Preferences and Self-efficacy for Diet Modification Among Primary Care Patients

Background. Skin cancer is the most commonly diagnosed form of cancer in the United States (US). However, knowledge, behaviors, and attitudes regarding sun protection vary among the general population. The purpose of this study is to examine sun protection behaviors of low-income primary care patients and assess the association between these health behaviors and the self-efficacy, susceptibility, and skin cancer awareness.Methods. Uninsured primary care patients utilizing a free clinic (N=551) completed a self-administered survey in May and June 2015.Results. Using sunscreen was the least common tactic among the participants of this study. Skin cancer awareness and self-efficacy are important to improve sun protection behaviors. Spanish speakers may have lower levels of skin care awareness compared to US born and non-US born English speakers. Male and female participants use different sun protection methods.Conclusion. It is important to increase skin cancer awareness with self-efficacy interventions as well as education on low-cost sun protection methods. Spanish speaking patients would be a target population for promoting awareness. Male and female patients would need separate gender-specific sun protection education. Future studies should implement educational programs and assess the effectiveness of the programs to further promote skin cancer prevention among underserved populations.

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The Self-Efficacy for Managing Chronic Disease Scale – French version: A validation study in primary care

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v2i4.843 ◽

2014 ◽

Vol 2 (4) ◽

pp. 533 ◽

Cited By ~ 3

Author(s):

Catherine Hudon

Keyword(s):

Primary Care ◽

Factor Analysis ◽

Chronic Disease ◽

Psychometric Properties ◽

Correlation Coefficient ◽

Self Efficacy ◽

Concurrent Validity ◽

The Self ◽

French Version ◽

Primary Care Patients

Rationale and objectiveThe evaluation of patient self-efficacy for managing chronic diseases is important in self-management education programs. A valid instrument to evaluate self-efficacy exists: the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SEM-CD). The purpose of this study was to assess the psychometric properties of a French version of the instrument (SEM-CD Fv) in a primary health care context.MethodThe French translation of the questionnaire was obtained through a rigorous translation-back-translation process. Cronbach’s alpha, test-retest reliability (intra-class correlation coefficient, ICC), concurrent validity with the Skill and Technique Acquisition domain of the Health Education Impact Questionnaire (Heiq) and exploratory factor analysis were used to assess the psychometric properties of the SEM-CD Fv.ResultsWe analysed data from 326 primary care patients. The Cronbach alpha of the instrument was 0.93 (95% CI: 0.92 – 0.94). The ICC between the two administrations of the questionnaire (two-week interval) was 0.82 (95% CI: 0.69 – 0.90, p < 0.001). Concurrent validity of the SEM-CD Fv with the Skill and Technique Acquisition domain of the HeiQ showed a correlation coefficient of 0.49 (95% CI: 0.40 – 0.58, p < 0.001). Factor analysis for the SEM-CD Fv resulted in a one-factor solution that explained 73.8% of the variance.ConclusionThe SEM-CD Fv is a valid and reliable instrument to measure self-efficacy for managing chronic diseases in primary care patients.

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