The Appraisal of Self-Care Agency Scale–Revised (ASAS-R): Reliability and Validity Among Older Chinese People

2016 ◽  
Vol 39 (11) ◽  
pp. 1459-1476 ◽  
Author(s):  
Lina Guo ◽  
Jaclene A. Zauszniewski ◽  
Xianfei Ding ◽  
Lin Zhang ◽  
Han Gao ◽  
...  

The study aimed to test the reliability and validity of the Chinese version of the Appraisal of Self-Care Agency Scale–Revised (ASAS-R-CHI). A cross-sectional design was used to conduct this study, and the sample consisted of 1,219 older people, collected by a demographic questionnaire, ASAS-R-CHI and the Exercise of Self-Care Agency (ESCA) scale. The Cronbach’s alpha (α) of ASAS-R-CHI was .79, the test–retest correlation was 0.95, and the item-to-total correlations ranged from r = .41 to r = .74. Exploratory factor analysis (EFA) resulted in three factors that explained 65.31% of the total variance; all 15 items had strong factor loadings ranging from 0.54 to 0.91. Confirmatory factor analysis (CFA) indicated the three-factor solution of ASAS-R-CHI had a good fit (x2,chi-square/degree of freedom [CMIN/DF] = 2.61, goodness of fitness index [GFI] = 0.93, adjusted goodness of fit index [AGFI] = 0.92,, comparative fit index [CFI = 0.92], Tucker Lewis index [TLI] = 0.91, root mean square error of approximation [RMSEA] = 0.04, root mean residual [RMR] = 0.02, P-value for test of close fit [PCLOSE] = 0.68). ASAS-R-CHI is a short, reliable, and valid instrument for measuring self-care agency among Chinese older adults.

2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge


Author(s):  
I Gede Ratnaya ◽  
Gaguk Margono

This research aimed to develop an instrument to measure the intrapersonal students’ of skill Electrical Engineering Program at Vocational High School in Bali by using Likert scale. This capability is important in regulating and monitoring personal’s goals during vocational education at SMK. This instrument has been tested to 110 students at Engineering Utilization of Electricity Program in the entire province of Bali. The validation of the instrument through the content validation by the experts, the validation grains measure with Momment Product engineering, and the validation of the construct done by factor analysis. Factor analysis uses the confirmation method Maximum Likelihood (ML) with the conformity or suitability obtained Chi Square amounted to 113,8 (p-value = 0,2622) and Goodness of Fit Index (GFI) by 0.92.


2021 ◽  
Vol 13 (2) ◽  
pp. 13-20
Author(s):  
Bülent O. Miçooğullari ◽  
◽  
David J. Edwards ◽  
Rıdvan Ekmekçi ◽  
◽  
...  

The purpose of this research was to examine the reliability and validity of Bull’s Mental Skills Questionnaire (BMSQ), measuring seven psychological skills resulting in a total scale score, within Turkey. The sample consisting of 163 males and 131 females, totaling 294 athletes, completed the 28 item BMSQ. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were undertaken. EFA results yielded a satisfactory seven-factor solution, the same as the English version. Cronbach alpha (α) reliability indices were as follows: concentration ability (0.71), anxiety and worry management (0.63), relaxation ability (0.69), imagery ability (0.73), self-confidence (0.72), motivation (0.64) and mental preparation (0.52). The BMSQ explained 62% of the total variance. Moreover, model fit indices calculated during CFA for the 28 item and 7 sub-dimensions model of BMSQ indicated an acceptable fit [Chi-Square (ꭓ²)=541.2, df=328, ꭓ²/df=1.65, Root Mean Square Error Approximation (RMSEA)=0.05, Comparative Fit Index (CFI)=0.95, Goodness of Fit Index (GFI)=0.90, Normed Fit Index (NFI)=0.89, and Non Normed Fit Index (NNFI)=0.90]. Thus, the original 7-factor solution was supported with the data collected from Turkish participants. Results demonstrated that the BMSQ is a valid and reliable instrument for the Turkish population.


2021 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Huong Thi Thu NGUYEN ◽  
Kazuyo KITAOKA ◽  
Khue Minh PHAM ◽  
Ngoc Thi Minh NGUYEN ◽  
Tran Bao NGUYEN ◽  
...  

