Generalizability of the Self-Care of Diabetes Inventory Across Cultures and Languages: Italy and the United States

2019 ◽  
Vol 43 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Davide Ausili ◽  
Claudio Barbaranelli ◽  
Barbara Riegel
Keyword(s):  
United States ◽  
Unmet Need ◽  
Self Care ◽  
Measurement Model ◽  
The United States ◽  
The Self ◽  
Diabetes Research ◽  
Cross Sectional ◽  
Middle Range ◽  
Range Theory

Measuring self-care behaviors is crucial in diabetes research worldwide. Having a common measure of self-care represents an unmet need limiting the development of the science. The Self-Care of Diabetes Inventory was developed to address limitations of previous tools that were not theoretically grounded, strong in psychometrics, and clinically validated. However, the generalizability and comparability of the Self-Care of Diabetes Inventory has not been tested across cultures and languages. The aim of this study was to test the invariance of the Self-Care of Diabetes Inventory measurement model between Italy and the United States. Data from two multicenter cross-sectional studies were used. Two diabetes clinics and two hospitals in Italy and the United States were involved. We enrolled 200 adults in Italy and 226 in the United States, all with a confirmed diagnosis of type 1 or type 2 diabetes. The Self-Care of Diabetes Inventory was used to measure self-care maintenance, monitoring, and management behaviors as described in the middle range theory of self-care of chronic illness. Configural, metric, scalar, and strict invariance were tested for each scale. Three of the four measurement equivalence levels were supported in the three Self-Care of Diabetes Inventory Scales, whereas strict invariance—the highest level—was reached only by the Self-Care Maintenance and Self-Care Monitoring Scales. Clear support for the use of the Self-Care of Diabetes Inventory in diabetes research was provided. Cross-national comparisons of self-care between groups of Italian and U.S. patients are supported, based on the invariance of the measurement model. Aggregation of research data obtained using the Self-Care of Diabetes Inventory across countries could support knowledge development in the field of diabetes self-care.

scholarly journals Co-Designing and Evaluating a Self-Care Curriculum of an App for Chinese Immigrant Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 507-508
Author(s):  
Ying Wang ◽  
Mandong Liu ◽  
Iris Chi
Keyword(s):  
Mental Health ◽  
United States ◽  
Physical Health ◽  
Self Care ◽  
The United States ◽  
The Self ◽  
Community Resources ◽  
Chinese Immigrant ◽  
Knowledge And Skills ◽  
Support Resources

Abstract Chinese immigrant caregivers face unique self-care difficulties in the United States due to language barriers, cultural isolation, and occupational stress. This study aimed to conduct a formative evaluation on a caregiver self-care curriculum of an app designed for Chinese immigrants in the United States. Using a co-design approach in 2019, 22 Chinese immigrant caregivers in Los Angeles county were recruited through purposive sampling method. The directed content analysis was adopted to analyze the qualitative data using NVivo 12.1.0 software. We organized the findings under two main contents: self-care and caregiving. Three categories were identified under the self-care content: physical health, emotional and mental health, and support resources. Sixteen subcategories under physical health (e.g., dietary supplements), five subcategories under emotional and mental health (e.g., depression) and eight subcategories under support resources (e.g., support and networking group, senior center) are suggested. Two categories were identified under the caregiving content: caregiving knowledge and skills, and community resources. Fourteen subcategories under caregiving knowledge and skills (e.g., care assessment) and six subcategories under community resources (e.g., medical emergency call) were mentioned. With this useful information, we could further refine the self-care curriculum to be more linguistically, culturally and occupationally sensitive for Chinese immigrant caregivers. Empowerment approach for enhancing the ability to caregiving and self-care should be emphasized in content design for immigrant caregivers. The co-design approach is crucial for planning of the program and intervention curriculum to improve understanding of the users’ needs and better cater them.

From activated patient to pacified activist: A study of the self-care movement in the United States

1989 ◽  
Vol 29 (2) ◽  
pp. 195-204 ◽  
Author(s):  
Gordon H. DeFriese ◽  
Alison Woomert ◽  
Priscilla A. Guild ◽  
Allan B. Steckler ◽  
Thomas R. Konrad
Keyword(s):  
United States ◽  
Self Care ◽  
The United States ◽  
The Self

Testing a Conceptual Framework for Diabetes Self-Care Management

2004 ◽  
Vol 18 (4) ◽  
pp. 293-316 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia E. McDonald ◽  
Sharon E. Milligan
Keyword(s):  
United States ◽  
Social Support ◽  
Self Efficacy ◽  
Care Management ◽  
Care Center ◽  
Self Care ◽  
The United States ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Care Agency

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual’s capability to perform self-care actions), and self-efficacy (an individual’s beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual’s diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

Factor Validation of an Instrument Measuring Group Power

2008 ◽  
Vol 16 (2) ◽  
pp. 113-124 ◽  
Author(s):  
Christina Leibold Sieloff ◽  
Karen Dunn
Keyword(s):  
United States ◽  
Theory Development ◽  
Subsequent Development ◽  
Target Population ◽  
The United States ◽  
Cross Sectional ◽  
Confirmatory Factor Analyses ◽  
Proposed Model ◽  
Study Results ◽  
Range Theory

Few publications have reported empirical findings regarding the measurement of nursing group power. This article reports the confirmatory factor analyses of the Sieloff-King Assessment of Group Power Within Organizations (SKAGPO) for instrument and middle-range theory development. Secondary analyses were conducted using cross-sectional data collected in 1999. The target population of the initial research was the chief nurse executives (CNEs) of all hospitals within the United States (including Alaska and Hawaii). A sample of 600 hospitals from across the United States was selected through a stratified random sampling process. A total of 350 executives comprised the final sample. Second-order confirmatory 8-factor analysis revealed factor loadings ranging from .43 to .89. The overall fit of the proposed model was: χ2 = 1,360, df = 586, p < .00, GFI = .82, CFI = .86, and RMSEA = .06, indicating an acceptable fit with the data. Statistical support was found for the proposed model with the subsequent development of an alternate model that better fit the data. The study results indicated that the SKAGPO has acceptable psychometric properties.

