Behzadi Soudabeh, Yektatalab Shahrzad, Momen Nasab Marzieh, Shaygan Maryam, Zareian Armin, Rabbani Zeinab
Department of Nursing, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran.
Department of Mental Health and Psychiatric Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Nurs Midwifery Res. 2025 Sep 11;30(5):653-660. doi: 10.4103/ijnmr.ijnmr_344_23. eCollection 2025 Sep-Oct.
Self-efficacy of care is based on health-promoting behaviors that are formed through dealing with disease conditions and the ability to treatment adherence and management of complications. This study was conducted to design and validate an assessment tool for adolescents with mental disorders.
This study employed a mixed-methods approach to develop a questionnaire aimed at measuring self-efficacy of care among adolescents with mental disorders. Content validity was assessed using both qualitative and quantitative methods, while exploratory and confirmatory factor analyses, convergent validity, and reliability were evaluated through quantitative approaches. Participants, including nurses, psychologists, and adolescent patients, were selected through convenience sampling. The data was analysed using SPSS (version 25.0, Chicago: SPSS Inc.) and LISREL (version 8.72, Jöreskog and Sörbom, 2005) software.
Initially, an item pool consisting of 87 items was generated based on findings from the original research. Following face and content validation, and subsequent exploratory factor analysis, 28 items across four factors were identified: "health information seeking behavior", "adaptation of life to disease conditions and treatment", "adaptive coping", and "social self-care". The factorial structure of the questionnaire was confirmed through confirmatory factor analysis. Convergent validity, assessed using the General Self-Efficacy Scale, was positive and statistically significant ( < 0.01). The reliability of the questionnaire was high, with a Cronbach's alpha coefficient of α =0.93. Test-retest reliability also confirmed the instrument's stability ( = 0.92). Finally, all indicators specified in the COSMIN checklist were confirmed.
The questionnaire demonstrated strong internal consistency and confirmed construct validity. Therefore, this instrument can be reliably used in both clinical and research practices.
照护自我效能基于通过应对疾病状况形成的健康促进行为以及治疗依从性和并发症管理能力。本研究旨在设计并验证一种针对精神障碍青少年的评估工具。
本研究采用混合方法来开发一份旨在测量精神障碍青少年照护自我效能的问卷。内容效度通过定性和定量方法进行评估，而探索性和验证性因素分析、收敛效度和信度则通过定量方法进行评估。通过便利抽样选取了包括护士、心理学家和青少年患者在内的参与者。使用SPSS（版本25.0，芝加哥：SPSS公司）和LISREL（版本8.72，约雷斯克和索伯恩，2005）软件对数据进行分析。
最初，根据原始研究结果生成了一个由87个项目组成的项目池。经过表面效度和内容效度验证以及随后的探索性因素分析，确定了四个因素中的28个项目：“健康信息寻求行为”、“生活适应疾病状况和治疗”、“适应性应对”和“社会自我照护”。问卷的因子结构通过验证性因素分析得到确认。使用一般自我效能量表评估的收敛效度为正且具有统计学意义（<0.01）。问卷的信度较高，Cronbach's alpha系数α = 0.93。重测信度也证实了该工具的稳定性（= 0.92）。最后，确认了COSMIN清单中规定的所有指标。
该问卷显示出很强的内部一致性并确认了结构效度。因此，该工具可可靠地用于临床和研究实践。