Back ground and Purpose: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. The purpose of this study is to validate the Vietnamese version of Maslach Burnout Inventory-General Survey (MBI-GS) for burnout measuring in Vietnam. Methods: using cross-sectional study, factorial validity of MBI-GS was tested by exploratory factor analysis then accompanied by confirmatory factor analysis. Pearson’s correlation is used to check criterion-related validity. Results: the model of three factors structure without item 8 and 9 was suggested as the best fit model with chi-square (X2 = 285.13, P < .0001), root mean square error of approximation (RMSEA = 0.07), comparative fit index (CFI = 0.92), goodness of fit index (GFI = 0.91). Conclusions: The construct validity of Vietnamese version of Maslach Burnout Inventory-General Survey is acceptable for use in future investigations regarding burnout.


2017 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
I Gede Ratnaya ◽  
Gaguk Margono

This research aimed to develop an instrument to measure the intrapersonal students’ of skill Electrical Engineering Program at Vocational High School in Bali by using Likert scale. This capability is important in regulating and monitoring personal’s goals during vocational education at SMK. This instrument has been tested to 110 students at Engineering Utilization of Electricity Program in the entire province of Bali. The validation of the instrument through the content validation by the experts, the validation grains measure with Momment Product engineering, and the validation of the construct done by factor analysis. Factor analysis uses the confirmation method Maximum Likelihood (ML) with the conformity or suitability obtained Chi Square amounted to 113,8 (p-value = 0,2622) and Goodness of Fit Index (GFI) by 0.92.


2019 ◽  
Vol 11 (4) ◽  
pp. 289-294
Author(s):  
Apolonia Antonilda Ina ◽  
Veronika Ririn Marwaningsih

Kematian ibu akibat hipertensi dalam kehamilan dapat dicegah dengan deteksi dini terjadinya peningkatan tekanan darah melalui antenatal care yang berkualitas. Preeklampsia masih menjadi masalah yang belum terselesaikan karena angka kejadian yang masih tinggi dan komplikasi kematian ibu dan anak yang terjadi. Hal ini menjadikan studi tentang preklampsia masih sangat dibutuhkan dengan harapan bisa memberikan kontribusi data untuk penelitian lanjutan. studi tentang self  agency pada ibu hamil dengan preeklampsia belum pernah dilakukan di Indonesia. Self agency yang kuat akan memberikan kontribusi ibu hamil dalam mencegah terjadinya komplikasi akibat preeklampsia. Tujuan penelitian yaitu menganalisis faktor-faktor yang mempengaruhi self care agency pada  ibu hamil dengan preeklampsia. Desain penelitian yaitu  cross sectional. Penelitian dilaksanakan pada bulan Juli sampai September 2019. Sampel pada penelitian ini  yaitu ibu-ibu hamil yang berada di Rumah Sakit dan Praktik Bidan Mandiri sebanyak 90 responden. Proses pengumpulan data yaitu responden mengisi kuesioner yang diberikan peneliti. Kuesioner tersebut telah dilakukan uji validitas dan reliabilitas dibuktikan dengan nilai corrected item-total correlation > 0,3 serta  nilai Cronbach alpha > 0,6. Data yang telah diperoleh kemudian dianalisis menggunakan uji chi square serta  regresi logistik. Hasil penelitian didapatkan tidak ada hubungan antara usia, paritas, riwayat keluarga, pekerjaan, pendidikan, frekuensi ANC dengan kejadian preeklampsia dengan p value > 0,05. Riwayat hipertensi merupakan faktor risiko preeklampsia. Bagi peneliti selanjutnya disarankan untuk menambah jumlah sampel dan melakukan analisis lebih lanjut mengenai faktor-faktor yag belum diteliti, seperti riwayat preeklampsia, jarak kelahiran, usia gestasi.  Kata kunci: AKI, preeklampsia, self care agency MULTIPLE FACTORS OF SELF CARE AGENCY IN PREGNANCY WOMEN WITH PREECLAMPSIA   ABSTRACT Maternal mortality due to hypertension in pregnancy can be prevented by early detection of increased blood pressure through quality antenatal care. Preeclampsia is still an unsolved problem because of the high incidence and complications of maternal and child deaths that occur. This makes the study of preeclampsia still very much needed in the hope that it can contribute data for further research. a study of self agency in pregnant women with preeclampsia has never been done in Indonesia. A strong self agency will contribute to pregnant women in preventing complications due to preeclampsia. The research objective was to analyze the factors that influence the self care agency in pregnant women with preeclampsia. The study design was cross sectional. The study was conducted in July to September 2019. Samples in this study were pregnant women who were in the Hospital and the Practice of Independent Midwives as many as 90 respondents. The process of collecting data is that respondents fill out questionnaires given by researchers. The questionnaire was tested for validity and reliability as evidenced by the corrected item-total correlation> 0.3 and Cronbach alpha> 0.6. The data obtained were then analyzed using the chi square test and logistic regression. The results showed there was no relationship between age, parity, family history, work, education, frequency of ANC with the incidence of preeclampsia with p value> 0.05. A history of hypertension is a risk factor for preeclampsia. Further researchers are advised to increase the number of samples and conduct further analysis of factors that have not been studied, such as a history of preeclampsia, birth spacing, gestational age.  Keywords: Maternal Mortality Rate, preeclampsia, self care agency


