The Validity and Reliability of the Indonesian Version of the Diabetes Mellitus Self-Efficacy Scale (DMSES-I)

Overview

Journal J Res Nurs

Publisher Sage Publications

Specialty Nursing

Date 2024 Dec 26

PMID 39722889

Authors

Theresia Titin Marlina

Haryani

Widyawati

Affiliations

Soon will be listed here.

Abstract

Background: The incidence of diabetes mellitus (DM) and its complications is increasing in Indonesia. The patient's quality of life will decrease due to this condition. Diabetes self-management is a viable tactic for improving quality of life and reducing blood sugar levels. A key element of diabetes self-management education for nurses and health professionals is self-efficacy. However, a valid and reliable scale to assess self-efficacy in Indonesia is necessary.

Aims: 'The Diabetes Mellitus Self-Efficacy Scale (DMSES)' is translated into Indonesian for the psychometric assessment of diabetes patients there.

Method: DMSES was translated into the Indonesian version (DMSES-I) using the forward-backward translation method. In addition, 227 adult patients with type 2 diabetes completed the scale which underwent internal consistency, construct validity and content validity tests.

Results: The item content validity and scale validity were 0.955 and 0.955, respectively. Exploratory factor analysis showed a Kaiser-Meyer-Olkin index of 0.922 and a Cronbach's alpha coefficient of 0.928. The confirmatory factor analysis results were chi-square = 76.610, probability = 0.009 and root mean square error of approximation (RMSEA) = 0.049.

Conclusion: To assess diabetes self-efficacy in Indonesia, the DMSES-I is a valid and reliable tool. To educate diabetes self-management effectively, nurses must assess their patients' diabetes self-efficacy.

References

Saad A, Younes Z, Ahmed H, Brown J, Al Owesie R, Hassoun A . Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Res Clin Pract. 2017; 137:28-36. DOI: 10.1016/j.diabres.2017.12.014. View

Jordan P, Spiess M . Rethinking the Interpretation of Item Discrimination and Factor Loadings. Educ Psychol Meas. 2019; 79(6):1103-1132. PMC: 6777065. DOI: 10.1177/0013164419843164. View

Messina R, Rucci P, Sturt J, Mancini T, Fantini M . Assessing self-efficacy in type 2 diabetes management: validation of the Italian version of the Diabetes Management Self-Efficacy Scale (IT-DMSES). Health Qual Life Outcomes. 2018; 16(1):71. PMC: 5914030. DOI: 10.1186/s12955-018-0901-3. View

DeVon H, Block M, Moyle-Wright P, Ernst D, Hayden S, Lazzara D . A psychometric toolbox for testing validity and reliability. J Nurs Scholarsh. 2007; 39(2):155-64. DOI: 10.1111/j.1547-5069.2007.00161.x. View

Beaton D, Bombardier C, Guillemin F, Ferraz M . Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25(24):3186-91. DOI: 10.1097/00007632-200012150-00014. View

Zhang A, Wang J, Wan X, Guo Z, Zhang Z, Zhao S . The mediating effect of self-efficacy on the relationship between diabetes self-management ability and patient activation in older adults with type 2 diabetes. Geriatr Nurs. 2023; 51:136-142. DOI: 10.1016/j.gerinurse.2023.02.017. View

Mogre V, Johnson N, Tzelepis F, Shaw J, Paul C . A systematic review of adherence to diabetes self-care behaviours: Evidence from low- and middle-income countries. J Adv Nurs. 2019; 75(12):3374-3389. DOI: 10.1111/jan.14190. View

Mankan T, Erci B, Bahcecioglu Turan G, Akturk U . Turkish validity and reliability of the Diabetes Self-Efficacy Scale. Int J Nurs Sci. 2019; 4(3):239-243. PMC: 6626172. DOI: 10.1016/j.ijnss.2017.05.001. View

Chen J, Tian Y, Yin M, Lin W, Tuersun Y, Li L . Relationship between self-efficacy and adherence to self-management and medication among patients with chronic diseases in China: A multicentre cross-sectional study. J Psychosom Res. 2022; 164:111105. DOI: 10.1016/j.jpsychores.2022.111105. View

10.

Bijl J . The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. J Adv Nurs. 1999; 30(2):352-9. DOI: 10.1046/j.1365-2648.1999.01077.x. View

11.

Hailu F, Moen A, Hjortdahl P . Diabetes Self-Management Education (DSME) - Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial. Diabetes Metab Syndr Obes. 2019; 12:2489-2499. PMC: 6890192. DOI: 10.2147/DMSO.S223123. View

12.

Lynn M . Determination and quantification of content validity. Nurs Res. 1986; 35(6):382-5. View

13.

Jing X, Chen J, Dong Y, Han D, Zhao H, Wang X . Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018; 16(1):189. PMC: 6147036. DOI: 10.1186/s12955-018-1021-9. View

14.

Moucheraud C, Lenz C, Latkovic M, Wirtz V . The costs of diabetes treatment in low- and middle-income countries: a systematic review. BMJ Glob Health. 2019; 4(1):e001258. PMC: 6407562. DOI: 10.1136/bmjgh-2018-001258. View

15.

Fappa E, Efthymiou V, Landis G, Rentoumis A, Doupis J . Validation of the Greek Version of the Diabetes Management Self-Efficacy Scale (GR-DMSES). Adv Ther. 2016; 33(1):82-95. PMC: 4735230. DOI: 10.1007/s12325-015-0278-1. View

16.

Sanchez de la Cruz J, Morales D, Gonzalez-Castro T, Tovilla-Zarate C, Juarez-Rojop I, Lopez-Narvaez L . Quality of life of Latin-American individuals with type 2 diabetes mellitus: A systematic review. Prim Care Diabetes. 2019; 14(4):317-334. DOI: 10.1016/j.pcd.2019.09.003. View

17.

Yao J, Wang H, Yin X, Yin J, Guo X, Sun Q . The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes. PLoS One. 2019; 14(11):e0224869. PMC: 6844544. DOI: 10.1371/journal.pone.0224869. View

18.

Riddle M, Herman W . The Cost of Diabetes Care-An Elephant in the Room. Diabetes Care. 2018; 41(5):929-932. DOI: 10.2337/dci18-0012. View

19.

Azami G, Soh K, Sazlina S, Salmiah M, Aazami S, Mozafari M . Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. J Diabetes Res. 2018; 2018:4930157. PMC: 6129337. DOI: 10.1155/2018/4930157. View

20.

Wu S, Courtney M, Edwards H, McDowell J, Shortridge-Baggett L, Chang P . Development and validation of the Chinese version of the Diabetes Management Self-efficacy Scale. Int J Nurs Stud. 2006; 45(4):534-42. DOI: 10.1016/j.ijnurstu.2006.08.020. View