Instruments to assess self‐efficacy among people with cardiovascular disease: A COSMIN systematic review

Kavradım, Selma Turan; Yangöz, Şefika Tuğba; Özer, Zeynep; Boz, İlkay

doi:10.1111/ijcp.13606

Cited by 3 publications

(10 citation statements)

References 55 publications

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“…The BEES, CSES, SEAMS, and CMSES were categorized as level B, suggesting they may be recommended for use when assessing the target population. A systematic review performed by Kavradim et al (2020) [ 50 ] focusing solely on self-efficacy instruments for cardiac purposes in general population with cardiovascular diseases found similar results which corroborates with our findings to the CSES and CMSES. Another review performed by Lamarche, Tejpal, and Mangin (2018) [ 51 ] assessing self-efficacy instruments in medication management found that SEAMS instrument [ 33 ] is the most appropriate self-efficacy scale.…”

Section: Discussionsupporting

confidence: 92%

“…It was observed that the majority of studies presented inconsistent data on the assessed items [ 8 , 31 , 33 , 34 , 36 , 38 – 44 , 46 – 48 ]. These results are similar with the review by Kavradim et al (2020), which classified CSES with high quality and CMSES with low quality for validity content [ 50 ].…”

Section: Discussionsupporting

confidence: 91%

“…However, such data were not found in some instruments [ 31 , 32 , 34 , 38 ], leading to their downgraded classifications. The CSES and CMSES instruments demonstrated high quality for structural validity, consistent with the review by Kavradim et al (2020) [ 50 ]. It was also observed divergence in dimensions and item numbers between the different versions of CSES [ 12 , 13 , 35 , 42 , 45 ] and ESE [ 37 , 41 , 43 ].…”

Section: Discussionsupporting

confidence: 84%

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Self-efficacy measurement instruments for individuals with coronary artery disease: A systematic review

Almeida,

Florêncio,

Leite

et al. 2024

PLoS ONE

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Introduction Over the past decade, there has been a heightened interest in evaluating self-efficacy among patients with coronary artery disease (CAD). A significant number of instruments have been developed and validated, yet the need remains to assess the quality of their studies and their properties. Objectives To evaluate the measurement properties and link the content extracted from self-efficacy instrument items for individuals with CAD to the International Classification of Functioning, Disability, and Health (ICF). Methodology The study was conducted following the Cochrane systematic review guidelines and COnsensus norms for Selection of health Measuring INstruments (COSMIN), registered under CRD42021262613. The search was carried out on MEDLINE (Ovid), Web of Science, EMBASE, and PsycINFO, including studies involving the development and validation of self-efficacy instruments for individuals with CAD, without language or date restrictions. Data extraction was performed in May 2022 and updated in January 2023 and all the steps of this review were carried out by two different collaborators and reviewed by a third when there were divergences. Modified Grading of Recommendations, Assessment, Development and Evaluation (GRADE) recommended by COSMIN was used to determine the quality of evidence as high, moderate, low, or very low. Instrument categorization was carried out per COSMIN recommendations, according to the construct of interest and study population into three categories (A, B, or C). Results A total of 21 studies from 12 instruments were identified. The best-rated instruments received a recommendation of B, which means, additional validation studies are needed. Barnason Efficacy Expectation Scale (BEES) showed high-quality evidence for structural, construct, criterion, and internal consistency validity; Cardiac Self-Efficacy Scale (CSES) demonstrated high quality for content, structural, cross-cultural validity, and internal consistency; Self-efficacy for Appropriate Medication Use (SEAMS) achieved a high level for structural, criterion, and internal consistency validity; Cardiovascular Management Self-Efficacy Scale exhibited high-level validity for structural, criterion, construct, and internal consistency. The CSES showed content linkage with all domains of the ICF, as well as the highest number of linkages with the categories. Conclusions Instruments with a B-level recommendation hold potential for use. More studies assessing measurement properties are needed to reinforce or improve these recommendations. The CSES stands out as the most comprehensive instrument concerning the ICF.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Self-efficacy measurement instruments for individuals with coronary artery disease: A systematic review

