Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalisation

Health and Quality of Life Outcomes

Research

Paul L de Vreede¹  Mathilde MH Strating²  Jane M Cramm²  Anna P Nieboer²  Nardi Steverink³ 

[1] Department of Public Health, Erasmus MC, Rotterdam, the Netherlands;Institute of Health Policy & Management (iBMG), Erasmus University, Rotterdam, The Netherlands;Section Health Psychology, Department of Health Sciences, University Medical Center Groningen, University of Groningen, The Netherlands;

关键词: Confirmatory Factor Analysis;    Successful Aging;    Standardize Root Means Square Residual;    Positive Frame;    Behavioural Confirmation;   

DOI  :  10.1186/1477-7525-10-9

 received in 2011-09-29, accepted in 2012-01-24,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe 30-item Self-Management Ability Scale (SMAS) measures self-management abilities (SMA). Objectives of this study were to (1) validate the SMAS among older people shortly after hospitalisation and (2) shorten the SMAS while maintaining adequate validity and reliability.MethodsOur study was conducted among older individuals (≥ 65) who had recently been discharged from a hospital. Three months after hospital admission, 296/456 patients (65% response) were interviewed in their homes. We tested the instrument by means of structural equation modelling, and examined its validity and reliability. In addition, we tested internal consistency of the SMAS and SMAS-S among a study sample of patients at risk for cardiovascular diseases.ResultsAfter eliminating 12 items, the confirmatory factor analyses revealed good indices of fit with the resulting 18-item SMAS (SMAS-S). To estimate construct validity of the instrument, we looked at correlations between SMAS subscale scores and overall well-being scores as measured by Social Product Function (SPF-IL) and Cantril's ladder. All SMAS subscales of the original and short version significantly correlated with SPF-IL scores (all at p ≤ 0.001) and Cantril's ladder (for the cognitive well-being subscale p ≤ 0.01; all other subscales at p ≤ 0.001). The findings indicated validity. Analyses of the SMAS and SMAS-S in the sample of patients at risk for cardiovascular diseases showed that both instruments are reliable.ConclusionsThe psychometric properties of both the SMAS and SMAS-S are good. The SMAS-S is a promising alternate instrument to evaluate self-management abilities.

【 授权许可】

Unknown   
© Cramm et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.