Volume 26, Issue 2 pp. 214-223
ORIGINAL ARTICLE

Psychometric testing of the Family-Carer Diabetes Management Self-Efficacy Scale

Nutchanath Wichit MSc

Corresponding Author

Nutchanath Wichit MSc

School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia

Faculty of Nursing, Suratthani Rajabhat University, Suratthani, Thailand

Correspondence

Nutchanath Wichit, School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, QLD, Australia.

Email: [email protected]

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George Mnatzaganian PhD

George Mnatzaganian PhD

College of Science, Health and Engineering, La Trobe Rural Health School, La Trobe University, Melbourne, VIC, Australia

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Mary Courtney PhD

Mary Courtney PhD

School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia

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Paula Schulz DPsych

Paula Schulz DPsych

School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia

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Maree Johnson PhD

Maree Johnson PhD

Faculty of Health Sciences, Australian Catholic University, Sydney, NSW, Australia

Ingham Institution of Applied Medical Research Liverpool, Sydney, NSW, Australia

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First published: 06 November 2017
Citations: 11

Abstract

The aim of this study was to develop and test the construct and content validity, internal consistency of the Family-Carer Diabetes Management Self-Efficacy Scale (F-DMSES). A sample of 70 Thai individuals who cared for those living with type 2 diabetes mellitus (T2DM) in a rural community in Thailand was included in the study. Data were collected by a questionnaire survey in January 2014. The F-DMSES was initially derived from the DMSES, with subsequent forward and backward translations from and to English and Thai languages. The psychometric properties (content, construct and internal consistency) of the Thai version were explored using the Content Validity Index approach, exploratory factor analysis and Cronbach's alpha test. The F-DMSES initially designed with 20 items was reduced to 14 items within four factors (general diet and blood glucose monitoring, medications and complications, diet in differing situations, and weight control and physical activities), and explained 72.2% of the total variance in overarching construct. Internal consistency was supported (α = 0.89). The F-DMSES was also able to measure change over time following an intervention, with an effect size of 0.9. The F-DMSES is a valid and reliable self-administered instrument that measures the diabetes management self-efficacy of family-carers of individuals with T2DM. This instrument can be used in practice and clinical trials to assess the impact of family-carers on the health outcomes of individuals with T2DM.

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