Proposition of a Shortened Version of the Self-efficacy Measure for Sleep Apnea (SEMSA-15): Psychometric Validation and Cut-Off Score for CPAP Adherence

Abstract Introduction Adherence for the gold standard Continuous Positive Airway Pressure (CPAP) treatment for obstructive sleep apnea (OSA) is poor worldwide. Studies have explored factors impacting CPAP adherence but data is limited for Asian patients where cultural and social norms differ. This study aimed to examine the role of disease and treatment-related perceptions in short-term CPAP adherence among patients from a multi-ethnic Southeast Asian country. Methods 34 patients with newly diagnosed OSA were recruited from Changi General Hospital, a 1000-bed tertiary hospital in Singapore between September 2018 and February 2019. Psychological factors of self-efficacy, risk-perception and outcome expectancies were assessed with the Self-Efficacy Measure for Sleep Apnea (SEMSA) questionnaire. The SEMSA questionnaire has been previously validated for the evaluation of adherence-related cognitions. Patients were administered the SEMSA questionnaire before commencement of CPAP treatment and 1 month after. Results 73.5% (25/34) of the patients were male (82.4% Chinese, 11.8% Malays, 2.9% Indians, 2.9% others). Mean age was 43.3 ± 11.8 years, mean apnea hypopnea index (AHI) was 45.2 ± 29.6 events/hr and mean CPAP usage at one month was 3.6±2.0 hours. 47% were adherent to CPAP, defined as average device use > 4 hrs/day. Pre-treatment self-efficacy was significantly correlated with CPAP adherence (r = 0.498, P<0.01). Outcome expectancies and self-efficacy measured after one-month CPAP use were significantly correlated with CPAP adherence (r = 0.702, P<0.01; r = 0.467, P<0.01, respectively). However, no association between risk perception and CPAP adherence was noted at either time points. Conclusion Consistent with previous literature in Western population, our study demonstrated that patients’ cognitive perceptions of outcome expectancies and sense of self-efficacy have an impact on CPAP adherence in a Southeast Asian population. Strategies targeting these aspects would be important in designing patient education programs. Support

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Development and psychometric properties of the Self-efficacy for Mindfulness Meditation Practice scale

Journal of Health Psychology ◽

10.1177/1359105318783041 ◽

2018 ◽

Vol 25 (12) ◽

pp. 2017-2030 ◽

Cited By ~ 1

Author(s):

Gurjeet S Birdee ◽

Kenneth A Wallston ◽

Sujata G Ayala ◽

Edward H Ip ◽

Stephanie J Sohl

Keyword(s):

Self Efficacy ◽

Online Survey ◽

Mindfulness Meditation ◽

Intraclass Correlation ◽

Preliminary Evidence ◽

The Self ◽

Cognitive Interviewing ◽

Meditation Practice ◽

Efficacy Measure ◽

Test Retest Reliability

This study aimed to develop a self-efficacy measure for mindfulness meditation practice (Self-efficacy for Mindfulness Meditation Practice scale). The scale was developed through a process of expert consensus, cognitive interviewing, and evaluation among 199 mindfulness meditation practitioners who completed an online survey. The 9-item Self-efficacy for Mindfulness Meditation Practice scale was unidimensional with three subconstructs of attention, compassion, and emotion. The omega hierarchical coefficient for the total scale was 0.78, and test–retest reliability was intraclass correlation coefficient = 0.85 (95% confidence interval: 0.80, 0.89). This study provides preliminary evidence that Self-Efficacy for Mindfulness Meditation Practice scale is a reliable and valid measure of self-efficacy for mindfulness meditation practice.

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Short-Term Effects of a Multidisciplinary Residential Rehabilitation Program on Perceived Risks, Confidence Toward Continuous Positive Airway Pressure Treatment, and Self-Efficacy in a Sample of Individuals Affected by Obstructive Sleep Apnea Syndrome

Frontiers in Psychology ◽

10.3389/fpsyg.2021.703089 ◽

2021 ◽

Vol 12 ◽

Author(s):

Federica Scarpina ◽

Ilaria Bastoni ◽

Simone Cappelli ◽

Lorenzo Priano ◽

Emanuela Giacomotti ◽

...

