Psychometric testing of the Family-Carer Diabetes Management Self-Efficacy Scale
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]
Search for more papers by this authorGeorge Mnatzaganian PhD
College of Science, Health and Engineering, La Trobe Rural Health School, La Trobe University, Melbourne, VIC, Australia
Search for more papers by this authorMary Courtney PhD
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia
Search for more papers by this authorPaula Schulz DPsych
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia
Search for more papers by this authorMaree Johnson PhD
Faculty of Health Sciences, Australian Catholic University, Sydney, NSW, Australia
Ingham Institution of Applied Medical Research Liverpool, Sydney, NSW, Australia
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorGeorge Mnatzaganian PhD
College of Science, Health and Engineering, La Trobe Rural Health School, La Trobe University, Melbourne, VIC, Australia
Search for more papers by this authorMary Courtney PhD
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia
Search for more papers by this authorPaula Schulz DPsych
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia
Search for more papers by this authorMaree Johnson PhD
Faculty of Health Sciences, Australian Catholic University, Sydney, NSW, Australia
Ingham Institution of Applied Medical Research Liverpool, Sydney, NSW, Australia
Search for more papers by this authorAbstract
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.
REFERENCES
- Au, A., Lai, M.-K., Lau, K.-M., Pan, P.-C., Lam, L., Thompson, L., & Gallagher-Thompson, D. (2009). Social support and well-being in dementia family caregivers: The mediating role of self-efficacy. Aging & Mental Health, 13, 761–768. https://doi.org/10.1080/13607860902918223
- Baig, A. A., Benitez, A., Quinn, M. T., & Burnet, D. L. (2015). Family interventions to improve diabetes outcomes for adults. Annals of the New York Academy of Sciences, 1353, 89–112.
- Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.
- Bandura, A. (1997). Self-efficacy: The exercise of control. New York: MacMillan.
- Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health, 13, 623–649.
- Bland, J. M., & Altman, D. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 327, 307–310.
- Boren, S. A., Gunlock, T. L., Schaefer, J., & Albright, A. (2007). Reducing risks in diabetes self-management: A systematic review of the literature. The Diabetes Educator, 33, 1053–1077; discussion 1078-9.
- Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1, 185–216.
- Chapman, D. W., & Carter, J. F. (1979). Translation procedures for the cross cultural use of measurement instruments. Educational Evaluation and Policy Analysis, 1, 71–76.
10.3102/01623737001003071 Google Scholar
- Cochran, J., & Conn, V. S. (2008). Meta-analysis of quality of life outcomes following diabetes self-management training. The Diabetes Educator, 34, 815–823.
- Cohen, J. (1977). Statistical power analysis for the behavioral sciences ( revised ed.). New York: Academic Press.
10.1525/ae.2004.31.4.475 Google Scholar
- Crellin, N. E., Orrell, M., McDermott, O., & Charlesworth, G. (2014). Self-efficacy and health-related quality of life in family carers of people with dementia: A systematic review. Aging & Mental Health, 18, 954–969.
- DePalma, M. T., Trahan, L. H., Eliza, J. M., & Wagner, A. E. (2015). The relationship between diabetes self-efficacy and diabetes self-care in American Indians and Alaska natives. American Indian and Alaska Native Mental Health Research: The Journal of the National Center, 22, 1–22.
- Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M. C., Zhu, Y., & Fu, H. (2013). Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Family Practice, 14, 66.
- García-Huidobro, D., Bittner, M., Brahm, P., & Puschel, K. (2011). Family intervention to control type 2 diabetes: A controlled clinical trial. Family Practice, 28, 4–11.
- George, D., & Mallery, P. (2003). SPSS for windows step by step: A simple guide and reference 11.0 update. Boston, MA: Allyn and Bacon.
- Glasgow, R. E., Hampson, S. E., Strycker, L. A., & Ruggiero, L. (1997). Personal-model beliefs and social-environmental barriers related to diabetes self-management. Diabetes Care, 20, 556–561.
- Grant, J. S., & Davis, L. L. (1997). Selection and use of content experts for instrument development. Research in Nursing and Health, 20, 269–274.
