Cross-Cultural Reliability of an Arabic Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale in Arab Patients with Diabetes mellitus |
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| Institution: | 1. Internal Medicine department, Alexandria University Student Hospital (AUSH), Egypt;2. Internal Medicine department, Faculty of Medicine, Alexandria University, Egypt;3. Psychiatry & Neurology department, Ibn Sina Hospital, Ministry of Health, Kuwait;4. Tropical Health department, High Institute of Public Health, Alexandria University, Egypt;1. Department of Gerontology, The People’s Hospital of LeShan, 614000 LeShan, China;2. Department of Endocrinology, The Affiliated Hospital of XiNan Medical University, 641400 Luzhou, China;1. Endocrinology and Nutrition Department, Ciudad Real University Hospital, Ciudad Real, Spain;2. Ciudad Real Medicine School, Castilla-La Mancha University, Ciudad Real, Spain;3. Córdoba Medicine School, Córdoba University, Córdoba, Spain;4. Translational Research Unit, Ciudad Real University Hospital, Ciudad Real, Spain;1. Department of Public Health, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran;2. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;3. Health Education Department, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;4. Department of Epidemiology and Biostatistics, Iranshahr University of Medical Sciences, Iranshahr, Iran;1. Department of Pharmacy Practice, Wayne State University, 259 Mack Avenue, Suite 2134, Detroit, MI, 48201, USA;2. Department of Learning Health Sciences, University of Michigan, 1111 E. Catherine Street, Ann Arbor, MI, 48109, USA;3. Department of Health Sciences, Wayne State University, 259 Mack Avenue, Suite 2212, Detroit, MI, 48201, USA;4. Department of Family Medicine, Michigan State University, 788 Service Road, B103 Clinical Center, East Lansing, MI, 48824, USA;1. Vascular Surgery Unit, Department of General Surgery, Faculty of Medicine, National University of Malaysia Medical Centre, 50603 Kuala Lumpur, Malaysia;2. Department of Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia;3. Department of Computer and Communication Systems Engineering, Faculty of Engineering, Universiti Putra Malaysia;1. Ohio Colleges of Medicine Government Resource Center, 150 Pressey Hall, 1070 Carmack Road, Columbus, OH 43210, United States;2. Ohio Department of Health, 246 N. High Street, Columbus, OH 43215, United States;3. Ohio State University Rardin Family Practice, The Ohio State University Wexner Medical Center, 2231 N. High St., Columbus, OH 43201, United States;4. Internal Medicine/Pediatrics at Grandview Yard, The Ohio State University Wexner Medical Center, 895 Yard Street, Columbus, OH 43212, United States |
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| Abstract: | IntroductionArab nations have the second highest diabetes mellitus (DM) prevalence in the world. There is a growing interest in self-management programs that emphasize patient’s central role in managing type 2 DM.Aim of the studyTo validate an Arabic version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SEM6S) among Arab type 2 DM patients and to explore factors associated with self-efficacy measured with the SEM6S.MethodsCross-sectional study on 302 Arab patients with T2DM of three different nationalities (Egyptian, Saudi, Kuwaiti).The SEM6S was translated using forward–backward method, and its reliability was determined by calculating Cronbach’s alpha. A regression model was used to examine variables associated with self-efficacy in Arab patients with T2DM.ResultsQuestionnaire was successfully translated without language or content-related problem. The mean age of participants was 47.71 ± 14.7 years with equally represented sexes. The mean total score of the SEM6S was 5.99 ± 1.86. The scale psychometric properties was reproducible (ICC = 0.61–0.71) with good reliability (Cronbach’s alpha = 0.79). Statistically significant increase in self-efficacy was observed in patients <30 years, uncomplicated DM, DM with hypertension, and in patients who had physical activity > 60 min per day. Also, a bimodal increase in self-efficacy was detected in patients with DM < 5 years and 10.1-15 years. After regression analysis, physical activity was significantly positively correlated with self-efficacy (β = 0.8, P = 0.01), and duration of diabetes was significantly negatively correlated with self-efficacy (β = -0.23, P = 0.03).ConclusionArabic SEM6S is acceptable, reliable and repeatable metric for self-efficacy. |
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| Keywords: | Diabetes mellitus self-efficacy Arabic |
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