Multidimensionality of the PROMIS self-efficacy measure for managing chronic conditions.

Purpose: This study investigated the PROMIS Self-Efficacy Measure for Managing Chronic Conditions (PROMIS-SE) domain distributions and examined the factor structure of the PROMIS-SE.Methods: A total of 1087 individuals with chronic conditions participated in this study. PROMIS-SE's item banks and tw...

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Published in:Quality of Life Research Vol. 28; no. 6; pp. 1595 - 1604
Main Authors: Lee, Mi Jung, Romero, Sergio, Velozo, Craig A., Gruber-Baldini, Ann L., Shulman, Lisa M.
Format: Journal Article
Published: Springer Nature Jun2019
Online Access:View this record in EBSCOhost
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      dt: Jun2019
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      pub: Springer Nature
      place: New York, New York
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        136504675
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        NLM30806873
        10.1007/s11136-019-02116-w
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        atl: Multidimensionality of the PROMIS self-efficacy measure for managing chronic conditions.
      aug:
        au:
          Lee, Mi Jung
          Romero, Sergio
          Velozo, Craig A.
          Gruber-Baldini, Ann L.
          Shulman, Lisa M.
        affil: Department of Occupational Therapy, University of Florida, PO BOX 100164, 32610, Gainesville, FL, USA
      sug:
        subj:
          Chronic Disease Psychosocial Factors
          Quality of Life Psychosocial Factors
          Male
          Female
          Factor Analysis
          Self-Efficacy
          Middle Age
          Multidimensional Health Locus of Control Scales
          Questionnaires
          Scales
          Short Portable Mental Status Questionnaire
          Social Readjustment Rating Scale
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: This study investigated the PROMIS Self-Efficacy Measure for Managing Chronic Conditions (PROMIS-SE) domain distributions and examined the factor structure of the PROMIS-SE.Methods: A total of 1087 individuals with chronic conditions participated in this study. PROMIS-SE's item banks and two short forms (eight-item and four-item) measuring five behavioral domains (daily activities(DA), Emotions(EM), medications and treatments(MT), social interactions(SS), and Symptoms(SX)) were examined. PROMIS-SE's T-score ranges and distributions were examined to identify domain metric distributions and confirmatory factor analysis (CFA) was conducted to test a multidimensional model fit to the PROMIS-SE.Results: PROMIS-SE domains showed different T-score ranges and distributions for item banks and two short forms across all five domains. While PROMIS-SE EM demonstrated the highest T-scores (least negatively skewed), MT had the lowest T-scores (most negatively skewed) for all three forms. In general, respondents were more likely to achieve highest self-efficacy ratings (very confident) for domains DA, MT, and SS as compared to domains EM and SX. CFA confirmed that a multidimensional model adequately fit all three PROMIS-SE forms.Conclusion: Our results indicate that self-efficacy T-distributions are not consistent across domains (i.e., managing medications and treatments domain was more negatively skewed difficult than other domains), which is a requirement for making inter-domain comparisons. A multidimensional model could be used to enhance the PROMIS-SE's estimate accuracy and clinical utility.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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