Browse > Article
http://dx.doi.org/10.4040/jkan.21069

Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale  

Kim, Sook-Nam (College of Nursing, Catholic University of Pusan)
Lee, Hyun-Ju (College of Nursing, Catholic University of Pusan)
Kim, So-Young (College of Nursing, Catholic University of Pusan)
Lee, Nayoon (College of Nursing, Catholic University of Pusan)
Publication Information
Journal of Korean Academy of Nursing / v.51, no.5, 2021 , pp. 617-629 More about this Journal
Abstract
Purpose: The aim of this study was to examine the validity and reliability of the Korean version of the self-efficacy for managing chronic disease 6-item scale (SECD-6-K). Methods: The English version of the Self-Efficacy for Managing Chronic Disease 6-item Scale first underwent forward and backward translation procedures. The SECD-6-K was then used to collect data from 350 adults diagnosed with chronic diseases. Content, construct, convergent, discriminant, and criterion validity were all evaluated. Reliability was assessed using Cronbach's α. SPSS 25.0 and the data were analyzed using AMOS 26.0 software. Results: The SECD-6-K consists of six items in two domains: disease management and health behavior. The results for construct, convergent, and discriminant validity were good. Exploratory factor analysis produced eigen values between 2.27 and 3.28, with factors total explained cumulative variance of 91.1%. Confirmatory factor analysis supported goodness of fit and reliability for the modified SECD-6-K model. The criterion validity also showed significant correlation with both the Patient Health Questionnaire and 12-item Short-Form Health Survey version 2. Finally, reliability was found to be excellent. Conclusion: This study identified the high reliability and validity of SECD-6-K. The SECD-6-K is an appropriate tool for determining Korean patients' self-efficacy in managing their chronic conditions. Therefore, this scale may be used in clinical settings as well as in educational and research settings.
Keywords
Chronic Disease; Self Efficacy; Disease Management; Validation Study; Factor Analysis, Statistical;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Garvey J, Connolly D, Boland F, Smith SM. OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: A randomized controlled trial. BMC Family Practice. 2015;16:59. https://doi.org/10.1186/s12875-015-0267-0   DOI
2 Choi JS. The association among lifestyle, self-efficacy, and the quality of life for metabolic syndrome patients [master's thesis]. Suwon: Ajou University; 2016. p. 1-47.
3 Ludman EJ, Peterson D, Katon WJ, Lin EH, Von Korff M, Ciechanowski P, et al. Improving confidence for self care in patients with depression and chronic illnesses. Behavioral Medicine. 2013;39(1):1-6. https://doi.org/10.1080/08964289.2012.708682   DOI
4 Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: The Ansan Geriatric study. Comprehensive Psychiatry. 2008;49(2):218-223. https://doi.org/10.1016/j.comppsych.2007.08.006   DOI
5 Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care. 1996;34(3):220-233. https://doi.org/10.1097/00005650-199603000-00003   DOI
6 Eom SO, Lee I. The effect of health coaching programs on self-efficacy, health behaviors, and quality of life in hypertensive people living in poverty. Journal of Korean Academy of Nursing. 2017;47(3):380-391. https://doi.org/10.4040/jkan.2017.47.3.380   DOI
7 Hochhalter AK, Song J, Rush J, Sklar L, Stevens A. Making the most of your healthcare intervention for older adults with multiple chronic illnesses. Patient Education and Counseling. 2010;81(2):207-213. https://doi.org/10.1016/j.pec.2010.01.018   DOI
8 World Health Organization (WHO). Noncommunicable diseases [Internet]. Geneva: WHO; c2018 [cited 2020 Jun 15]. Available from: https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1.
9 Kim YJ, Kim SM. The effect of self-efficacy promotion exercise program for the elderly hypertensives. Journal of Digital Convergence. 2014;12(11):487-497. https://doi.org/10.14400/JDC.2014.12.11.487   DOI
10 Kim CJ, Chae SM, Yoo H. Psychometric testing of the Chronic Disease Self-Efficacy Scale-Korean Version (CD-SES-K). Journal of Transcultural Nursing. 2012;23(2):173-180. https://doi.org/10.1177/1043659611434059   DOI
11 Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. Journal of the American Medical Association. 1999;282(18):1737-1744. https://doi.org/10.1001/jama.282.18.1737   DOI
12 Lee Y, Moon IO. Development and testing of the short form biomedical ethics scale. Global Health and Nursing. 2015; 5(2):67-77.
13 Hu H, Li G, Arao T. Validation of a Chinese version of the self-efficacy for managing chronic disease 6-item scale in patients with hypertension in primary care. International Scholarly Research Notices. 2013;2013:298986. https://doi.org/10.1155/2013/298986   DOI
14 Han SS, Lee SC. Nursing and health statistical analysis. 2nd ed. Seoul: Hannarae; 2018. p. 1-520.
15 Park S. The effect of depression, self-efficacy and social support on quality of life of hemodialysis patients [master's thesis]. Kongju: Kongju National University; 2018. p. 1-55.