Keyword(s):

Sleep Apnea ◽

Self Efficacy ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Rehabilitation Program ◽

The Self ◽

Cpap Therapy ◽

Perceived Risks ◽

Obstructive Sleep ◽

Residential Rehabilitation

Continuous positive airway pressure (CPAP) therapy is the standard treatment for obstructive sleep apnea (OSA) syndrome. However, optimizing adherence to CPAP therapy of individuals remains very challenging for clinicians because of the role played by the psychological components. In this study, we verified the changes in cognitions and beliefs of individuals after a four-week multidisciplinary residential rehabilitation program targeting the adaptation to CPAP therapy for OSA syndrome. We assessed the components of perceived risks, confidence toward the treatment, and self-efficacy through the self-report questionnaire, namely the Self-Efficacy Measure for Sleep Apnea (SEMSA) questionnaire. We also explored the role played by the temperamental traits on the changes registered in these components after the treatment. Forty-five participants completed the rehabilitation program, showing a higher level of adherence to the treatment. Significant changes were observed in terms of confidence toward the treatment, although no change was reported in terms of perceived risks and self-efficacy. Moreover, those individuals with a higher persistent temperamental trait reported a significant improvement in perceived risks, in the absence of other significant results. After the rehabilitation treatment, our participants were more prone to consider the effect of CPAP treatment on health outcomes. This was in line with the educational aim of the rehabilitation treatment. The temperament seemed to play only a marginal role in the global changes reported by our participants. We discussed the need for behavioral interventions, in addition to education, in improving self-efficacy.

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Validez y confiabilidad del instrumento “Medición de la autoeficacia percibida en apnea del sueño” - SEMSA. Versión en español

Aquichan ◽

10.5294/aqui.2016.16.1.8 ◽

2016 ◽

Vol 16 (1) ◽

pp. 67-82

Author(s):

Erika Marcela Mateus-Galeano ◽

Viviana Marycel Céspedes-Cuevas

Keyword(s):

Sleep Apnea ◽

Self Efficacy ◽

Efficacy Measure

Objetivo: determinar la validez y la consistencia interna del instrumento “Medición de la autoeficacia percibida en apnea del sueño” - SEMSA, versión en español, diseñado por Weaver et al. Materiales y métodos: estudio de tipo descriptivo metodológico; se determinó la validez facial y de contenido con panel de expertos y un literato bilingüe. La muestra de la validez de constructo y consistencia interna fue de 151 pacientes con síndrome de apnea hipopnea del sueño que usaron el tratamiento de presión positiva continua en la vía aérea (CPAP). Resultados: la validez facial mostró un índice de aceptabilidad superior en las tres categorías evaluadas. En la validez de contenido, 23 ítems alcanzaron un nivel de aceptabilidad satisfactorio y los 4 ítems restantes fueron susceptibles de modificación. En la validez de constructo, el análisis factorial exploratorio determinó tres factores con una varianza total explicada de 52,2 %. La consistencia interna por el alfa de Cronbach fue 0,90 para la escala total y para cada dimensión mayor de 0,84. Discusión: la varianza total explicada comparándola con el estudio original fue mayor y el alfa de Cronbach fue similar tanto en la escala total como dimensional. Conclusión: el instrumento Self Efficacy Measure Sleep Apnea, válido y homogéneo en el contexto urbano colombiano, es una herramienta relevante y objetiva acerca de las perspectivas del paciente con síndrome de apnea hipopnea del sueño sobre los riesgos asociados, el beneficio del tratamiento y el cumplimiento en el uso de presión positiva (CPAP), a pesar de las barreras percibidas.

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A Question of Calibration: A Review of the Self-Efficacy Beliefs of Students with Learning Disabilities

Learning Disability Quarterly ◽

10.2307/1511276 ◽

2002 ◽

Vol 25 (2) ◽

pp. 88-102 ◽

Cited By ~ 75

Author(s):

Rob Klassen

Keyword(s):

Learning Disabilities ◽

Self Efficacy ◽

Research Question ◽

Efficacy Beliefs ◽

The Self ◽

Future Research ◽

Students With Learning Disabilities ◽

Writing Difficulties ◽

Students With Ld ◽

Efficacy Measure

This article reviews the literature on the self-efficacy beliefs of students with learning disabilities (LD). Motivational and metacognitive difficulties of students with LD are briefly discussed, followed by a synopsis of Bandura's self-efficacy theory, with special attention to the issue of calibration. From the literature search, 22 studies met the criteria of (a) using a measure of self-efficacy, and (b) including a sample of students identified as having learning disabilities. The resulting body of literature is summarized and analyzed in terms of the nature of the sample, the performance task or domain, the self-efficacy measure used, the research question and outcomes, and the accuracy of calibration between perceived self-efficacy and task outcome. The results from this review suggest that in specific contexts — in the writing performance of students with specific writing difficulties, in particular — students appear to optimistically miscalibrate their self-efficacy. Methodological problems found in some of the research, such as “conceptual blurring,” are discussed. Finally, implications for practice are considered, and suggestions are made for future research.

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