Determination of the psychometric properties of the Patients’ Self-Efficacy Scale in blood pressure patients

Ghadiri, Raheleh; Alimohammadi, Masoumeh; Majdabadi, Hesamedin Askari

doi:10.1556/1646.10.2018.05

Cited by 6 publications

(7 citation statements)

References 25 publications

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“…The decision efficacy scale has previously been evaluated in patient populations referring to patient's making decision regarding immunizations, screening, hormone replacement therapy, blood pression medications adherence (27)(28)(29) suggesting a good understanding and applicability of this questionnaire in field where difficult decisions need to be taken (17). For NSCLC patients it would be useful to investigate not only to have the selfefficacy but the ability to ask questions and clearly express their value and prediction of outcomes.…”

Section: Discussionmentioning

confidence: 99%

Patients’ confidence in treatment decisions for early stage non-small cell lung cancer (NSCLC)

Pompili

Holch

Rogers

et al. 2020

Preprint

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Background In early-stage Non-Small Cell Lung Cancer (NSCLC) patients, little is known about how to measure patient participation in Shared-Decision Making (SDM). We examined the psychometric properties and clinical acceptability of the Decision Self-Efficacy scale (DSE) in a cohort of patients undergoing to Stereotactic Ablative Radiotherapy (SABR) or Video-assisted Thoracoscopic Surgery (VATS) to capture patient involvement in treatment decisions. Methods In the context of a prospective longitudinal study (Life after Lung Cancer-LiLAC) involving 244 patients with early-stage NSCLC, 158 (64.7%) patients completed the DSE either on paper or electronically online prior to treatment with SABR or VATS pulmonary resection. DSE psychometric properties were examined using: principal components analysis of item properties and internal structure, and internal construct validity; we also performed a sensitivity analysis according to Karnofsky Performance Status, gender, age and treatment received (VATS or SABR) difference. Results Two subscales within the DSE were identified: the main factor accounting for almost 72% of the variance related to overcoming barriers to decision making (seven items) and a second factor explaining an additional 9.1% of the variance was related to information seeking processes (four items). We calculated a value of 0.96 for Cronbach’s alpha for the total DSE score, 0.94 for Factor 1 and 0.95 for Factor 2. DSE scores did not differ by gender ( p =0.37), between the two treatment groups (p=0.09) and between younger and older patients ( p =0.4). However, patients with a Karnofsky performance score (PS) >1 have a DSE mean of 73.8 (SD 26) compared to patients with a PS 0-1 who have a DSE mean of 85.8 (SD 20.3 p =0.002). Conclusion Findings provide preliminary evidence for the reliability and validity of the DSE questionnaire in this population. However, future studies are warranted to identify the most appropriate SDM tool for clinical practice in the lung cancer treatment field.

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Section: Discussionmentioning

confidence: 99%

Patients’ confidence in treatment decisions for early stage non-small cell lung cancer (NSCLC)

Pompili

Holch

Rogers

et al. 2020

Preprint

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“…On the other hand, as a mediating variable, self-e cacy can promote the improvement of self-management level, and ultimately better the HRQoL in people suffering from chronic disease [32] . Evidence suggests that patients with high selfe cacy had better blood pressure control [33] .…”

Section: Mollaoglu Found That a Signi Cant Positive Correlation Betwementioning

confidence: 99%

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

Zhang

Huang

Zhang

et al. 2020

Preprint

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Background Considering the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of Health-Related Quality of Life (HRQoL). The synergistic effects and the potential mechanism HBP-HL, self-management behavior, medication adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the conception of HBP-HL, and develop a structural equation model to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods A cross-sectional investigation study was conducted to collect data. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Urumqi County, Xinjiang. The one-on-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, medication adherence, self-efficacy, and social support were collected. In addition, the results of physical examination were also included. A structural equation model was used to assess the association between the measured factors and HRQoL. Results 516 Kazakh patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, medication adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The structural equation model of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Evidence from this study demonstrates that low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies for Kazakh hypertension patients. Firstly, researchers should give a priority to evaluate patient’s HBP-HL before intervention. Next, tailored interventions are implemented for patients, and and ultimately it will contribute to control blood pressure and improve patients’ HRQoL.

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“…On the other hand, as a mediating variable, self-efficacy can promote the improvement of self-management level, and ultimately better the HRQoL in people suffering from chronic disease [ 35 ]. Evidence suggests that patients with high self-efficacy had better blood pressure control [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model

et al. 2021

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Background Health-Related Quality of Life (HRQoL) of hypertensive patients is not only affected by the disease itself but also by some subjective factors. Low health literacy is prevalent among ethnic minorities. Considering the Kazakh-Chinese people have the highest prevalence of hypertension in Xinjiang, and the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of HRQoL. The synergistic effects and the potential mechanism HBP-HL, self-management behavior, therapeutic adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the HBP-HL, and develop a structural equation model (SEM) to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods The data was obtained by questionnaire survey and physical examination in 2015. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Xinjiang. Firstly, the blood pressure was measured. Then the one-for-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, therapeutic adherence, self-efficacy, and social support were used to collect data. Finally, SEM was constructed, and p ≤ 0.05 was taken as significant. Results The data was analysed by SPSS18.0 and AMOS18.0 software. 516 Kazakh hypertension patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, therapeutic adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The SEM of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies.

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Determination of the psychometric properties of the Patients’ Self-Efficacy Scale in blood pressure patients

Cited by 6 publications

References 25 publications

Patients’ confidence in treatment decisions for early stage non-small cell lung cancer (NSCLC)

Patients’ confidence in treatment decisions for early stage non-small cell lung cancer (NSCLC)

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model

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