Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot
Objective. This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes. Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chr...
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| Veröffentlicht in: | Investigación y educación en enfermería 2022-01, Vol.40 (2) |
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| creator | Herrera Guerra, Eugenia del Pilar Bautista Arellanos, Lili Rosa |
| description | Objective. This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes.
Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient.
Results. Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (???2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (???2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (???2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (???2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809).
Conclusions. The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population. |
| doi_str_mv | 10.17533/udea.iee.v40n2e06 |
| format | Article |
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Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient.
Results. Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (???2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (???2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (???2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (???2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809).
Conclusions. The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population.</description><identifier>ISSN: 0120-5307</identifier><identifier>ISSN: 2216-0280</identifier><identifier>EISSN: 2216-0280</identifier><identifier>DOI: 10.17533/udea.iee.v40n2e06</identifier><language>eng</language><publisher>Medellín: Universidad de Antioquía</publisher><subject>autocuidado ; care ; Chronic illnesses ; Diabetes ; diabetic foot ; Foot diseases ; nursing theory ; pie diabético ; prevención primaria ; prevenção primária ; primary prevention ; psicometria ; psicometría ; psychometry ; pé diabético ; Quantitative psychology ; self ; teoria de enfermagem ; teoría de enfermería ; Validation studies</subject><ispartof>Investigación y educación en enfermería, 2022-01, Vol.40 (2)</ispartof><rights>2022. This work is licensed under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,870,27901,27902</link.rule.ids></links><search><creatorcontrib>Herrera Guerra, Eugenia del Pilar</creatorcontrib><creatorcontrib>Bautista Arellanos, Lili Rosa</creatorcontrib><title>Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot</title><title>Investigación y educación en enfermería</title><description>Objective. This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes.
Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient.
Results. Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (???2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (???2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (???2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (???2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809).
Conclusions. The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population.</description><subject>autocuidado</subject><subject>care</subject><subject>Chronic illnesses</subject><subject>Diabetes</subject><subject>diabetic foot</subject><subject>Foot diseases</subject><subject>nursing theory</subject><subject>pie diabético</subject><subject>prevención primaria</subject><subject>prevenção primária</subject><subject>primary prevention</subject><subject>psicometria</subject><subject>psicometría</subject><subject>psychometry</subject><subject>pé diabético</subject><subject>Quantitative psychology</subject><subject>self</subject><subject>teoria de enfermagem</subject><subject>teoría de enfermería</subject><subject>Validation studies</subject><issn>0120-5307</issn><issn>2216-0280</issn><issn>2216-0280</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>FKZ</sourceid><recordid>eNo9kE1rHDEMhk1JoZs0fyAnQ86zle2xPQO5hHy0gUBLvq5GGWuCl4md2J6F_PtMuk0vkpBeSS8PY0cC1sJqpX7MnnAdiNbbFqIkMF_YSkphGpAd7LEVCAmNVmC_sf1SNgC6V2BW7PacSniKHKPnDzgFjzWkyNPIkd_SNDYDZuIXW5zm3eQqlprnZ4qV18T_ZNp-lOcBH6mGgV-mVL-zryNOhQ7_5QN2f3lxd_aruf798-rs9LoZpLR1caM0ovFayV557ccWEOVjqy2MarHdCYS-ta3otbeDB9N7pIE61UnTdUapA3ayu-sDTpGqe8nhGfObSxjcZ2-OIYe0QUfFnd7cAYAwQi9xWT_erb_k9DpTqW6T5hwXx07a3i4yI-2ikjvVkFMpmcb_XwS4v-zdB3u3sHef7NU7KAV5TA</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Herrera Guerra, Eugenia del Pilar</creator><creator>Bautista Arellanos, Lili Rosa</creator><general>Universidad de Antioquía</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>AGMXS</scope><scope>FKZ</scope></search><sort><creationdate>20220101</creationdate><title>Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot</title><author>Herrera Guerra, Eugenia del Pilar ; Bautista Arellanos, Lili Rosa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c227t-5335aa6d53293d5df40aa2b4570f302881a09474195d7cd069daece8382688633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>autocuidado</topic><topic>care</topic><topic>Chronic illnesses</topic><topic>Diabetes</topic><topic>diabetic foot</topic><topic>Foot diseases</topic><topic>nursing theory</topic><topic>pie diabético</topic><topic>prevención primaria</topic><topic>prevenção primária</topic><topic>primary prevention</topic><topic>psicometria</topic><topic>psicometría</topic><topic>psychometry</topic><topic>pé diabético</topic><topic>Quantitative psychology</topic><topic>self</topic><topic>teoria de enfermagem</topic><topic>teoría de enfermería</topic><topic>Validation studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrera Guerra, Eugenia del Pilar</creatorcontrib><creatorcontrib>Bautista Arellanos, Lili Rosa</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Latin America & Iberia Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Dialnet (Open Access Full Text)</collection><collection>Dialnet</collection><jtitle>Investigación y educación en enfermería</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herrera Guerra, Eugenia del Pilar</au><au>Bautista Arellanos, Lili Rosa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot</atitle><jtitle>Investigación y educación en enfermería</jtitle><date>2022-01-01</date><risdate>2022</risdate><volume>40</volume><issue>2</issue><issn>0120-5307</issn><issn>2216-0280</issn><eissn>2216-0280</eissn><abstract>Objective. This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes.
Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient.
Results. Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (???2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (???2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (???2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (???2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809).
Conclusions. The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population.</abstract><cop>Medellín</cop><pub>Universidad de Antioquía</pub><doi>10.17533/udea.iee.v40n2e06</doi><oa>free_for_read</oa></addata></record> |
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| subjects | autocuidado care Chronic illnesses Diabetes diabetic foot Foot diseases nursing theory pie diabético prevención primaria prevenção primária primary prevention psicometria psicometría psychometry pé diabético Quantitative psychology self teoria de enfermagem teoría de enfermería Validation studies |
| title | Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot |
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