Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study

克朗巴赫阿尔法 验证性因素分析 结构方程建模 人口学 比例(比率) 跨文化研究 中国 等价(形式语言) 心理学 医学 临床心理学 家庭医学 心理测量学 地理 社会心理学 统计 数学 地图学 社会学 考古 离散数学
作者
Doris S.F. Yu,Maddalena De Maria,Claudio Barbaranelli,Ercole Vellone,Maria Matarese,Davide Ausili,Eneida Rejane Rabelo,Onome Osokpo,Bárbara Riegel
出处
期刊:Journal of Advanced Nursing [Wiley]
卷期号:77 (2): 681-692 被引量:61
标识
DOI:10.1111/jan.14617
摘要

Abstract Aim The Self‐Care Self‐Efficacy Scale (SCSES) was newly developed as a self‐report measure for self‐care self‐efficacy for chronic illness. This study investigated its measurement equivalence (ME) in different cultural groups, including United States, China (Hong Kong), Italy, and Brazil. Design A multi‐national study for cross‐cultural validation of the Scale. Methods From January 2015 ‐ December 2018, investigators recruited 957 patients (United State: 200; Hong Kong: 300; Italy: 285; and Brazil: 142) with chronic illness from inpatient and outpatient settings. The SCSES was administered and clinical and demographic data were collected from participants. Based on the Meredith framework, multi‐group confirmatory factor analysis evaluated the configural, metric, scalar, and strict invariance of the scale across the four populations through a series of nested models, with evaluation of reliability and coherence of the factor solution. Results The mean ages of the groups ranged from 65–77 years, 56.4% was male. The Cronbach's alpha coefficients of the single‐factor SCSES were 0.93, 0.89, 0.92, and 0.90 for the United States, China (Hong Kong), Italy, and Brazil, respectively. Three of the four levels of ME were partially or totally supported. The highest level achieved was partial scalar invariance level (χ 2 [52] = 313.4, p < 0.001; RMSEA = 0.067; 95% CI = 0.056–0.077; CFI = 0.966; TLI = 0.960, SRMR = 0.080). Conclusion Patients from the four countries shared the same philosophical orientation towards scale items, although some of the items contributed differently to represent the concept and participants shared the same schemata for score interpretation. Impact Self‐efficacy is important in producing effective and sustainable self‐care behavioural changes. Cultural ideation shapes the ways individuals interpret and report their self‐care self‐efficacy. The study findings support cross‐cultural and cross‐national utility of the SCSES for research on self‐care across United States, China (Hong Kong), Italy, and Brazil.
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