Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version

Abstract

Background Reinforcing self-efficacy in patients is important in person-centered care; therefore, reliable and valid measures of a person’s self-efficacy is of clinical relevance. A questionnaire suitable for self-efficacy and patient engagement that is not limited to a particular condition is the Self-efficacy to Manage Chronic Disease (SEMCD). This study aims to evaluate the measurement properties of a Swedish translation of the SEMCD with a Rasch analysis. Methods The translation and cultural adaptation of the SEMCD was performed according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) recommendations. Self-reported data was collected from two cohorts: patients with pituitary tumors (n = 86) and patients on sick leave due to common mental disorders (n = 209). Measurement properties were evaluated with a Rasch analysis in RUMM2030. Results The original six-item SEMCD did not fit to a unidimensional scale. Two items, item 5 and item 6, deviated both statistically and conceptually and were removed. A four-item solution, the SEMCD-4 with collapsed thresholds for mid-range response options, showed good targeting and unidimensionality, no item misfit, and a reliability of 0.83. Conclusion In a Swedish context with a mix of patients with pituitary tumors or common mental disorders, SEMCD-4 showed satisfactory measurement properties. Thus, SEMCD-4 could be used to identify patient self-efficacy in long-term illnesses. This knowledge about patient self-efficacy may be of importance to tailor person-centered support based on each patient´s resources, needs and goals.

Pengaruh Kepemimpinan Transformasional Dan Efikasi Diri Terhadap Keinovatifan Guru Di Provinsi Banten

“…Efikasi diri ialah keyakinan individu terhadap kemampuannya untuk memanfaatkan keterampilan yang dimiliki dengan indikator; 1) keyakinan menyelesaikan tugas, 2) keyakinan atas kemampuan pada diri, 3) kayakinan menghadapi berbagai situasi, 4) keyakinan bahwa kesulitan bukan suatu ancaman (Kool, 2023). Efikasi diri ialah keyakinan tentang kemampuan individu dalam mengatasi berbagai situasi dengan indikator; 1) pengukuran kepercayaan diri, 2) keyakinan, 3) kapasitas, 4) penilaian diri (Mendes et al, 2019), Melin et al, 2023). Berdasarkan teori di atas dapat disintesiskan bahwa efikasi diri ialah keyakinan individu pada kemampuan diri dalam melaksanakan pekerjaan dan menyelesaikan berbagai tantangan pada organisasi dengan indikator; 1) keyakinan menyelesaikan tugas, 2) keyakinan atas kemampuan pada diri, 3) kayakinan menghadapi berbagai situasi, 4) keyakinan bahwa kesulitan bukan suatu ancaman.…”