Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalisation.

Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalisation.
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DOI:
10.1186/1477-7525-10-9
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发表时间:
2012-01-24
影响因子:
3.6
通讯作者:
Nieboer AP
Nieboer AP
中科院分区:
医学3区
文献类型:
--
作者:
Cramm JM;Strating MM;de Vreede PL;Steverink N;Nieboer AP

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自我管理能力量表 (SMAS) 包含 30 个项目,用于衡量自我管理能力 (SMA)。本研究的目的是(1)在老年人住院后不久验证 SMAS;(2)缩短 SMAS,同时保持足够的有效性和可靠性。我们的研究是在最近出院的老年人(≥ 65 岁)中进行的。入院三个月后,296/456 名患者(65% 的受访者)在家中接受了采访。我们通过结构方程模型对仪器进行了测试,并检验了其有效性和可靠性。此外,我们还测试了有心血管疾病风险的患者研究样本中 SMAS 和 SMAS-S 的内部一致性。消除 12 项后,验证性因子分析显示与所得 18 项 SMAS (SMAS-S) 具有良好的拟合指数。为了估计该工具的构建效度,我们研究了 SMAS 子量表分数与通过社会产品函数 (SPF-IL) 和 Cantril 阶梯测量的整体幸福感分数之间的相关性。原始版本和简短版本的所有 SMAS 子量表均与 SPF-IL 评分(均 p ≤ 0.001)和 Cantril 阶梯(认知健康子量表 p ≤ 0.01;所有其他子量表 p ≤ 0.001)显着相关。研究结果表明了有效性。对心血管疾病风险患者样本中 SMAS 和 SMAS-S 的分析表明,这两种仪器都是可靠的。 SMAS 和 SMAS-S 的心理测量特性都很好。 SMAS-S 是一种很有前途的评估自我管理能力的替代工具。
The 30-item Self-Management Ability Scale (SMAS) measures self-management abilities (SMA). Objectives of this study were to (1) validate the SMAS among older people shortly after hospitalisation and (2) shorten the SMAS while maintaining adequate validity and reliability. Our study was conducted among older individuals (≥ 65) who had recently been discharged from a hospital. Three months after hospital admission, 296/456 patients (65% response) were interviewed in their homes. We tested the instrument by means of structural equation modelling, and examined its validity and reliability. In addition, we tested internal consistency of the SMAS and SMAS-S among a study sample of patients at risk for cardiovascular diseases. After eliminating 12 items, the confirmatory factor analyses revealed good indices of fit with the resulting 18-item SMAS (SMAS-S). To estimate construct validity of the instrument, we looked at correlations between SMAS subscale scores and overall well-being scores as measured by Social Product Function (SPF-IL) and Cantril's ladder. All SMAS subscales of the original and short version significantly correlated with SPF-IL scores (all at p ≤ 0.001) and Cantril's ladder (for the cognitive well-being subscale p ≤ 0.01; all other subscales at p ≤ 0.001). The findings indicated validity. Analyses of the SMAS and SMAS-S in the sample of patients at risk for cardiovascular diseases showed that both instruments are reliable. The psychometric properties of both the SMAS and SMAS-S are good. The SMAS-S is a promising alternate instrument to evaluate self-management abilities.
DOI: 10.1080/10705519909540118
发表时间: 1999-01-01
影响因子: 6
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发表时间: 2008-09-01
影响因子: 3.8
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