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http://dx.doi.org/10.5953/JMJH.2014.21.3.184

Development and Validation of the Diabetes Management Self-efficacy Scale for Older Adults (DMSES-O)  

Song, Misoon (College of Nursing, Seoul National University)
Choi, Suyoung (College of Nursing, Jeju National University)
Kim, Se-An (College of Nursing, Seoul National University)
Seo, Kyoungsan (The Research Institute of Nursing Science, Seoul National University)
Lee, Soo Jin (College of Nursing, Seoul National University)
Kim, Eun Ho (College of Nursing, Seoul National University)
Publication Information
Journal of muscle and joint health / v.21, no.3, 2014 , pp. 184-194 More about this Journal
Abstract
Purpose: The purpose of this study was to develop and validate a diabetes management self-efficacy scale for older adults (DMSES-O). Methods: A preliminary DMSES-O of 22 items was derived from a literature review and seven domains of self-management behaviors. Content validity was confirmed by experts in diabetes self-management education. To test the reliability and validity of the DMSES-O, data were collected from 150 older adults with type 2 diabetes. The data were analyzed using exploratory factor analysis, and Cronbach's ${\alpha}$ and Pearson's correlation coefficients were calculated. Results: From the exploratory factor analysis, 17 significant items in six subscales were derived. Factors derived were named "problem solving for hypoglycemia and self-monitoring blood glucose," "problem solving for hyperglycemia," "coping with psychological distress and taking medication," "reducing risks of diabetes complications," "appropriate exercise," and "healthy eating." The criterion-related validity of the DMSES-O was established by its correlation with the Summary of Diabetes Self-care Activities Questionnaire. Cronbach's ${\alpha}$, a measure of internal consistency, was .84 for the overall scale and ranged from .54 to .80 for the subscales. Conclusion: The DMSES-O is a reliable and valid instrument to measure selfefficacy for diabetes self-management among older adults.
Keywords
Diabetes mellitus; Self-efficacy; Aged; Reliability and validity;
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Times Cited By KSCI : 3  (Citation Analysis)
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