Journal
RESEARCH IN NURSING & HEALTH
Volume 40, Issue 1, Pages 15-22Publisher
WILEY
DOI: 10.1002/nur.21755
Keywords
coronary heart disease; self-care; adherence; measurement; instrument development
Categories
Funding
- NYU College of Nursing Pless Center Research Grant
- Center for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) Career Development Award in Occupational Safety and Health Research [5K01OH009785-02]
Ask authors/readers for more resources
Although coronary heart disease (CHD) requires a significant amount of self-care, there are no instruments available to measure self-care in this population. The purpose of this study was to test the psychometric properties of the Self-Care of Coronary Heart Disease Inventory (SC-CHDI). Using the Self-Care of Chronic Illness theory, we developed a 22-item measure of maintenance, management, and confidence appropriate for persons with stable CHD and tested it in a convenience sample of 392 adults (62% male, mean age 61.4 +/- 9.6 years). Factorial validity was tested with confirmatory factor analysis. Convergent validity was tested with the Medical Outcomes Study MOS-SAS Specific Adherence Scale and the Decision Making Competency Inventory (DMCI). Cronbach alpha and factor determinacy scores (FDS) were calculated to assess reliability. Two multidimensional self-care scales were confirmed: self-care maintenance included consultative behaviors (e.g., taking medicines as prescribed) and autonomous behaviors (e.g., exercising 30minute/day; FDS=.87). The multidimensional self-care management scale included early recognition and response (e.g., recognizing symptoms) and delayed response (e.g., taking an aspirin; FDS=.76). A unidimensional confidence factor captured confidence in each self-care process (=.84). All the self-care dimensions were associated with treatment adherence as measured by the MOS-SAS. Only self-care maintenance and confidence were associated with decision-making (DCMI). These findings support the conceptual basis of self-care in patients with CHD as a process of maintenance that includes both consultative and autonomous behaviors, and management with symptom awareness and response. The SC-CHDI confidence scale is promising as a measure of self-efficacy, an important factor influencing self-care. (c) 2016 Wiley Periodicals, Inc.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available