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...

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Main Authors: Jeanette Melin, Andreas Fors, Sofie Jakobsson, David Krabbe, Ida Björkman
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-022-01022-x
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author Jeanette Melin
Andreas Fors
Sofie Jakobsson
David Krabbe
Ida Björkman
author_facet Jeanette Melin
Andreas Fors
Sofie Jakobsson
David Krabbe
Ida Björkman
author_sort Jeanette Melin
collection DOAJ
description 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.
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spelling doaj.art-4c12183cbc374b6693a04d4f8fcd64182023-01-08T12:05:32ZengBMCArchives of Public Health2049-32582023-01-0181111210.1186/s13690-022-01022-xSelf-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish versionJeanette Melin0Andreas Fors1Sofie Jakobsson2David Krabbe3Ida Björkman4RISE Research Institutes of Sweden, Division Safety and Transport, Measurement Science and TechnologyCentre for Person-Centred Care (GPCC), University of GothenburgCentre for Person-Centred Care (GPCC), University of GothenburgInstitute of Neuroscience and Physiology, University of GothenburgCentre for Person-Centred Care (GPCC), University of GothenburgAbstract 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.https://doi.org/10.1186/s13690-022-01022-xSelf-efficacyRasch analysis
spellingShingle Jeanette Melin
Andreas Fors
Sofie Jakobsson
David Krabbe
Ida Björkman
Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
Archives of Public Health
Self-efficacy
Rasch analysis
title Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
title_full Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
title_fullStr Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
title_full_unstemmed Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
title_short Self-Efficacy to Manage Chronic Disease (SEMCD) scale: translation and evaluation of measurement properties for a swedish version
title_sort self efficacy to manage chronic disease semcd scale translation and evaluation of measurement properties for a swedish version
topic Self-efficacy
Rasch analysis
url https://doi.org/10.1186/s13690-022-01022-x
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