Design and Validation of the Self efficacy of Care Questionnaire for Adolescents with Mental Disorders
Abstract
Abstract
Background: Self‑efficacy of care is based on health‑promoting behaviors that are formed through dealing with disease conditions and the ability to treatment adherence and management of complications. This study was conducted to design and validate an assessment tool for adolescents with mental disorders.
Materials and Methods: This study employed a mixed‑methods approach to develop a questionnaire aimed at measuring self‑efficacy of care among adolescents with mental disorders. Content validity was assessed using both qualitative and quantitative methods, while exploratory and confirmatory factor analyses, convergent validity, and reliability were evaluated through quantitative approaches. Participants, including nurses, psychologists, and adolescent patients, were selected through convenience sampling. The data was analysed using SPSS (version 25.0, Chicago: SPSS Inc.) and LISREL (version 8.72, Jöreskog and Sörbom, 2005) software.
Results: Initially, an item pool consisting of 87 items was generated based on findings from the original research. Following face and content validation, and subsequent exploratory factor analysis, 28 items across four factors were identified: “health information seeking behavior”, “adaptation of life to disease conditions and treatment”, “adaptive coping”, and “social self‑care”. The factorial structure of the questionnaire was confirmed through confirmatory factor analysis. Convergent validity, assessed using the General Self‑Efficacy Scale, was positive and statistically significant (P < 0.01). The reliability of the questionnaire was high, with a Cronbach’s alpha coefficient of α =0.93. Test‑retest reliability also confirmed the instrument’s stability (r = 0.92). Finally, all indicators specified in the COSMIN checklist were confirmed.
Conclusions: The questionnaire demonstrated strong internal consistency and confirmed construct validity. Therefore, this instrument can be reliably used in both clinical and research practices.
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Kusnanto K, Sari NP, Harmayetty H, Efendi F, Gunawan J. Self care model application to improve self care agency, self care activities, and quality of life in patients with systemic lupus erythematosus. J Taibah Univ Med Sci 2018;13:472 8.
Anderson RM, Funnell MM, Butler PM, Arnold MS, Fitzgerald JT, Feste CC. Patient empowerment. Results of a randomized controlled trial. Diabetes Care 1995;18:943 9.
Royani Z, Rayyani M, Vatanparast M, Mahdavifar M, Goleij J. The relationship between self care and self efficacy with empowerment in patients undergoing hemodialysis. Mil Caring Sci 2015;1:116 22.
Jerusalem M, Klein Hessling J. Mental health promotion in schools by strengthening self‐efficacy. Health Educ 2009;109:329 41.
Tan FC, Oka P, Dambha Miller H, Tan NC. The association between self efficacy and self care in essential hypertension: A systematic review. BMC Fam Pract 2021;22:44.
Bijl JV, Poelgeest Eeltink AV, Shortridge Baggett L. The psychometric properties of the diabetes management self efficacy scale for patients with type 2 diabetes mellitus. J Adv Nurs 1999;30:352 9.
Sagone E, de Caroli ME. ”Yes… I can”: Psychological resilience and self efficacy in adolescents. Revista INFAD de Psicología. Int J Dev Educ Psychol 2016;1:141 8.
De Las Cuevas C, Peñate W. Validation of the general self efficacy scale in psychiatric outpatient care. Psicothema 2015;27:410 5.
Lorig KR, Sobel DS, Stewart AL, Brown BW Jr, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self management program can improve health status while reducing hospitalization: A randomized trial. Med Care 1999;37:5 14.
Villagonzalo KA, Leitan N, Farhall J, Foley F, McLeod B, Thomas N. Development and validation of a scale for self efficacy for personal recovery in persisting mental illness. Psychiatry Res 2018;269:354 60.
Tonge B, King N, Klimkeit E, Melvin G, Heyne D, Gordon M. The self efficacy questionnaire for depression in adolescents (SEQ DA). Development and psychometric evaluation. Eur Child Adolesc Psychiatry 2005;14:357 63.
Lev EL, Owen SV. A measure of self care self efficacy. Res Nurs Health 1996;19:421 9.
Behzadi S, Yektatalab S, Momennasab M, Shaygan M, Zareiyan A. Care self efficacy in adolescents with mental disorders: A qualitative study. J Educ Health Promot 2023;12:237.
Hyrkäs K, Appelqvist Schmidlechner K, Oksa L. Validating an instrument for clinical supervision using an expert panel. Int J Nurs Stud 2003;40:619 25.
Waltz, C.F., Strickland, O. and Lenz, E.R. (2010) Measurement in nursing and health research. Springer Publishing Company, New York; 2010.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international delphi study. Qual Life Res 2010;19:539 49.
Sherer M, Maddux JE, Mercandante B, Prentice Dunn S, Jacobs B, Rogers RW. The self efficacy scale: Construction and validation. Psychological Report 1982;51:663 71.
Asghar Nejad T, Ahmadi M, Farzad V, Khoda Panahi K. The study of psychometric properties of shere’s general self efficiency scale. J Psychol 2006;39:262 27.
Henson RK, Roberts JK. Use of exploratory factor analysis in published research common errors and some comment on improved practice. Educ Psychol Meas 2006;66:393 416.
Caprara GV, Gerbino M, Paciello M, Di Giunta L, Pastorelli C. Counteracting depression and delinquency in late adolescence: The role of regulatory emotional and interpersonal self-efficacy beliefs. European Psychologist 2010;15:34-48. doi:10.1027/1016-9040/a000004.
Chesney MA, Neilands TB, Chambers DB, Taylor JM, Folkman S. A validity and reliability study of the coping self efficacy scale. Br J Health Psychol 2006;11:421 37.
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