Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Development and Validation of the Diabetes Management Self-efficacy Scale for Older Adults (DMSES-O)

노인의 당뇨병 관리 자기효능감 측정도구 개발 및 평가

  • Song, Misoon (College of Nursing, Seoul National University) ;
  • Choi, Suyoung (College of Nursing, Jeju National University) ;
  • Kim, Se-An (College of Nursing, Seoul National University) ;
  • Seo, Kyoungsan (The Research Institute of Nursing Science, Seoul National University) ;
  • Lee, Soo Jin (College of Nursing, Seoul National University) ;
  • Kim, Eun Ho (College of Nursing, Seoul National University)
  • Received : 2014.07.07
  • Accepted : 2014.08.25
  • Published : 2014.12.31
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Abstract

Purpose: The purpose of this study was to develop and validate a diabetes management self-efficacy scale for older adults (DMSES-O). Methods: A preliminary DMSES-O of 22 items was derived from a literature review and seven domains of self-management behaviors. Content validity was confirmed by experts in diabetes self-management education. To test the reliability and validity of the DMSES-O, data were collected from 150 older adults with type 2 diabetes. The data were analyzed using exploratory factor analysis, and Cronbach's ${\alpha}$ and Pearson's correlation coefficients were calculated. Results: From the exploratory factor analysis, 17 significant items in six subscales were derived. Factors derived were named "problem solving for hypoglycemia and self-monitoring blood glucose," "problem solving for hyperglycemia," "coping with psychological distress and taking medication," "reducing risks of diabetes complications," "appropriate exercise," and "healthy eating." The criterion-related validity of the DMSES-O was established by its correlation with the Summary of Diabetes Self-care Activities Questionnaire. Cronbach's ${\alpha}$, a measure of internal consistency, was .84 for the overall scale and ranged from .54 to .80 for the subscales. Conclusion: The DMSES-O is a reliable and valid instrument to measure selfefficacy for diabetes self-management among older adults.

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