16 Peters M, Potter CM, Kelly L, Fitzpatrick R. Self-efficacy and health-related quality of life: A cross-sectional study of primary care patients with multi-morbidity. Health and Quality of Life Outcomes. 2019;17(1):37. https://doi.org/10.1186/s12955-019-1103-3   DOI
17 Heo ML, Im SB. Development of the patient caring communication scale. Journal of Korean Academy of Nursing. 2019; 49(1):80-91. https://doi.org/10.4040/jkan.2019.49.1.80   DOI
18 Bayliss EA, Steiner JF, Fernald DH, Crane LA, Main DS. Descriptions of barriers to self-care by persons with comorbid chronic diseases. Annals of Family Medicine. 2003;1(1):15-21. https://doi.org/10.1370/afm.4   DOI
19 Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care. 1992;30(6):473-483. https://doi.org/10.1097/00005650-199206000-00002   DOI
20 Yu JP. Structural equation modeling concepts and understanding. Seoul: Hannarae; 2012. p. 1-568.
21 Cheak-Zamora NC, Wyrwich KW, McBride TD. Reliability and validity of the SF-12v2 in the medical expenditure panel survey. Quality of Life Research. 2009;18(6):727-735. https://doi.org/10.1007/s11136-009-9483-1   DOI
22 Freund T, Gensichen J, Goetz K, Szecsenyi J, Mahler C. Evaluating self-efficacy for managing chronic disease: Psychometric properties of the six-item Self-Efficacy Scale in Germany. Journal of Evaluation in Clinical Practice. 2013;19(1):39-43. https://doi.org/10.1111/j.1365-2753.2011.01764.x   DOI
23 World Health Organization (WHO). Noncommunicable diseases - country profiles 2011 [Internet]. Geneva: WHO; c2011 [cited 2020 Jun 16]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44704/9789241502283_eng.pdf;jsessionid=B6E35B9A48FEED0BDD9037CB3215F750?sequence=1.
24 Korea Centers for Disease Control and Prevention (KCDC). Non communicable disease status and issue 2019 [Internet]. Cheongju: KCDC; c2019 [cited 2021 Jun 1]. Available from: https://www.kdca.go.kr/gallery.es?mid=a20503020000&bid=0003&act=view&list_no=144581.
25 Yun JH, Kang JM, Kim KS, Kim SH, Kim TH, Park YW, et al. Health-related quality of life in Korean patients with chronic diseases. The Journal of the Korean Rheumatism Association. 2004;11(3):263-274.
26 Markle-Reid M, Ploeg J, Fraser KD, Fisher KA, Bartholomew A, Griffith LE, et al. Community program improves quality of life and self-management in older adults with diabetes mellitus and comorbidity. Journal of the American Geriatrics Society. 2018;66(2):263-273. https://doi.org/10.1111/jgs.15173   DOI
27 Kim CJ, Park JW, Park HR. Effects of a community-based intervention on cardio-metabolic risk and self-care behaviour in older adults with metabolic syndrome. International Journal of Nursing Practice. 2014;20(2):212-220. https://doi.org/10.1111/ijn.12139   DOI
28 Self-Management Resource Center (SMRC). Self-efficacy for managing chronic disease 6-item scale [Internet]. Palo Alto: Self-Management Resource Center; c2001 [cited 2020 May 16]. Available from: https://www.selfmanagementresource. com/resources/evaluation-tools/english-evaluation-tools.
29 Lorig K, Laurent DD, Plant K, Krishnan E, Ritter PL. The components of action planning and their associations with behavior and health outcomes. Chronic Illness. 2014;10(1):50-59. https://doi.org/10.1177/1742395313495572   DOI
30 Chow SK, Wong FK. The reliability and validity of the Chinese version of the Short-form Chronic Disease Self-Efficacy Scales for older adults. Journal of Clinical Nursing. 2014; 23(7-8):1095-1104. https://doi.org/10.1111/jocn.12298   DOI
31 Lorig KR, Sobel DS, Ritter PL, Laurent D, Hobbs M. Effect of a self-management program on patients with chronic disease. Effective Clinical Practice. 2001;4(6):256-262.
32 Hur H, Choi J, Choi E, Koh J, Moon H. Mediating effects of perceived barriers on the relationship between depression and diabetes management self-efficacy in type 2 diabetes patients. Korean Journal of Health Promotion. 2015;15(4):235-243. https://doi.org/10.15384/kjhp.2015.15.4.235   DOI
33 Tan NC. Self-efficacy assessment: A step towards personalized management of chronic diseases. Proceedings of Singapore Healthcare. 2016;25(2):71. https://doi.org/10.1177/2010105816643738   DOI
34 Jung YH, Go SJ, Kim EJ. A study on the effective chronic disease management. Seoul: Korea Institute for Health and Social Affairs; 2013 Nov. Report No.: 2013-31-19.
35 Son YJ, Park YR. The relationships of family support, self-efficacy and self-care performance in patients with chronic illness. Journal of Korean Academy of Adult Nursing. 2005;17(5):793-801.
36 Lorig K, Stewart A, Ritter P, Gonzalez VM, Laurent D, Lynch J. Outcome measures for health education and other health care interventions. Thousand Oaks (CA): Sage Publications; 1996. p. 112.
37 Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-2475. https://doi.org/10.1001/jama.288.19.2469   DOI
38 Kang HY, Gu MO. Development and effects of a motivational interviewing self-management program for elderly patients with diabetes mellitus. Journal of Korean Academy of Nursing. 2015;45(4):533-543. https://doi.org/10.4040/jkan.2015.45.4.533   DOI
39 Jung YH, Ko SJ, Sohn CG, Kim EJ, Seo NG, Han EJ, et al. A report on the Korea health panel survey of 2009 (II). Seoul: Korea Institute for Health and Social Affairs; 2011 Dec. Report No.: 2011-45.
40 World Health Organization (WHO). Process of translation and adaptation ofinstruments [Internet]. Geneva: WHO; c2021 [cited 2021 Jan 29]. Available from: https://www.coursehero.com/file/30372721/WHO-Process-of-translation-and-adaptation-of-instrumentspdf/