Lee Jiyeon, Lee Eun-Hyun, Chae Duckhee
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
Graduate School of Public Health, Ajou University, Suwon, Republic of Korea.
J Adv Nurs. 2020 Aug;76(8):2046-2059. doi: 10.1111/jan.14411. Epub 2020 Jun 12.
To identify currently available self-efficacy instruments for type 2 diabetes self-care and to evaluate the evidence for their measurement properties.
Systematic review of measurement properties.
The PubMed, Embase and CINAHL databases were searched from their inception to 27 May 2019.
The updated COnsensus-based Standards for the selection of health Measurement INstruments methodology were applied.
Twelve instruments were identified from 3,665 records. Eight instruments were related to self-efficacy in performing a comprehensive set of the tasks/behaviours for diabetes self-care and the other four addressed specific behaviours related to diabetes self-care, such as insulin management. Most of the 12 instruments were developed based on Bandura's self-efficacy theory as their theoretical background. Overall, sufficient high-quality evidence for measurement properties was seldom identified. The Diabetes Management Self-Efficacy Scale is currently the best instrument, with particularly the 4-factor, 16-item version being demonstrated to have sufficient high-quality evidence for structural and internal consistency and sufficient moderate-quality evidence for reliability and convergent validity.
None of the instruments evaluated all of the relevant measurement properties. The Diabetes Management Self-Efficacy Scale is currently the most suitable instrument for potential use in practice and research. The measurement invariance across languages, measurement error and responsiveness of this instrument still need be evaluated.
This systematic review provides clinicians and researchers with a comprehensive list of available instruments for measuring self-efficacy in diabetes self-care, as well as evidence for helping them to select the most appropriate instrument. Using a psychometrically sound instrument will accurately inform practitioners about the levels of self-efficacy in self-care among patients with type 2 diabetes in practice and avoid threatening the credibility of research studies on self-efficacy in diabetes self-care.
识别目前可用于2型糖尿病自我管理的自我效能工具，并评估其测量属性的证据。
对测量属性的系统评价。
检索PubMed、Embase和CINAHL数据库，检索时间从建库至2019年5月27日。
应用更新后的基于共识的健康测量工具选择标准方法。
从3665条记录中识别出12种工具。8种工具与执行一整套糖尿病自我管理任务/行为的自我效能相关，另外4种针对与糖尿病自我管理相关的特定行为，如胰岛素管理。这12种工具中的大多数是以班杜拉的自我效能理论为理论背景开发的。总体而言，很少能找到关于测量属性的充分高质量证据。糖尿病管理自我效能量表目前是最佳工具，尤其是4因素、16项版本，已被证明具有关于结构和内部一致性的充分高质量证据，以及关于信度和收敛效度的充分中等质量证据。
所评估的工具均未涵盖所有相关测量属性。糖尿病管理自我效能量表目前是实践和研究中最适合潜在使用的工具。该工具在不同语言间的测量不变性、测量误差和反应性仍有待评估。
本系统评价为临床医生和研究人员提供了一份全面的可用于测量糖尿病自我管理自我效能的工具清单，以及帮助他们选择最合适工具的证据。使用心理测量学上合理的工具将在实践中准确告知从业者2型糖尿病患者自我管理中的自我效能水平，并避免危及糖尿病自我管理自我效能研究的可信度。
