The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions
PURPOSE: Self-management ability is commonly assessed in chronic disease research and clinical practice. The purpose of this study was to assess the structural and convergent validity of three commonly used self-management outcome measures in a sample of persons with neurological conditions.
METHODS: We used data from a Canadian survey of persons with neurological conditions, which included three commonly used self-management measures: the Partners in Health Scale (PIH), the Patient Activation Measure (PAM), and the Self-Efficacy for Managing a Chronic Disease Scale (SEMCD). Confirmatory factor analysis was used to assess the structural and convergent validity of the three measures.
RESULTS: When treated as single-factor constructs, none of the measurement models provided a good fit to the data. A four-domain version of the PIH was the best fitting model. Confirmatory factor analysis suggests that the three tools measure different, but correlated constructs.
CONCLUSIONS: While the PAM, PIH and SEMCD scales are all used as measures of patient self-management, our study indicates that they measure different, but correlated latent variables. None, when treated as single, uni-dimensional construct, provides an acceptable fit to our data. This is probably because self-management is multi-dimensional, as is consistently shown by qualitative evidence. While these measures may provide reliable summative measures, multi-dimensional scales are needed for clinical use and more detailed research on self-management.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation - 28(2019), 2 vom: 02. Feb., Seite 545-556 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kephart, George [VerfasserIn] |
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| Links: |
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| Themen: |
Confirmatory factor analysis |
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| Anmerkungen: |
Date Completed 28.03.2019 Date Revised 25.02.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11136-018-2036-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM290235464 |
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| 100 | 1 | |a Kephart, George |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Completed 28.03.2019 | ||
| 500 | |a Date Revised 25.02.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: Self-management ability is commonly assessed in chronic disease research and clinical practice. The purpose of this study was to assess the structural and convergent validity of three commonly used self-management outcome measures in a sample of persons with neurological conditions | ||
| 520 | |a METHODS: We used data from a Canadian survey of persons with neurological conditions, which included three commonly used self-management measures: the Partners in Health Scale (PIH), the Patient Activation Measure (PAM), and the Self-Efficacy for Managing a Chronic Disease Scale (SEMCD). Confirmatory factor analysis was used to assess the structural and convergent validity of the three measures | ||
| 520 | |a RESULTS: When treated as single-factor constructs, none of the measurement models provided a good fit to the data. A four-domain version of the PIH was the best fitting model. Confirmatory factor analysis suggests that the three tools measure different, but correlated constructs | ||
| 520 | |a CONCLUSIONS: While the PAM, PIH and SEMCD scales are all used as measures of patient self-management, our study indicates that they measure different, but correlated latent variables. None, when treated as single, uni-dimensional construct, provides an acceptable fit to our data. This is probably because self-management is multi-dimensional, as is consistently shown by qualitative evidence. While these measures may provide reliable summative measures, multi-dimensional scales are needed for clinical use and more detailed research on self-management | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Confirmatory factor analysis | |
| 650 | 4 | |a Construct validity | |
| 650 | 4 | |a Convergent validity | |
| 650 | 4 | |a Patient activation | |
| 650 | 4 | |a Self-care | |
| 650 | 4 | |a Self-efficacy | |
| 650 | 4 | |a Self-management | |
| 650 | 4 | |a Structural validity | |
| 700 | 1 | |a Packer, Tanya L |e verfasserin |4 aut | |
| 700 | 1 | |a Audulv, Åsa |e verfasserin |4 aut | |
| 700 | 1 | |a Warner, Grace |e verfasserin |4 aut | |
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