2021 ◽  
Vol 3 (2) ◽  
pp. 181-191
Author(s):  
Rika Yulendasari ◽  
Usastiawaty Cik Ayu Saadiah Isnainy ◽  
Rima Ary Pradisca

ABSTRACT: RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND FAMILY HISTORY WITH CORONARY HEART DISEASE AT PUSKESMAS  BANJARSARI METRO Introduction: Based on data in coronary heart events Metro City 2018 total which is 1,309 new cases. For new diseases 190 men and 22 for women cases,  for old cases 369 men and 528 women in 2019 have a very drastic decrease, with total of new and old 229 patients with heart disease , for new diseases which is 32 men and 57 cases and women, for an old cases which is 60 cases for men and 80 cases for women.Purpose:  to known relations between physical activity and family history with coronary heart disease at Puskesmas Banjarsari Metro in 2020.Method: quantitative research type, analytical survey research plan with cross sectional approach, population and sample in research patients with heart failure are22 respondents. Univariate and bivariate data analysis used chi square test.Result : From 23 respondents, 13 respondents (56,5%) with low activity, families at risk which is 14 respondents (55,0%),  12 respondent (52,2%) with coronary heart, results of statistical tests using the chi square test obtained p-value = 0,022(< 0.05) , p-value = 0,006(< 0.05).Conclusion : Results of using the chi square test obtained p-value = 0,022(< 0.05) that means there is a relations between physical actiivity with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. Results of using the chi square test obtained p-value = 0,006(< 0.05) that means there is a relations between history of family with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. For peoples who risk of coronary heart disease (CHD) to behave healthy living by maintaining a diet by consuming foods that conform to diet coronary heart patients, avoid smoking, not consuming alcohol beverages, maintain weight stability and exercise regulary. Keywords : Knowledge, Self Care, Quality of life.       INTISARI:HUBUNGAN ANTARA AKTIVITAS FISIK DAN RIWAYAT KELUARGA DENGAN KEJADIAN PENYAKIT JANTUNG KORONER DI PUSKESMAS RAWAT INAP BANJARSARI KOTA METRO  Pendahuluan: Berdasarkan data kejadian jantung koroner di Kota Metro tahun 2018 pada berdasarkan jumlah kasus baru dan lama  sebanyak 1.309 dengan pembagian penyakit baru, laki-laki sebanyak 190 orang, perempuan sebanyak 22 orang, dan kasus lama, laki-laki sebanyak 369 orang, perempuan sebanyak 528 orang, pada tahun 2019 mengalami penurunan yang sangat drastis, yaitu total pasien jantung baru dan lama sebanyak 229 orang, dengan pembagian penyakit baru, laki-laki sebanyak 32 orang, perempuan sebanyak 57 orang, dan kasus lama, laki-laki sebanyak 60 orang, perempuan sebanyak 80 orang.Tujuan: Diketahui hubungan antara aktivitas fisik dan riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik dengan pendekatan cross sectional, populasi dan sampel dalam penelitian ini adalah pasien gagal jantung sebanyak 22  responden, Analisa data menggunakan univariat dan bivariat menggunakan uji chi square.Hasil : Dari 23 responden dengan aktivitas kurang sebanyak 13 responden (56,5%), riwayat keluarga beresiko sebanyak 14 responden (55,0%),  jantung koroner sebanyak 12 responden (52,2%), Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) , p-value = 0,006 (< 0.05).Kesimpulan : Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) yang artinya terdapat hubungan antara aktivitas fisik dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020. Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,006 (< 0.05) yang artinya terdapat hubungan antara riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro  Tahun 2020Bagi seseorang yang mempunyai resiko terhadap terjadinya Penyakit Jantung Koroner (PJK) untuk berperilaku hidup sehat dengan jalan menjaga pola makan dengan jalan mengkonsumsi makanan yang sesuai dengan pola diit penderita PJK, menghindari merokok, tidak mengkonsumsi minuman beralkohol, menjaga kestabilan berat badan dan berolah raga secara teratur. Kata Kunci      : Pengetahuan, Self Care, Kualitas Hidup 