Almeida,

Florêncio,

Leite

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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“…The mean (standard deviation) for the DSE subscale was 18.41 (4.94), for ESE 20.09 (5.27), and for MSE 19.85 (3.49). The median (lower quartile, upper quartile) for the DSE subscale was 18 (15,21), ESE 20 (16,24), and MSE 20 (18,22). In general, MSE scores were relatively high with the greatest consistency, while DSE and ESE scores were lower with greater variability relative to MSE.…”

Section: Resultsmentioning

confidence: 97%

“…Two widely used validated instruments, the MASES (Medication Adherence Self-Efficacy Scale) and the HBP SCP (High Blood Pressure Self-Care Profile), do measure self-efficacy in hypertension; however, these instruments are limited to medication self-efficacy and were validated in primarily African-American participants [10,12]. A recent meta-analysis describes nine independently validated hypertension self-efficacy instruments [21]. Unfortunately, none encompass the modifiable behaviors of diet, exercise, and medication adherence that are crucial to managing hypertension.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of a short self-efficacy instrument for hypertension treatment adherence among adults with uncontrolled hypertension

Zhao

Rodriguez

Wang

et al. 2021

Patient Education and Counseling

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To establish the reliability and validity of a self-report measure designed to assess self-efficacy for hypertension treatment adherence. Methods: This investigation was embedded within a six-month randomized clinical trial (RCT), which demonstrated that a tailored, stage-matched intervention was more effective at improving hypertension control than usual care among individuals (n = 533) with repeated uncontrolled hypertension. The instrument used to assess self-efficacy for hypertension treatment adherence (SE-HTA) comprised three subscales that assessed diet self-efficacy (DSE), exercise self-efficacy (ESE), and medication self-efficacy (MSE). To determine SE-HTA validity and reliability, we assessed internal consistency using Cronbach's α coefficients, conducted exploratory factor analysis, and evaluated convergent and discriminant validity, as well as test-retest reliability using Spearman's r correlation coefficients. Results: Cronbach's α (internal consistency) values for DSE, ESE, and MSE were 0.81, 0.82 and 0.74. Factor analysis and the scree plot demonstrated three distinct factors, which correspond to the three subscales contained in the SE-HTA instrument. SE-HTA possessed good convergent and discriminant validity, and moderate test-retest reliability. Conclusion: The SE-HTA instrument containing diet, exercise, and medication adherence subscales is valid and reliable in adults with uncontrolled hypertension. Practice implications: This SE-HTA instrument measures self-efficacy and could help facilitate behavior change in hypertension.

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Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator

Chen,

Chou,

Lien

et al. 2024

PLoS ONE

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Background Insufficient exercise affects the health of patients who have implantable cardioverter defibrillators (ICD). The purpose of this study was to investigate the correlations between exercise self-efficacy (ESE) and its associated psychological factors in ICD recipients. Methods This cross-sectional study included individuals who had undergone ICD implantation at the cardiology department of a medical centre in Taiwan. A face-to-face survey was conducted. The survey questionnaire included questions regarding the participants’ demographics, perceived health (PH), ICD shock–related anxiety (ICD-SRA), self-care self-efficacy (SSE), perceived exercise benefit (PE-benefit), perceived exercise barrier (PE-barrier), and ESE. Data were analysed using SPSS 20.0 Software. Stepwise multiple regression analyses were also performed to evaluate the predictive effects of the aforementioned factors on ESE. Results A total of 52 ICD recipients were enrolled. ESE was negatively correlated with ICD-SRA (r = −0.511; p < 0.01) and PE-barrier (r = −0.563; p < 0.01), but positively correlated with SSE (r = 0.339; p < 0.05) and PE-benefit (r = 0.464; p < 0.01). The stepwise multiple regression analysis revealed that PE-barrier, PE-benefit, and ICD-SRA effectively predicted ESE in the participants. Conclusions ESE may be improved by overcoming PE-barrier, ICD-SRA and enhancing PE-benefit. Consequently, improving ESE may enhance the health benefits of exercise.

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Instruments to assess self‐efficacy among people with cardiovascular disease: A COSMIN systematic review

Cited by 3 publications

References 55 publications

Self-efficacy measurement instruments for individuals with coronary artery disease: A systematic review

Self-efficacy measurement instruments for individuals with coronary artery disease: A systematic review

Validity and reliability of a short self-efficacy instrument for hypertension treatment adherence among adults with uncontrolled hypertension

Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator

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