Psychometric Evaluation of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory in the United States

Heart & Lung ◽  
2022 ◽  
Vol 51 ◽  
pp. 1-8
Author(s):  
Andrew Bugajski ◽  
Laura Szalacha ◽  
Kaitlyn Rechenberg ◽  
Ayesha Johnson ◽  
Theresa Beckie ◽  
...  
Keyword(s):  
United States ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Self Care ◽  
Psychometric Evaluation ◽  
The United States ◽  
The Self ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

Maximus

2018 ◽  
Author(s):  
Mark Byers
Keyword(s):  
United States ◽  
Political Action ◽  
American Art ◽  
The United States ◽  
The Self ◽  
Postwar Period ◽  
Avant Garde ◽  
The Enlightenment ◽  
Art Practices ◽  
The One

This concluding chapter charts the continuing significance of the early postwar moment in Olson’s later work, particularly The Maximus Poems. The philosophical and political concerns of the American avant-garde between 1946 and 1951 play out across The Maximus Poems just as they inform later American art practices. The search of the early postwar American independent left for a source of political action rooted in the embodied individual is seen, on the one hand, to have been personified in the figure of Maximus. At the same time, Maximus’s radical ‘practice of the self’ charts a sophisticated alternative to the Enlightenment humanist subject widely critiqued in the United States in the immediate postwar period.

scholarly journals National Estimates of Genetic Testing in Women With a History of Breast or Ovarian Cancer

2017 ◽  
Vol 35 (34) ◽  
pp. 3800-3806 ◽  
Author(s):  
Christopher P. Childers ◽  
Kimberly K. Childers ◽  
Melinda Maggard-Gibbons ◽  
James Macinko
Keyword(s):  
Ovarian Cancer ◽  
Genetic Testing ◽  
Unmet Need ◽  
Cancer Control ◽  
The United States ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Age Of Diagnosis ◽  
History Of ◽  
Interview Survey

Purpose In the United States, 3.8 million women have a history of breast (BC) or ovarian cancer (OC). Up to 15% of cases are attributable to heritable mutations, which, if identified, provide critical knowledge for treatment and preventive care. It is unknown how many patients who are at high risk for these mutations have not been tested and how rates vary by risk criteria. Methods We used pooled cross-sectional data from three Cancer Control Modules (2005, 2010, 2015) of the National Health Interview Survey, a national in-person household interview survey. Eligible patients were adult females with a history of BC and/or OC meeting select 2017 National Comprehensive Cancer Network eligibility criteria on the basis of age of diagnosis and family history. Outcomes included the proportion of individuals reporting a history of discussing genetic testing with a health professional, being advised to undergo genetic testing, or undergoing genetic testing for BC or OC. Results Of 47,218 women, 2.7% had a BC history and 0.4% had an OC history. For BC, 35.6% met one or more select eligibility criteria; of those, 29.0% discussed, 20.2% were advised to undergo, and 15.3% underwent genetic testing. Testing rates for individual eligibility criteria ranged from 6.2% (relative with OC) to 18.2% (diagnosis ≤ 45 years of age). For OC, 15.1% discussed, 13.1% were advised to undergo, and 10.5% underwent testing. Using only four BC eligibility criteria and all patients with OC, an estimated 1.2 to 1.3 million individuals failed to receive testing. Conclusion Fewer than one in five individuals with a history of BC or OC meeting select National Cancer Comprehensive Network criteria have undergone genetic testing. Most have never discussed testing with a health care provider. Large national efforts are warranted to address this unmet need.

scholarly journals A Cross-Sectional Study of 0.6 Million Children with Attention-Deficit/Hyperactivity Disorder in the United States

2020 ◽  
Vol 10 (01) ◽  
pp. e97-e103
Author(s):  
Irene Rethemiotaki
Keyword(s):  
United States ◽  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Family Income ◽  
Neurodevelopmental Disorder ◽  
Multiple Logistic Regression Analysis ◽  
The United States ◽  
Cross Sectional ◽  
Children With Adhd ◽  
Hyperactivity Disorder

AbstractAttention-deficit hyperactivity disorder (ADHD) is an increasingly recognized chronic neurodevelopmental disorder. This work aims at studying the prevalence and clinical characteristics of children with ADHD in the United States in the period between 2009 and 2018. Data from the National Health Interview Survey were analyzed by univariate and multivariate statistics to assess the role of socioeconomic factors in the development of ADHD. It has been studied 615,608 children, 51.2% male and 48.7% female. The prevalence of ADHD was 9.13%, with males predominating over females. The number of children with ADHD increased from 2009 to 2018 by 14.8%. As specified by multiple logistic regression analysis, males (odds ratio [OR] 2.38) who have neither mother nor father (OR 1.76) are twice as likely to have ADHD compared with their peers. In addition, family income (OR 1.40) and parent's education (OR 1.12) were significantly associated with ADHD. It has been highlighted the significance of deprivation of both family and financial comfort as primary indicators for ADHD in children. Moreover, children with ADHD were more likely to be males in the age group of 12 to 17.

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