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034757
Author(s):  
Asuka Kato ◽  
Yuko Fujimaki ◽  
Shin Fujimori ◽  
Akihiro Isogawa ◽  
Yukiko Onishi ◽  
...  

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Huy Ha ◽  
Michael W. Ross ◽  
Jan M. H. Risser ◽  
Huong T. M. Nguyen

Objective. To develop and assess a homosexuality-related stigma scale among men who have sex with men (MSM) in Hanoi, Vietnam. Methods. We conducted a cross-sectional study using respondent-driven sampling in Hanoi, Vietnam, in 2011. We used a cross-validation approach. Factor analysis was performed, and interitem correlation matrices were constructed to identify the latent factor structures, examine the goodness of fit, and assess convergent and discriminant validity of the determined scales. Internal consistency checks were performed in split samples and whole sample, and separately for each determined factor. Results. The findings were consistent in split samples. Three homosexuality-related stigma factors were identified: enacted homosexual stigma, perceived homosexual stigma, and internalized homosexual stigma. The fit indices of the confirmatory factor analysis in both split samples supported the hypothesized three-factor structures (in subsamples A and B: χ2/degrees of freedom ratio = 1.77 and 1.59, nonnormed fit index = 0.92 and 0.94, comparative fit index = 0.93 and 0.95, and the root mean square of approximation = 0.06 and 0.05, resp.). The interitem correlation supported the convergent and discriminant validity of the scales. The reliability of the three scales indicated good consistency (Cronbach’s alpha: 0.79–0.84) across split samples and for the whole data. Conclusion. Our scales have good psychometric properties for measuring homosexuality-related stigma. These comprehensive and practical tools are crucial not only to assess stigma against MSM and its consequence, but also to guide the development of interventions targeting MSM, as well as to evaluate the efficacy of existing stigma reduction efforts in Vietnam and other countries with similar settings.


Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Forough Mortazavi ◽  
Arash Akaberi

Pregnancy adds many sources of concerns to women’s daily life worries. Excessive worry can affect maternal physiological and psychological state that influences the pregnancy outcomes. The aim of this study was to validate the Cambridge Worry Scale (CWS) in a sample of Iranian pregnant women. After translation of the CWS, ten experts evaluated the items and added six items to the 17-item scale. In a descriptive cross-sectional study, 405 of pregnant women booked for prenatal care completed the Farsi CWS. We split the sample randomly. Exploratory factor analysis (EFA) was conducted on the first half of the sample to disclose the factorial structure of the 23-item scale. The results of the EFA on the Farsi CWS indicated four factors altogether explained 51.5% of variances. Confirmatory factor analysis (CFA) was done on the second half of the sample. The results of the CFA showed that the model fit our data (chi-square/df = 2.02, RMSEA = 0.071, SRMR = 0.071, CFI = 0.95, and NNFI = 0.94). Cronbach’s alpha coefficient for the Farsi CWS was 0.883. The Farsi CWS is a reliable and valid instrument for understanding common pregnancy worries in the third trimester of pregnancy in Iranian women.


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