Psychometric properties of the attitudes assessment scale towards the recovering self-care process

Authors

  • Marisa Lourenço Escola Superior de Enfermagem do Porto, Porto, Portugal | CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal https://orcid.org/0000-0001-5953-788X
  • Paula Encarnação UICISA:E da Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal | Universidade do Minho, Braga, Portugal https://orcid.org/0000-0002-7458-8105
  • Elisabete Silva Centro Hospitalar Universitário do Porto, Porto, Portugal https://orcid.org/0000-0003-3736-2112
  • Maria José Peixoto Escola Superior de Enfermagem do Porto, Porto, Portugal | CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal https://orcid.org/0000-0003-4131-4279
  • Teresa Martins Escola Superior de Enfermagem do Porto, Porto, Portugal | CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal https://orcid.org/0000-0003-3395-7653

DOI:

https://doi.org/10.29352/mill0220.28177

Keywords:

attitudes, validation; self-care; assessment scale

Abstract

Introduction: After a critical event, which has left the person dependent in self-care activities, their recovery is influenced by the emotions and attitudes that the person adopts. Objective: To develop an instrument that allows the assessment of attitudes and emotional factors with the greatest impact on recovery, of a person dependent on basic self-care activities.

Methods: A methodological study that aims to describe the construction and study of the metric properties of the Attitudes Assessment Scale during the self-care recovery process. Data were collected at a hospital and two long-term care units, between October 2019 and December 2020, 118 people with dependence on basic self-care activities participated.

Results: A four-dimensional structure with 37 items showed adequate psychometric characteristics of validity after an exploratory factorial analysis. The coefficient alpha of Cronbach varied between 0.84 and 0.96, suggesting a good internal consistency.

Conclusion: Assessment of emotional disorders and attitudes of the person, with a deficit in self-care, during the recovery process, contributes to a more effective and integrated recognition and planning of care needs, ensuring higher quality and a more personalized care. The replicability and validation of this measure in other contexts, countries and cultures, can probably contribute to a more informed analysis of the attitudes of the person with dependence in the basic self-care activities, during the recovery process after a disabling event.

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References

Ahn, S., Mathiason M. A., Lindquist R., & Yu, F. (2021). Factors predicting episodic memory changes in older adults with subjective cognitive decline: A longitudinal observational study. Geriatric nursing (New York, N.Y.),42(1), 268–275. https://doi.org/10.1016/j.gerinurse.2020.08.016.

Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324. https://doi.org/10.1002/hbe2.195.

Anthoine, E., Moret, L., Regnault, A., Sébille, V., & Hardouin, J. B. (2014). Sample size used to validate a scale: A review of publications on newly-developed patient reported outcomes measures. Health and quality of life outcomes, 12, 176. https://doi.org/10.1186/s12955-014-0176-2.

Backman, K., & Hentinen, M. (1999). Model for the self-care of home-dwelling elderly. Journal of advanced nursing, 30(3), 564–572. https://doi.org/10.1046/j.1365-2648.1999.01125.x.

Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer. Frontiers in Public Health, 6. https://www.frontiersin.org/articles/10.3389/fpubh.2018.00149.

Ferreira, O. G. L., Maciel, S. C., Costa, S. M. G., Silva, A. O., & Moreira, M. A. S. P. (2012). Envelhecimento Ativo e Sua Relação Com a Independência Funcional. Texto e Contexto Enfermagem,21, 513–8.https://doi.org/10.1590/S0104-07072012000300004.

Ferreira, P. C. S., Tavares, D. M. S., & Rodrigues, R. A. P. (2011). Sociodemographic characteristics, functional status and morbidity among older adults with and without cognitive decline. Acta Paulista Enfermagem, 24(1), 29–35. https://doi.org/10.1590/s0103-21002011000100004.

Fraser, S.A., Kenyon, V., Lagacé, M., Wittich, W., & Southall, K. E. (2016). Stereotypes associated with age-related conditions and assistive device use in Canadian media. The Gerontologist,56(6), 1023–1032. https://doi.org/10.1093/geront/gnv094.

Greaney, A.-M., & Flaherty, S. (2020). Self-care as care left undone? The ethics of the self-care agenda in contemporary healthcare policy. Nursing Philosophy: An International Journal for Healthcare Professionals, 21(1), e12291. https://doi.org/10.1111/nup.12291

Greaves, C. J.,& Campbell, J. L. (2007). Supporting self-care in general practice. The British Journal of General Practice, 57(543), 814-821.

Hair, J. F., Babin, B. J., Anderson, R. E., & Black, W. C. (2018). Multivariate Data Analysis (8.a ed.). Cengage.

