Self-care in spinal cord injuries inventory (SC-SCII) and self-care self-efficacy scale in spinal cord injuries (SCSES-SCI): development and psychometric properties.


Journal

Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 10 06 2021
accepted: 20 08 2021
revised: 18 08 2021
pubmed: 30 8 2021
medline: 19 3 2022
entrez: 29 8 2021
Statut: ppublish

Résumé

Validation cross-sectional study. To develop and assess the psychometric properties of two instruments based on the middle-range theory of self-care in chronic illness: the Self-Care in Spinal Cord Injuries Inventory (SC-SCII) and the Self-Care Self-Efficacy Scale in Spinal Cord Injuries (SCSES-SCI). Multicenter study in five spinal units across Italy and Ireland. Instrument development was based on self-care behaviours identified in the scientific literature. Behaviours were grouped into four dimensions during a consensus conference: self-care maintenance, self-care monitoring, self-care management and self-care self-efficacy. Sixty-seven items were subsequently generated based on these dimensions. A multidisciplinary group of 40 experts evaluated content validity. Dimensionality of the final items was tested by confirmatory factor analyses (CFA) with a sample of 318 participants. Internal consistency and test-retest reliability were evaluated for each dimension. Construct validity was assessed using correlations between items and scoring differences amongst participants with more severe conditions and secondary complications. Content validity of the SC-SCII and SCSES-SCI was satisfactory for thirty-five of the previously generated items, which were further refined. CFA showed comparative fit indexes ranging from 0.94 to 0.97 and root mean square errors of approximation from 0.03 to 0.07. Internal consistency ranged from 0.71 to 0.85, and intraclass correlation coefficients were higher than 0.70. Correlations among dimensions were moderate, and the theoretical hypotheses formulated when designing the instruments were largely confirmed. The SC-SCII and the SCSES-SCI represent valid and reliable theoretically-grounded instruments to assess self-care in people with spinal cord injury.

Identifiants

pubmed: 34455422
doi: 10.1038/s41393-021-00702-9
pii: 10.1038/s41393-021-00702-9
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1240-1246

Informations de copyright

© 2021. The Author(s), under exclusive licence to International Spinal Cord Society.

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Auteurs

Alessio Conti (A)

Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy. alessio.conti@unito.it.

Sara Campagna (S)

Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.

Maeve Nolan (M)

The Spinal Cord System of Care Team, The National Rehabilitation Hospital, Dun Laoighire, Dublin, Ireland.

Giorgio Scivoletto (G)

Spinal Unit, IRRCCS Fondazione Santa Lucia, Rome, Italy.

Barbara Bandini (B)

Spinal Unit, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.

Alberto Borraccino (A)

Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.

Ercole Vellone (E)

Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.

Valerio Dimonte (V)

Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.

Marco Clari (M)

Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.

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