman HR Self-management education: history, definition, outcomes, and mechanisms. Annals of Behavioral Medicine . 2003;26:1–7.
    1. Beaglehole R Epping-Jordan J Patel V Chopra M Ebrahim S Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet . 2008;372:940–949.
    1. Haskett T Chronic illness management: changing the system. Home Health Care Management Practice . 2006;18:492–496.
    1. Bodenheimer T Lorig K Holman H Grumbach K Patient self-management of chronic disease in primary care. JAMA . 2002;288:2469–2475.
    1. Bandura A Self-efficacy mechanism in human agency. American Psychologist . 1982;37:122–147.
    1. Self-efficacy. In: Ramachandran VS (editor). Encyclopedia of Human Behavior. Vol. 4. New York, USA: Academic Press . 1994.
    1. Clark NM Dodge JA Exploring self-efficacy as a predictor of disease management. Health Education & Behavior . 1999;26:72–89.
    1. Frei A Svarin A Steurer-Stey C Puhan MA Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations-a systematic review. Health and Quality of Life Outcomes . 2009;7:86–96.
    1. Taylor D Bury M Chronic illness, expert patients and care transition. Sociology of Health & Illness . 2007;29:27–45.
    1. Bandura A Perceived self-efficacy in cognitive development and functioning. Educational Psychologist . 1993;28:117–148.
    1. Bandura A Adams NE Analysis of self-efficacy theory of behavioral change. Cognitive Therapy and Research . 1977;1:287–310.
    1. Lorig K Sobel D Ritter P Laurent D Hobbs M Effects of a self-management program for patients with chronic disease. Effective Clinical Practice . 2001;4:256–262.
    1. Hu H Li G Arao T Validation of a Chinese version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale in patients with hypertension in primary care. ISRN Public Health . 2013;10:1–6.
    1. Mishali M Omer H Heymann AD The importance of measuring self-efficacy in patients with diabetes. Family Practice . 2011;28:82–87.
    1. Guide for constructing self-efficacy scales. In: Pajares F, Urdan T (editors). Self-efficacy Beliefs of Adolescents. Greenwich, UK: Information Age Publishing; 2006 . 2006. pp. 307–337.
    1. Lorig K Chastain RL Ung E Shoor S Holman HR Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis and Rheumatism . 1989;32:37–44.
    1. Bijl VJ Poelgeest-Eeltink AV Shortridge-Baggett L The psychometric properties of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing . 1999;30:352–359.
    1. Kara M Van der Bijl JJ Shortridge-Baggett LM Asti T Erguney S Cross-cultural adaptation of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus: scale development. International Journal of Nursing Studies . 2006;43:611–621.
    1. Ogedegbe G Mancuso CA Allegrante JP Charlson ME Development and evaluation of Medication Adherence Self-Efficacy Scale in hypertensive African-American patients. Journal of Clinical Epidemiology . 2003;56:520–529.
    1. Aypay A The adaptation study of General Self-Efficacy (GSE) Scale to Turkish. Inonu University Journal of the Faculty of Education . 2010;11:113–131.
    1. Erci B Reliability and validity of the Turkish version of Generalized Perceived Self-Efficacy Scale. Journal of Ataturk University School of Nursing . 2006;9:57–62.
    1. Gozum S Aksayan S The reliability and validity of Turkish form of the Self-Efficacy Scale. Journal of Ataturk University School of Nursing . 1999;2:21–34.
    1. Yildirim F Ilhan IO The validity and reliability of the General Self-Efficacy Scale – Turkish form. Turkish Journal of Psychiatry . 2010;21:301–308.
    1. Kara M Mirici A The validity and reliability of Turkish form of the COPD Self-Efficacy Scale. Medical Journal of Ataturk University . 2002;34:61–66.
    1. Hacihasanoglu R Gozum S Capik C Validity of the Turkish version of the medication adherence self-efficacy scale-short form in hypertensive patients. Anatolian Journal of Cardiology . 2012;12:241–248.
    1. Tatar M Mollahaliloglu S Sahin B Aydin S Maresso A Turkey: Health system review. European Observatory on Health Systems and Policies publications. Health Systems in Transition . 2011;13:1–186.
    1. Statistical analysis methods for medical research “spss applications”. 3rd ed. Ankara, Turkey: Emek Ofset . 2005.
    1. Measurement. In: Talbot LA (editor). Principles and Practice of Nursing Research. St. Louis, MO, USA: Mosby-Year Book . 1995. pp. 265–291.
    1. Gungen C Ertan T Eker E Yasar R Reliability and validity of the Standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry . 2002;13:273–281.
    1. Hudon C The Self-Efficacy for Managing Chronic Disease Scale-French Version: a validation study in primary care. European Journal for Person Centered Healthcare . 2014;2:533–538.
    1. The practice of nursing research: Appraisal, synthesis, and generation of evidence. 6th ed. St Louis, USA: Saunders & Elsevier . 2009.
    1. Polit D Beck CT The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health . 2006;29:489–497.
    1. Nursing research: generating and assessing evidence for nursing practice. 9th ed. Philadelphia, USA: Wolters Kluwer Health, Lippincott Williams & Wilkins . 2012.
    1. Cronbach LJ Coefficient alpha and the internal structure of tests. Psychometrika . 1951;16:297–334.
    1. Psychometric theory. 3rd ed. New York, USA: McGraw-Hill, Inc . 1994.
    1. Freund T Gensichen J Goetz K Szecsenyi J Mahler C Evaluating self-efficacy for managing chronic disease: psychometric properties of the six-item Self-Efficacy Scale in Germany. Journal of Evaluation in Clinical Practice . 2013;19:39–43.
    1. Ritter PL Lorig K The English and Spanish Self-Efficacy to Manage Chronic Disease Scale measures were validated using multiple studies. Journal of Clinical Epidemiology . 2014;67:1265–1273.
    1. Dongbo F Hua F McGowan P Yi-e S Lizhen Z Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. Bulletin of the World Health Organization . 2003;81:174–182.

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