The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument.

Autor: van Zanten R; Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands., van Dijk M; Department of Internal Medicine, Nursing studies, Erasmus Medical Center, Rotterdam, the Netherlands., Van Hecke A; Department of Public Health and Primary Care, University Centre of Nursing and Midwifery, Ghent University, Ghent, Belgium; Ghent University Hospital, Staff nursing director, Ghent, Belgium., Duprez V; Ghent University Hospital, nursing department, Ghent, Belgium., Annema C; University of Groningen, University Medical Center Groningen, Department of Health Sciences, section of Nursing Science, Groningen, the Netherlands., van Staa A; Rotterdam University of Applied Sciences, Research Center Innovation in Care, Rotterdam, the Netherlands., Been-Dahmen JMJ; Rotterdam University of Applied Sciences, Research Center Innovation in Care, Rotterdam, the Netherlands., de Weerd AE; Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands., Maasdam L; Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands., van Buren M; Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands., Ista E; Department of Internal Medicine, Nursing studies, Erasmus Medical Center, Rotterdam, the Netherlands., Massey EK; Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands. Electronic address: e.massey@erasmusmc.nl.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2023 Oct; Vol. 115, pp. 107924. Date of Electronic Publication: 2023 Jul 22.
DOI: 10.1016/j.pec.2023.107924
Abstrakt: Objective: To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties.
Methods: The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ).
Results: After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: 'Setbacks' and 'Successes'.
Conclusions: The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well.
Practice Implications: Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.
Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest. Conflict of interest The authors declare no conflict of interest.
(Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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