PMID- 26107270
OWN - NLM
STAT- MEDLINE
DCOM- 20151106
LR  - 20191210
IS  - 1526-9248 (Print)
IS  - 1526-9248 (Linking)
VI  - 25
IP  - 2
DP  - 2015 Jun
TI  - Development and initial evaluation of the psychometric properties of 
      self-efficacy and adherence scales for patients with a left ventricular assist 
      device.
PG  - 107-15
LID - 10.7182/pit2015597 [doi]
AB  - CONTEXT: No tools exist to measure patients' self-efficacy for and adherence to 
      the complex home-care regimen after having a left ventricular device (LVAD) 
      implanted. OBJECTIVE: To develop 2 new instruments, the LVAD Patient 
      Self-Efficacy Scale (LPSES) and the LVAD Patient Home Management Adherence Scale 
      (LPHMAS), and evaluate their psychometric properties. METHODS: This multistage 
      instrumentation study recruited 102 patients (77.5% men and 22.5% women) aged 20 
      to 82 years, predominantly from the Midwest (34.3%) and the Northeast (26.5%) 
      regions of the United States. Main indications for LVAD were bridge-to-transplant 
      (69.6%) and destination therapy (21.6%), with mean implant duration of 19.9 (SD, 
      15.5) months. Study participants completed the following instruments: LPSES, 
      LPHMAS, General Self-Efficacy Scale (GSES), Medical Outcomes Study General 
      Adherence (MOSGA), and Self-Care Heart Failure Index (SCHFI) confidence and 
      maintenance subscales. Item analyses, psychometric properties including factorial 
      and convergent validities, and internal consistency reliability were tested. 
      RESULTS: Factor analyses showed that the variances for the 20-item LPSES and 
      9-item LPHMAS were 60.2% and 53.6%, respectively. Convergent validity of the 
      newly developed instruments was supported by the following correlations: LPSES 
      and GSES (r = 0.34); LPSES and SCHFI-confidence (r = 0.60); LPHMAS and MOSGA (r = 
      0.33); LPHMAS and SCHFI-maintenance (r = 0.40). Internal consistency reliability 
      coefficients were 0.94 (LPSES) and 0.84 (LPHMAS). Based on these data, the LPSES 
      and LPHMAS are valid and reliable measures of self-efficacy and adherence 
      specific for LVAD patients. Confirmatory testing is needed to further support the 
      validity of these instruments for use in research and clinical practice.
FAU - Casida, Jesus
AU  - Casida J
AD  - University of Michigan School of Nursing, Ann Arbor (JC, JC, AC), Goldfarb School 
      of Nursing at Barnes-Jewish College, St Louis, Missouri (H-SW), Wayne State 
      University College of Nursing, Detroit, Michigan (JH).
FAU - Wu, Horng-Shiuann
AU  - Wu HS
AD  - University of Michigan School of Nursing, Ann Arbor (JC, JC, AC), Goldfarb School 
      of Nursing at Barnes-Jewish College, St Louis, Missouri (H-SW), Wayne State 
      University College of Nursing, Detroit, Michigan (JH).
FAU - Harden, Janet
AU  - Harden J
AD  - University of Michigan School of Nursing, Ann Arbor (JC, JC, AC), Goldfarb School 
      of Nursing at Barnes-Jewish College, St Louis, Missouri (H-SW), Wayne State 
      University College of Nursing, Detroit, Michigan (JH).
FAU - Chern, Joy
AU  - Chern J
AD  - University of Michigan School of Nursing, Ann Arbor (JC, JC, AC), Goldfarb School 
      of Nursing at Barnes-Jewish College, St Louis, Missouri (H-SW), Wayne State 
      University College of Nursing, Detroit, Michigan (JH).
FAU - Carie, Austen
AU  - Carie A
AD  - University of Michigan School of Nursing, Ann Arbor (JC, JC, AC), Goldfarb School 
      of Nursing at Barnes-Jewish College, St Louis, Missouri (H-SW), Wayne State 
      University College of Nursing, Detroit, Michigan (JH).
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
PL  - United States
TA  - Prog Transplant
JT  - Progress in transplantation (Aliso Viejo, Calif.)
JID - 100909380
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Heart Failure/*therapy
MH  - Heart Ventricles/*surgery
MH  - Heart-Assist Devices/*psychology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Compliance/*psychology
MH  - Psychometrics/*instrumentation
MH  - Reproducibility of Results
MH  - Self Care/*psychology
MH  - *Self Efficacy
MH  - Surveys and Questionnaires
MH  - United States
MH  - Young Adult
EDAT- 2015/06/25 06:00
MHDA- 2015/11/07 06:00
CRDT- 2015/06/25 06:00
PHST- 2015/06/25 06:00 [entrez]
PHST- 2015/06/25 06:00 [pubmed]
PHST- 2015/11/07 06:00 [medline]
AID - 10.7182/pit2015597 [doi]
PST - ppublish
SO  - Prog Transplant. 2015 Jun;25(2):107-15. doi: 10.7182/pit2015597.