Reduction of the Adult Epilepsy Self-Management Measure Instrument (AESMMI)

被引:1
作者
Escoffery, Cam [1 ,5 ]
Haardoerfer, Regine [1 ]
Bamps, Yvan [1 ]
McGee, Robin [1 ]
Geiger, Demetrius [2 ]
Quarells, Rakale C. [2 ]
Thompson, Nancy J. [1 ]
Patel, Archna [1 ]
Anderson, Molly [4 ]
LaFrance, W. Curt, Jr. [3 ]
机构
[1] Emory Univ, Rollins Sch Publ Hlth, 1518 Clifton Rd, Atlanta, GA 30322 USA
[2] Morehouse Sch Med, 720 Westview Dr SW, Atlanta, GA 30310 USA
[3] Brown Univ, Rhode Isl Hosp, 593 Eddy St,Potter 3, Providence, RI 02903 USA
[4] Boston Coll, 140 Commonwealth Ave, Chestnut Hill, MA 02467 USA
[5] Emory Univ, Rollins Sch Publ Hlth, Dept Behav Social & Hlth Educ Sci, 1518 Clifton Rd,5th Floor, Atlanta, GA 30322 USA
关键词
Epilepsy; Self-management; Behaviors; Adults; QUALITY-OF-LIFE; PEOPLE; EFFICACY;
D O I
10.1016/j.yebeh.2022.108692
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Managing one's own symptoms, medications, treatments, lifestyle, and psychological and social aspects of chronic disease is known as self-management. The Institute of Medicine has identified three categories of epilepsy self-management, including medication management, behavior management, and emotional support. Overall, there has been limited research of interventions measuring epilepsy self-management behaviors. The present study aimed to develop an abbreviated version of the full, previously published, Adult Epilepsy Self-Management Measurement Instrument (AESMMI) using confirmatory factor analysis. Data come from a cross-sectional survey of people with epilepsy. The sample included adults with epilepsy (n = 422), who reported that a clinician diagnosed them with epilepsy or a seizure disorder. We ran confirmatory factor analyses in testing the abbreviated scale. The scale was reduced using a theory-driven data-informed approach. The full AESMMI length was reduced by 40% (from 65 to 38 items) with an overall internal consistency of 0.912. The abbreviated AESMMI retained the 11 subdomains, with Cronbach's alphas from 0.535 to 0.878. This reduced item scale can be useful for assessing self-management behaviors for people with epilepsy or measuring outcomes in self-management research.(c) 2022 Elsevier Inc. All rights reserved.
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页数:6
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