Hinkin, T. R., Tracey, J. B., & Enz, C. A. (1997). Scale construction: Developing reliable and valid measurement instruments. Journal of Hospitality & Tourism Research, 21(1), 100-120. https://doi.org/10.1177/109634809702100108

Hubbard, I., Wass, S., & Pepper, E. (2017). Stroke in Older Survivors of Ischemic Stroke: Standard Care or Something Different? Geriatrics, 2(2), 18. https://doi.org/10.3390/geriatrics2020018.

ICNP (2017). International Classification for Nursing Practice . https://www.icn.ch/what-we-do/projects/ehealth/icnp-browser.

Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). Guilford Press.

Kralik D., Price K., & Telford K., (2010). The meaning of self-care for people with chronic illness. Journal of Nursing and Healthcare of Chronic Illness, 2(3),197–204. https://doi.org/10.1111/j.1752-9824.2010.01056.x.

Lourenço, M. C. G. (2015). A Promoção da Autonomia da Pessoa Dependente para o Autocuidado: Modelo de Intervenção de Enfermagem em Cuidados Continuados. [DoctoralThesis]. https://repositorio.ucp.pt/handle/10400.14/20685

Meleis, A. I., Sawyer, L. M., Im, E. O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle-range theory. ANS. Advances in Nursing Science, 23(1), 12–28. https://doi.org/10.1097/00012272-200009000-00006.

Meleis, A. I., 2010. Transitions theory: middle-range and situation-specific theories in nursing research and practice. Springer Publishing Company.

Moilanen, T., Kangasniemi, M., Papinaho, O., Mynttinen, M., Siipi, H., Suominen, S., & Suhonen, R. (2021). Older people’s perceived autonomy in residential care: An integrative review. Nursing Ethics, 28(3), 414–434. https://doi.org/10.1177/0969733020948115

Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (2013). Nursing Outcomes Classification (NOC) (5.a ed.). Mosby.

Parente, P., Costa, A., Pereira, S., Machado, P., Martins, T., Pereira, F., & Silva, A. (2022). Self-Care Dependency Evaluation Form: Psychometric properties of the revised version with 27 items. Scandinavian journal of caring sciences,36(1), 90–99. https://doi.org/10.1111/scs.12966.

Pestana, M. H., & Gagueiro, J. N.(2014). Análise de Dados para Ciências Sociais, a Complementaridade do SPSS (6.a ed.). Edições Sílabo.

Pryor, J. (2009). Coaching patients to self-care: A primary responsibility of nursing. International Journal of Older People Nursing, 4(2), 79–88. https://doi.org/10.1111/j.1748-3743.2008.00148.x

Riegel, B., Dunbar, S. B., Fitzsimons, D., Freedland, K. E., Lee, C. S., Middleton, S., Stromberg, A., Vellone, E., Webber, D. E., & Jaarsma, T. (2019). Self-care research: Where are we now? Where are we going? International Journal of Nursing Studies, 116, 103402. https://doi.org/10.1016/j.ijnurstu.2019.103402.

Schemitsch, C., & Nauth, A. (2020). Psychological factors and recovery from trauma. Injury, 51 Suppl 2, S64–S66. https://doi.org/10.1016/j.injury.2019.10.081

Silva, E. S. A. (2020). A pessoa dependente no autocuidado com potencial para melhorar: Construção de um instrumento de avaliação [MasterThesis]. https://comum.rcaap.pt/handle/10400.26/31954

Committee on the Learning Health Care System in America & Institute of Medicine. (2013). Best Care at Lower Cost: The Path to Continuously Learning Health Care in America (M. Smith, R. Saunders, L. Stuckhardt, & J. M. McGinnis, Eds.). National Academies Press (US). http://www.ncbi.nlm.nih.gov/books/NBK207225/

Tsang, S., Royse, C. F., & Terkawi, A. S. (2017). Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi Journal of Anaesthesia, 11(Suppl 1), S80–S89. https://doi.org/10.4103/sja.SJA_203_17

Webber, D., Guo, Z., & Mann, S. (2013) Self-care in health: we can define it, but should we also measure it? Selfcare Journal, 4, 101–6.

Whitson, H. E., Duan-Porter, W., Schmader, K. E., Morey, M. C., Cohen, H. J., & Colón-Emeric, C. S. (2016). Physical Resilience in Older Adults: Systematic Review and Development of an Emerging Construct. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 71(4), 489–495. https://doi.org/10.1093/gerona/glv202

World Health Organization (WHO). Regional Office for South-East Asia. (‎2009)‎. Self-care in the context of primary health care. WHO Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/206352.

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Published

2023-03-28

How to Cite

Lourenço, M., Encarnação, P., Silva, E., Peixoto, M. J. ., & Martins, T. (2023). Psychometric properties of the attitudes assessment scale towards the recovering self-care process . Millenium - Journal of Education, Technologies, and Health, 2(21), e28177. https://doi.org/10.29352/mill0220.28177

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Section

Life and Healthcare Sciences