Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis
Abstract Background Globally as well as in Sweden, diseases that are caused by unhealthy lifestyle habits are the most common causes of death and disability. Even though there are guidelines that oblige all health-care professionals to counsel patients about lifestyle, studies have shown that it is...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-024-02236-z |
| _version_ | 1827326105350045696 |
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| author | Sara Alenius Albert Westergren Petra Nilsson Lindström Marie Nilsson Marie Rask Lina Behm |
| author_facet | Sara Alenius Albert Westergren Petra Nilsson Lindström Marie Nilsson Marie Rask Lina Behm |
| author_sort | Sara Alenius |
| collection | DOAJ |
| description | Abstract Background Globally as well as in Sweden, diseases that are caused by unhealthy lifestyle habits are the most common causes of death and disability. Even though there are guidelines that oblige all health-care professionals to counsel patients about lifestyle, studies have shown that it is not prioritized within healthcare. One reason for this among nurses has been shown to be lack of confidence in knowledge and counselling skills. This study aimed to develop, and quality assess the psychometric properties of an instrument to measure self-efficacy in lifestyle counselling. Methods An instrument inspired by an American instrument, following Bandura’s recommendations for development of self-efficacy measures, was developed according to Swedish national guidelines for disease-prevention. The instrument was revised after cognitive interviews with nursing students, university teachers within health sciences, and clinical experts, then administrated to 310 nursing students at different levels in their education. The instrument was tested with Rasch Measurement Theory, with focus on dimensionality, local dependency, targeting, reliability, response category functioning, Rasch model fit, and differential item functioning by age, gender, educational level and previous health care education. Results The development of the instrument resulted in 20 + 20 items, 20 items about self-efficacy in knowledge, and 20 items about self-efficacy in ability to counsel persons about their lifestyle. The analyses showed that knowledge and ability are two different, but related, constructs, where ability is more demanding than knowledge. The findings provide support (considering dimensionality and local dependency) for that all 20 items within the knowledge construct as well as the 20 items within the ability construct can be summed, achieving two separate but related total scores, where knowledge (reliability 0.81) is a prerequisite for ability (reliability 0.84). Items represented lower self-efficacy than reported by the respondents. Response categories functioned as expected, Rasch model fit was acceptable, and there was no differential item functioning. Conclusions The SELC 20 + 20 was found to be easy to understand with an acceptable respondent burden and the instrument showed good measurement properties. |
| first_indexed | 2024-03-07T14:39:47Z |
| format | Article |
| id | doaj.art-71d0d41a1a8a4718bbb11c7f18cf912c |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-03-07T14:39:47Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-71d0d41a1a8a4718bbb11c7f18cf912c2024-03-05T20:26:06ZengBMCHealth and Quality of Life Outcomes1477-75252024-02-0122111510.1186/s12955-024-02236-zDevelopment and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysisSara Alenius0Albert Westergren1Petra Nilsson Lindström2Marie Nilsson3Marie Rask4Lina Behm5Faculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad UniversityAbstract Background Globally as well as in Sweden, diseases that are caused by unhealthy lifestyle habits are the most common causes of death and disability. Even though there are guidelines that oblige all health-care professionals to counsel patients about lifestyle, studies have shown that it is not prioritized within healthcare. One reason for this among nurses has been shown to be lack of confidence in knowledge and counselling skills. This study aimed to develop, and quality assess the psychometric properties of an instrument to measure self-efficacy in lifestyle counselling. Methods An instrument inspired by an American instrument, following Bandura’s recommendations for development of self-efficacy measures, was developed according to Swedish national guidelines for disease-prevention. The instrument was revised after cognitive interviews with nursing students, university teachers within health sciences, and clinical experts, then administrated to 310 nursing students at different levels in their education. The instrument was tested with Rasch Measurement Theory, with focus on dimensionality, local dependency, targeting, reliability, response category functioning, Rasch model fit, and differential item functioning by age, gender, educational level and previous health care education. Results The development of the instrument resulted in 20 + 20 items, 20 items about self-efficacy in knowledge, and 20 items about self-efficacy in ability to counsel persons about their lifestyle. The analyses showed that knowledge and ability are two different, but related, constructs, where ability is more demanding than knowledge. The findings provide support (considering dimensionality and local dependency) for that all 20 items within the knowledge construct as well as the 20 items within the ability construct can be summed, achieving two separate but related total scores, where knowledge (reliability 0.81) is a prerequisite for ability (reliability 0.84). Items represented lower self-efficacy than reported by the respondents. Response categories functioned as expected, Rasch model fit was acceptable, and there was no differential item functioning. Conclusions The SELC 20 + 20 was found to be easy to understand with an acceptable respondent burden and the instrument showed good measurement properties.https://doi.org/10.1186/s12955-024-02236-zCounselingHealth PromotionLife StylePsychometricsQuality of Health CareSelf-efficacy |
| spellingShingle | Sara Alenius Albert Westergren Petra Nilsson Lindström Marie Nilsson Marie Rask Lina Behm Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis Health and Quality of Life Outcomes Counseling Health Promotion Life Style Psychometrics Quality of Health Care Self-efficacy |
| title | Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis |
| title_full | Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis |
| title_fullStr | Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis |
| title_full_unstemmed | Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis |
| title_short | Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis |
| title_sort | development and quality assessment of the psychometric properties of the self efficacy in lifestyle counselling scale selc 20 20 using rasch analysis |
| topic | Counseling Health Promotion Life Style Psychometrics Quality of Health Care Self-efficacy |
| url | https://doi.org/10.1186/s12955-024-02236-z |
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