%0 Journal Article
%T Validation of a Chinese Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale in Patients with Hypertension in Primary Care
%A Huanhuan Hu
%A Gang Li
%A Takashi Arao
%J ISRN Public Health
%D 2013
%R 10.1155/2013/298986
%X The aim of this study was to validate a Chinese version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6C). In 2012, a cross-sectional study was conducted in a community clinic, in Beijing, China. A total of 262 hypertension patients participated in this study. Concurrent validity was validated by Pearson¡¯s correlations between the SES6C and Hospital Anxiety and Depression Scale (HADS). Intraclass correlation coefficients (ICC) were performed to evaluate test-retest reliability of the scale. Related factors of self-efficacy were explored in linear regression models. The results of our study display acceptable psychometric properties: the scale was two-dimensional, reproducible (ICC = 0.78; 95% CI, 0.70¨C0.84), and the reliability was good (Cronbach¡¯s alpha = 0.88). Significant ( ; ) correlation was found between the level of self-efficacy and the level of psychological distress. In multivariable analysis, the factors significantly associated with self-efficacy were regular exercise ( , ), HADS total score ( , ) and health status ( , ). The study provides evidence that the SES6C is acceptable, valid and repeatable for hypertension patients. 1. Introduction Hypertension management requires the individual to perform varying forms of self-care behaviors, according to the recommendations of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7) [1]. Self-efficacy, a widely used psychological concept, has been recognized as an essential prerequisite of effective self-care of chronic disease [2¨C4]. Several studies have underlined the association between self-efficacy and chronic disease self-care among hypertension, diabetes, and arthritis [5¨C7]. In a study by Warren-Findlow and colleagues [8], hypertension self-efficacy is strongly associated with adherence to five of the six JNC7 recommended self-care behaviors. In China, the prevalence of hypertension in adults may reach to 25% in recent years according to reports from various provinces [9¨C11]. However, low prevalence rate of self-care engagement among hypertension patients was reported in China [12]. Measuring the self-efficacy for self-care behaviors in hypertension patients is an important step towards improving hypertension control in individual or population level. The information gained from measurement of self-efficacy can help physicians or public health professionals to identify low self-efficacy patients and implement suitable interventions. Thus, there is a need for a measure which could be used as a screening method both
%U http://www.hindawi.com/journals/isrn.public.health/2013/298986/