The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument

Regina van Zanten; Monique van Dijk; Ann Van Hecke; Veerle Duprez; Coby Annema; Anne Loes van Staa; Janet M.J. Been – Dahmen; Annelies E. de Weerd; Louise Maasdam; Marleen van Buren; Erwin Ista; Emma K. Massey

doi:10.1016/j.pec.2023.107924

The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument

Regina van Zanten, Monique van Dijk, Ann Van Hecke, Veerle Duprez, Coby Annema, Anne Loes van Staa, Janet M.J. Been – Dahmen, Annelies E. de Weerd, Louise Maasdam, Marleen van Buren, Erwin Ista, Emma K. Massey^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Objective: To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties. Methods: The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ). Results: After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: ‘Setbacks’ and ‘Successes’. Conclusions: The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well. Practice implications: Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.

Original language	English
Article number	107924
Journal	Patient Education and Counseling
Volume	115
DOIs	https://doi.org/10.1016/j.pec.2023.107924
Publication status	Published - Oct 2023

Bibliographical note

Funding Information:
This is an investigator-initiated study funded by Chiesi Pharmaceuticals B.V. the Netherlands, as the local representative of the marketing authorisation holder Chiesi Farmaceutici S.p.A. of LCPT. The funding body did not play any role in the design of the study, data collection, analysis or interpretation of the data, or writing of the manuscript.

Publisher Copyright: © 2023 The Authors

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1-s2.0-S073839912300304X-mainFinal published version, 799 KBLicence: CC BY

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van Zanten, R., van Dijk, M., Van Hecke, A., Duprez, V., Annema, C., van Staa, A. L., Been – Dahmen, J. M. J., de Weerd, A. E., Maasdam, L., van Buren, M., Ista, E., & Massey, E. K. (2023). The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument. Patient Education and Counseling, 115, Article 107924. https://doi.org/10.1016/j.pec.2023.107924

@article{fa8ad94677da4341afe33c8995284c5b,

title = "The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument",

abstract = "Objective: To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties. Methods: The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ). Results: After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: {\textquoteleft}Setbacks{\textquoteright} and {\textquoteleft}Successes{\textquoteright}. Conclusions: The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well. Practice implications: Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.",

author = "{van Zanten}, Regina and {van Dijk}, Monique and {Van Hecke}, Ann and Veerle Duprez and Coby Annema and {van Staa}, {Anne Loes} and {Been – Dahmen}, {Janet M.J.} and {de Weerd}, {Annelies E.} and Louise Maasdam and {van Buren}, Marleen and Erwin Ista and Massey, {Emma K.}",

note = "Funding Information: This is an investigator-initiated study funded by Chiesi Pharmaceuticals B.V. the Netherlands, as the local representative of the marketing authorisation holder Chiesi Farmaceutici S.p.A. of LCPT. The funding body did not play any role in the design of the study, data collection, analysis or interpretation of the data, or writing of the manuscript. Publisher Copyright: {\textcopyright} 2023 The Authors",

year = "2023",

month = oct,

doi = "10.1016/j.pec.2023.107924",

language = "English",

volume = "115",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

}

van Zanten, R , van Dijk, M, Van Hecke, A, Duprez, V, Annema, C, van Staa, AL, Been – Dahmen, JMJ, de Weerd, AE, Maasdam, L, van Buren, M , Ista, E & Massey, EK 2023, 'The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument', Patient Education and Counseling, vol. 115, 107924. https://doi.org/10.1016/j.pec.2023.107924

TY - JOUR

T1 - The self-regulation skills instrument in transplantation (SSIt)

T2 - Development and measurement properties of a self-report self-management instrument

AU - van Zanten, Regina

AU - van Dijk, Monique

AU - Van Hecke, Ann

AU - Duprez, Veerle

AU - Annema, Coby

AU - van Staa, Anne Loes

AU - Been – Dahmen, Janet M.J.

AU - de Weerd, Annelies E.

AU - Maasdam, Louise

AU - van Buren, Marleen

AU - Ista, Erwin

AU - Massey, Emma K.

N1 - Funding Information: This is an investigator-initiated study funded by Chiesi Pharmaceuticals B.V. the Netherlands, as the local representative of the marketing authorisation holder Chiesi Farmaceutici S.p.A. of LCPT. The funding body did not play any role in the design of the study, data collection, analysis or interpretation of the data, or writing of the manuscript. Publisher Copyright: © 2023 The Authors

PY - 2023/10

Y1 - 2023/10

N2 - Objective: To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties. Methods: The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ). Results: After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: ‘Setbacks’ and ‘Successes’. Conclusions: The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well. Practice implications: Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.

AB - Objective: To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties. Methods: The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ). Results: After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: ‘Setbacks’ and ‘Successes’. Conclusions: The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well. Practice implications: Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.

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U2 - 10.1016/j.pec.2023.107924

DO - 10.1016/j.pec.2023.107924

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C2 - 37516027

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SN - 0738-3991

VL - 115

JO - Patient Education and Counseling

JF - Patient Education and Counseling

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ER -

The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument

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