Psychometric Validation of the Self-Efficacy for Restricting Dietary Salt in Hemodialysis Scale

Clark-Cutaia, Maya N.; Ren, Dianxu; Hoffman, Leslie A.; Snetselaar, Linda; Sevick, Mary Ann

doi:10.1097/01.tin.0000437407.76867.65

Cited by 14 publications

(9 citation statements)

References 34 publications

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“…Dietary self-efficacy was analyzed at baseline using an investigator-developed 15-item survey. 23 For this report, dietary self-efficacy was calculated as the unweighted sum of 7 items regarding confidence to follow dietary sodium restriction. Using an 11-point Visual Numeric Scale with responses ranging from 0 (not confident at all) to 100 (very confident), participants were asked to indicate their level of confidence that, in the next month, they would be able to limit sodium intake, avoid canned food, avoid table salt, limit processed meat, read food labels for sodium information, limit salty food, and limit fast food.…”

Section: Methodsmentioning

confidence: 99%

Determinants and the Role of Self-Efficacy in a Sodium-Reduction Trial in Hemodialysis Patients

St-Jules

Popp

et al. 2019

Journal of Renal Nutrition

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Objective: To assess the impact of baseline dietary self-efficacy on the effect of a dietary intervention to reduce sodium intake in hemodialysis (HD) patients, and identify determinants of low dietary self-efficacy.Design: Post-hoc analysis of the BalanceWise study, a randomized controlled trial that aimed to reduce dietary sodium intake in HD patients Setting: 17 dialysis centers in Pennsylvania Subjects: 151 HD patients Main Outcome Measures: Dietary self-efficacy and reported dietary sodium density Analysis: ANOVA with post-hoc group-wise comparison was used to examine the effect of baseline dietary self-efficacy on changes in reported sodium density in the intervention and control groups at 8-and 16-weeks. Chi square or independent t-tests or Wilcoxon rank sum tests were used to identify determinants of low dietary self-efficacy. Results:The interaction between dietary self-efficacy and impact of the intervention on changes in reported dietary sodium density approached significance at 8-and 16-weeks (p-int = 0.051 and

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Section: Methodsmentioning

confidence: 99%

Determinants and the Role of Self-Efficacy in a Sodium-Reduction Trial in Hemodialysis Patients

St-Jules

Popp

et al. 2019

Journal of Renal Nutrition

Self Cite

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“…In the first section measuring women’s nutritional knowledge was regarding the relationship between high salt intake and diseases. Each correct response received the score of 1 [46]. The other question was related to the presence of someone in the family who had limitations on salt intake.…”

Section: Methodsmentioning

confidence: 99%

Readiness for behavioral change of discretionary salt intake among women in Tehran, Iran

Kholdi

Pouraram²,

Pirasteh

et al. 2018

Preprint

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14Background 15 It is vitally important to take into consideration women's role in dietary pattern choice and family 16 food management. Since women's readiness for dietary behavioral change can be one of the most 17 effective fundamental measures for preventing chronic diseases in developing countries, the 18 present study is aimed to determine the readiness for behavioral change in voluntary salt intake as 19 well as its determinants among women living in Tehran. 20Materials and methods 21 The present cross-sectional study was conducted on 561 women referring to the women care units 22 across city of Tehran. In this regard, demographic information of the participants was collected. 23The self-administered questionnaire included assessment of nutrition-related knowledge on salt 24 intake and its association with diseases, discretionary salt intake, stages of change, and self-25 efficacy of women. In addition, the logistic regression test was used to determine the predictors of 26 women's readiness for behavioral change in voluntary salt intake. 27 Results 2840% women had someone in the family who had such a limitation (salt intake-limited exposure 29 group), while 81.6% always or often added salt to their foods. Moreover, one-third of the 2 30 participants were in the stage of pre-contemplation and 41.2% were in the stage of preparation for 31 reducing salt intake. Stage of change increased with an increase in the self-efficacy score (r=0.42, 32 p<0.001). Self-efficacy and salt intake-limited exposure were the two most important determinants 33 of the women's readiness for behavioral change in voluntary salt intake, respectively: (OR=1.1 34 95% CI: 1.06-1.14 p<0.001; OR=1.58, 95% CI: 1.03-2.42 p<0.038) 35 Conclusions 36Results of the present study showed that increased self-efficacy is associated with higher levels 37 of behavioral change among women. Since self-efficacy is very important for initiating and 38 maintaining the behavioral change, women's empowerment for reducing salt intake necessitates 39 putting the emphasis on increased self-efficacy as well as community-based nutritional 40 interventions. 41 42 43 44 45 46 47 48 49 50 51 52 53 54 3 55 Introduction 56 57 Behavior change is a process which occurs in individuals with different levels of motivation and 58 readiness for change [1-3]. Changing health-related behaviors can significantly affect some of the 59 most important causes of death and diseases. Behavior plays a pivotal role in health. Evidence 60 suggests that different behavioral patterns are deeply rooted in sociocultural conditions and depend 61 on cultural background. Currently, behavior change interventions have a high potential for 62 changing the current pattern of diseases. It is difficult to change the genetic pre disposition to 63 diseases and social conditions, at least in the short term [4]. 64 Studies which assess individuals' readiness to change health behaviors reveal that over one-third 65 of people are at the pre-contemplation stage and few (8-14%) at the preparation...

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“…Self-efficacy is a well-established construct of Social Cognitive Theory, and refers to an individual's confidence that he or she can successfully engage in a specific behavior or achieve a desired goal [7]. Participant self-efficacy is a strong predictor of engagement in self-management strategies for managing chronic diseases [8][9][10][11][12][13][14]. Self-efficacy theory posits that an individual's belief in his or her own ability to engage in behavior change is a strong determinant of actual behavior change.…”

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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Psychometric Validation of the Self-Efficacy for Restricting Dietary Salt in Hemodialysis Scale

Cited by 14 publications

References 34 publications

Determinants and the Role of Self-Efficacy in a Sodium-Reduction Trial in Hemodialysis Patients

Determinants and the Role of Self-Efficacy in a Sodium-Reduction Trial in Hemodialysis Patients

Readiness for behavioral change of discretionary salt intake among women in Tehran, Iran

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

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