Abstract
Objective:
To develop and psychometrically test the Self-Efficacy and Performance in Self-Management Support instrument for physiotherapists (SEPSS-PT), based on the SEPSS-36, the corresponding instrument for nurses.
Design:
Instrument development including content validation and psychometric evaluation (construct validity, factor structure, and reliability).
Setting:
Data were collected from literature, expertmeetings, and online questionnaire
Participants:
Next to a comprehensive literature study, experts (self-management experts (n=2); physiotherapists (n=10); patients (n=6)) and physiotherapists and physiotherapy students (n=334), participated in different stages of the study.
Interventions:
Not applicable.
Main Outcome Measures:
Not applicable. A literature study (n=42 reviews) and consultations with physiotherapists and patients identified the specific content for physiotherapy. The Five-A's model and overarching competencies of “supportive partnership attitude”, were used to structure the items. Psychometric evaluation of the draft questionnaire (40 items) was tested in a sample of 334 physiotherapists and physiotherapy students from the Netherlands, of whom 33 filled out the questionnaire twice to establish the test-retest reliability.
Results:
Confirmatory factor analyses revealed satisfactory fit indices for both the 6-factor model and hierarchical model, with best fit for the 6-factor model. The questionnaire discriminated between physiotherapists and physiotherapy students, and between physiotherapists who did or did not consider self-management support important. The overall internal consistency (Cronbach's alpha) was high, both for the self-efficacy and the performance items. In most of the subscales, test-retest intra-class correlation coefficients for both overall self-efficacy and performance were good, but in 3 subscales insufficient for performance.
Conclusion:
The SEPSS-PT questionnaire is a 40-item, Likert-scaled instrument with good content and construct validity, good internal consistency and reliability, and sufficient test-retest reliability. Future research in a larger and more diverse sample could confirm stability and discriminating power.
| Original language | English |
|---|---|
| Pages (from-to) | 49-58 |
| Number of pages | 10 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 105 |
| Issue number | 1 |
| Early online date | 27 Jun 2023 |
| DOIs | |
| Publication status | Published - Jan 2024 |
Bibliographical note
Funding Information:The study was supported by a postdoctoral grant from the Dutch Taskforce for Applied Research SIA (Regieorgaan SIA) , (file number: HBOPD.2018.03.016). This study was part of Vital Delta: Medical Delta's journey toward vitality and health, funded by Taskforce for Applied Research SIA and Medical Delta . The funders played no role in the design, conduct, or reporting of this study.
Publisher Copyright:
© 2023 The Authors