10.1002/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.0.CO;2-G CAS PubMed Web of Science® Google Scholar
- Greenberger, C., Freier, D. Y., Lev, I., & Hazan, H. R. (2014). The inter-relationships between self-efficacy, self-management, depression and glycaemic control in Israeli people with type 2 diabetes. Journal of Diabetes Nursing, 18, 333–339.
- Ha, M., Hu, J., Petrini, M. A., & McCoy, T. P. (2014). The effects of an educational self-efficacy intervention on osteoporosis prevention and diabetes self-management among adults with type 2 diabetes mellitus. Biological Research for Nursing, 16, 357–367.
- Hartmann, M., Bäzner, E., Wild, B., Eisler, I., & Herzog, W. (2010). Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis. Psychotherapy and Psychosomatics, 79, 136–148.
- Heinrich, E., Schaper, N., & de Vries, N. (2010). Self-management interventions for type 2 diabetes: A systematic review. European Diabetes Nursing, 7, 71–76.
10.1002/edn.160 Google Scholar
- Hu, J., Wallace, D. C., McCoy, T. P., & Amirehsani, K. A. (2014). A family-based diabetes intervention for Hispanic adults and their family members. The Diabetes Educator, 40, 48–59.
- International Diabetes Federation. (2013). IDF Diabetes Atlas ( 6th ed.). Brussels, Belgium: International Diabetes Federation. Retrieved from http://www.diabetesatlas.org
- Kaiser, H. F. (1958). The varimax criterion for analytic rotation in factor analysis. Psychometrika, 23, 187–200.
- Kang, C.-M., Chang, S.-C., Chen, P.-L., Liu, P.-F., Liu, W.-C., Chang, C.-C., & Chang, W.-Y. (2010). Comparison of family partnership intervention care vs. conventional care in adult patients with poorly controlled type 2 diabetes in a community hospital: A randomized controlled trial. International Journal of Nursing Studies, 47, 1363–1373.
- Kent, D., D'Eramo Melkus, G., Stuart, P. M., McKoy, J. M., Urbanski, P., Boren, S. A., … Lipman, R. (2013). Reducing the risks of diabetes complications through diabetes self-management education and support. Population Health Management, 16, 74–81.
- Keogh, K. M., Smith, S. M., White, P., McGilloway, S., Kelly, A., Gibney, J., & O'Dowd, T. (2011). Psychological family intervention for poorly controlled type 2 diabetes. American Journal of Managed Care, 17, 105–113.
- Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26, 1–7.
- Lou, Q., Wu, L., Dai, X., Cao, M., & Ruan, Y. (2011). Diabetes education in mainland China—A systematic review of the literature. Patient Education and Counseling, 85, 336–347.
- Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382–386.
- Marchante, A. N., Pulgaron, E. R., Daigre, A., Patiño-Fernandez, A. M., Sanchez, J., Sanders, L. M., & Delamater, A. M. (2014). Measurement of parental self-efficacy for diabetes management in young children. Children's Health Care, 43, 110–119.
- Mayberry, L. S., & Osborn, C. Y. (2012). Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care, 35, 1239–1245.
- McDowell, J., Courtney, M., Edwards, H., & Shortridge-Baggett, L. (2005). Validation of the Australian/English version of the Diabetes Management Self-Efficacy Scale. International Journal of Nursing Practice, 11, 177–184.
- Miller, T. A., & DiMatteo, M. R. (2013). Importance of family/social support and impact on adherence to diabetic therapy. Diabetes Metabolic Syndrome and Obesity, 6, 421–426.
- Minet, L., Moller, S., Vach, W., Wagner, L., & Henriksen, J. E. (2010). Mediating the effect of self-care management intervention in type 2 diabetes: A meta-analysis of 47 randomised controlled trials. Patient Education and Counseling, 80, 29–41.
- Omisakin, F. D., & Ncama, B. P. (2011). Self, self-care and self-management concepts: Implications for self-management education. Educational Research, 2, 1733–1737.
- Pimouguet, C., Le Goff, M., Thiébaut, R., Dartigues, J. F., & Helmer, C. (2011). Effectiveness of disease-management programs for improving diabetes care: A meta-analysis. Canadian Medical Association Journal, 183, E115–E127.
- Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Philadelphia, PA: Lippincott Williams & Wilkins.
- Portney, L. G., & Watkins, M. P. (2015). Foundations of clinical research: Applications to practice ( 3rd ed.). Philadelphia, PA: FA Davis.
- Rad, G. S., Bakht, L. A., Feizi, A., & Mohebi, S. (2013). Importance of social support in diabetes care. Journal of Education and Health Promotion, 2, 62.
- Rintala, T.-M., Jaatinen, P., Paavilainen, E., & Åstedt-Kurki, P. (2013). Interrelation between adult persons with diabetes and their family a systematic review of the literature. Journal of Family Nursing, 19, 3–28.
- Rosland, A.-M., Heisler, M., Choi, H.-J., Silveira, M. J., & Piette, J. D. (2010). Family influences on self-management among functionally independent adults with diabetes or heart failure: Do family members hinder as much as they help? Chronic Illness, 6, 22–33.
- Sherifali, D., Bai, J. W., Kenny, M., Warren, R., & Ali, M. U. (2015). Diabetes self-management programmes in older adults: A systematic review and meta-analysis. Diabetic Medicine, 32, 1404–1414.
- Shields, C. G., Finley, M. A., & Chawla, N. (2012). Couple and family interventions in health problems. Journal of Marital and Family Therapy, 38, 265–280.
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics ( 5th ed.). Boston, MA: Allyn & Bacon.
- Vaccaro, J. A., Exebio, J. C., Zarini, G. G., & Huffman, F. G. (2014). The role of family/friend social support in diabetes self-management for minorities with type 2 diabetes. Journal of Nutrition and Health, 2, 1–9.
- van de Laar, K. E., & van der Bijl, J. J. (2001). Strategies enhancing self-efficacy in diabetes education: A review. Scholarly Inquiry for Nursing Practice, 15, 235–248.
- van der Bijl, J. J., Poelgeest-Eeltink, A. V., & Shortridge-Baggett, L. (1999). The psychometric properties of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30, 352–359.
- Walker, R. J., Smalls, B. L., Hernandez-Tejada, M. A., Campbell, J. A., & Egede, L. E. (2014). Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethnicity and Disease, 24, 349–355.
- Wallston, K. A., Rothman, R. L., & Cherrington, A. (2007). Psychometric properties of the perceived diabetes self-management scale (PDSMS). Journal of Behavioral Medicine, 30, 395–401.
- Wattana, C., Srisuphan, W., Pothiban, L., & Upchurch, S. L. (2007). Effects of a diabetes self-management program on glycemic control, coronary heart disease risk, and quality of life among Thai patients with type 2 diabetes. Nursing & Health Sciences, 9, 135–141.
- Weijman, I., Kant, I., Swaen, G. M., Ros, W. J., Rutten, G. E., Schaufeli, W. B., … Winnubst, J. A. (2004). Diabetes, employment and fatigue-related complaints: A comparison between diabetic employees, “healthy” employees, and employees with other chronic diseases. Journal of Occupational and Environmental Medicine, 46, 828–836.
- Wichit, N., Mnatzaganian, G., Courtney, M., Schulz, P., & Johnson, M. (2017). Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with type 2 diabetes. Diabetes Research and Clinical Practice, 123, 37–48.
- Wu, S. F. V., Courtney, M., Edwards, H., McDowell, J., Shortridge-Baggett, L. M., & Chang, P. J. (2008). Psychometric properties of the Chinese version of the Perceived Therapeutic Efficacy Scale for type 2 diabetes. Journal of the Formosan Medical Association, 107, 232–238.
- Yoo, H., Kim, C. J., Jang, Y., & You, M.-A. (2011). Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases. International Journal of Nursing Practice, 17, 599–606.
- Zeiss, A. M., Gallagher-Thompson, D., Lovett, S., Rose, J., & McKibbin, C. (1999). Self-efficacy as a mediator of caregiver coping: Development and testing of an assessment model. Journal of Clinical Geropsychology, 5, 221–230.
10.1023/A:1022955817074 Google Scholar