Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS)
Abstract Background Self-management behaviours can be crucial to improving disease symptoms and health outcomes in rheumatoid arthritis (RA) patients. Currently, the tools available for measuring self-management behaviours in RA patients are either generalized for patients with chronic diseases, whi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-023-01173-4 |
| _version_ | 1797865190372409344 |
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| author | Jinglin Chen Yuqing Song Lihong Ou Xia Wang Ying Wang Yanling Chen Hong Chen |
| author_facet | Jinglin Chen Yuqing Song Lihong Ou Xia Wang Ying Wang Yanling Chen Hong Chen |
| author_sort | Jinglin Chen |
| collection | DOAJ |
| description | Abstract Background Self-management behaviours can be crucial to improving disease symptoms and health outcomes in rheumatoid arthritis (RA) patients. Currently, the tools available for measuring self-management behaviours in RA patients are either generalized for patients with chronic diseases, which lack specificity or have poor reliability in the only specific scale—self-care behaviours scale (SCBS). The aim of this study was to develop a self-management behaviours scale for RA patients and evaluate its psychometric properties. Methods The study included two steps: scale development and the psychometric evaluation. The items were developed from a literature review, in-depth individual interviews, nominal group technique, Delphi expert consultation, and a pilot test. For the psychometric evaluation, a sample of 561 patients with RA was recruited. Item analysis, content validity, exploratory and confirmatory factor analysis, convergent and discriminant validity, and internal consistency reliability were conducted to examine the psychometric properties of the RA-SMBS. Results The final scale consists of 23 items with 4 dimensions, including medication management, exercise and joint protection, resource utilization and emotional management, and symptom management. The content validity index was 0.78. Exploratory factor analysis explained 61.89% of the total item variance. Confirmatory factor analysis indicated that the RA-SMBS fit well. Good internal consistency reliability was demonstrated (Cronbach's alpha = 0.908), and the test–retest reliability was found to be acceptable (ICC = 0.628, r = 0.780). Conclusions The scale has good content validity, construct validity, and internal consistency reliability. It can be used to assess the level of self-management behaviours in RA patients. |
| first_indexed | 2024-04-09T23:04:03Z |
| format | Article |
| id | doaj.art-5bebd68873e24081a1f7ca179cd8ffa2 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-04-09T23:04:03Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-5bebd68873e24081a1f7ca179cd8ffa22023-03-22T10:49:05ZengBMCBMC Nursing1472-69552023-02-0122111310.1186/s12912-023-01173-4Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS)Jinglin Chen0Yuqing Song1Lihong Ou2Xia Wang3Ying Wang4Yanling Chen5Hong Chen6West China School of Nursing / West China Hospital, Sichuan UniversityWest China School of Nursing / West China Hospital, Sichuan UniversityEdson College of Nursing and Health Innovation, Arizona State UniversityWest China School of Nursing / West China Hospital, Sichuan UniversityDepartment of Rheumatology and Immunology, West China School of Nursing, West China Hospital, Sichuan UniversityDepartment of Rheumatology and Immunology, West China School of Nursing, West China Hospital, Sichuan UniversityWest China School of Nursing / West China Hospital, Sichuan UniversityAbstract Background Self-management behaviours can be crucial to improving disease symptoms and health outcomes in rheumatoid arthritis (RA) patients. Currently, the tools available for measuring self-management behaviours in RA patients are either generalized for patients with chronic diseases, which lack specificity or have poor reliability in the only specific scale—self-care behaviours scale (SCBS). The aim of this study was to develop a self-management behaviours scale for RA patients and evaluate its psychometric properties. Methods The study included two steps: scale development and the psychometric evaluation. The items were developed from a literature review, in-depth individual interviews, nominal group technique, Delphi expert consultation, and a pilot test. For the psychometric evaluation, a sample of 561 patients with RA was recruited. Item analysis, content validity, exploratory and confirmatory factor analysis, convergent and discriminant validity, and internal consistency reliability were conducted to examine the psychometric properties of the RA-SMBS. Results The final scale consists of 23 items with 4 dimensions, including medication management, exercise and joint protection, resource utilization and emotional management, and symptom management. The content validity index was 0.78. Exploratory factor analysis explained 61.89% of the total item variance. Confirmatory factor analysis indicated that the RA-SMBS fit well. Good internal consistency reliability was demonstrated (Cronbach's alpha = 0.908), and the test–retest reliability was found to be acceptable (ICC = 0.628, r = 0.780). Conclusions The scale has good content validity, construct validity, and internal consistency reliability. It can be used to assess the level of self-management behaviours in RA patients.https://doi.org/10.1186/s12912-023-01173-4ChinsesPsychometric evaluationRheumatoid arthritisSelf-management behaviours scaleScale development |
| spellingShingle | Jinglin Chen Yuqing Song Lihong Ou Xia Wang Ying Wang Yanling Chen Hong Chen Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) BMC Nursing Chinses Psychometric evaluation Rheumatoid arthritis Self-management behaviours scale Scale development |
| title | Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) |
| title_full | Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) |
| title_fullStr | Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) |
| title_full_unstemmed | Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) |
| title_short | Development and psychometric evaluation of a self-management behaviours scale in rheumatoid arthritis patients (RA-SMBS) |
| title_sort | development and psychometric evaluation of a self management behaviours scale in rheumatoid arthritis patients ra smbs |
| topic | Chinses Psychometric evaluation Rheumatoid arthritis Self-management behaviours scale Scale development |
| url | https://doi.org/10.1186/s12912-023-01173-4 |
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