Development and Validation of the 'Self-Efficacy in Dealing with Self-Harm Questionnaire' (SEDSHQ).

Clinicians find it challenging to engage with patients who engage in self-harm. Improving the self-efficacy of professionals who treat self-harm patients may be an important step toward accomplishing better treatment of self-harm. However, there is no instrument available that assesses the self-efficacy of clinicians dealing with self-harm. The aim of this study is to describe the development and validation of the Self-Efficacy in Dealing with Self-Harm Questionnaire (SEDSHQ). This study tests the questionnaire's feasibility, test-retest reliability, internal consistency, content validity, construct validity (factor analysis and convergent validity) and sensitivity to change. The Self-Efficacy in Dealing with Self-Harm Questionnaire is a 27-item instrument which has a 3-factor structure, as found in confirmatory factor analysis. Testing revealed high content validity, significant correlation with a subscale of the Attitude Towards Deliberate Self-Harm Questionnaire (ADSHQ), satisfactory test-retest correlation and a Cronbach's alpha of 0.95. Additionally, the questionnaire was able to measure significant changes after an intervention took place, indicating sensitivity to change. We conclude that the present study indicates that the Self-Efficacy in Dealing with Self-Harm Questionnaire is a valid and reliable instrument for assessing the level of self-efficacy in response to self-harm.

Adaptation and validation of the Diabetes Management Self-Efficacy Scale to Brazilian Portuguese.

OBJECTIVE:: to perform the cultural adaptation and validation of the Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus with a Brazilian population sample. METHOD:: cross-sectional methodological study in which the adaptation and validation process included the stages recommended in the literature. Construct validity and reliability were assessed with 200 adults with type 2 diabetes mellitus. RESULTS:: the items indicated by the panel of judges and by the target population were adjusted in the cultural adaptation to improve clarity and understanding. The instrument's four factors remained in the confirmatory factor analysis with factor loadings of items greater than 0.30, except for factor 4; convergent validity, verified by the multitrait-multimethod analysis, presented inter-item correlations from 0.37 to 0.92, while for discriminant validity, 100% of the items presented greater correlation in their own factors. Cronbach's coefficient alpha for the total scale was 0.78, ranging from 0.57 to 0.86 among factors. CONCLUSION:: semantic, cultural, conceptual and idiomatic equivalences were achieved and the instrument's Brazilian version also presented psychometric properties that showed evidence of reliability and validity. Thus, it can be applied both in clinical practice and research. Self-efficacy is useful for planning and assessing educational interventions, as well as predicting behavior modification in self-care.

Adaptation and validation of the Diabetes Management Self-Efficacy Scale to Brazilian Portuguese / Adaptação e validação da Diabetes Management Self-efficacy Scale para a língua portuguesa do Brasil / Adaptación y validación de la Diabetes Management Self-efficacy Scale para el idioma portugués de Brasil

Objective: to perform the cultural adaptation and validation of the Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus with a Brazilian population sample. Method: cross-sectional methodological study in which the adaptation and validation process included the stages recommended in the literature. Construct validity and reliability were assessed with 200 adults with type 2 diabetes mellitus. Results: the items indicated by the panel of judges and by the target population were adjusted in the cultural adaptation to improve clarity and understanding. The instrument's four factors remained in the confirmatory factor analysis with factor loadings of items greater than 0.30, except for factor 4; convergent validity, verified by the multitrait-multimethod analysis, presented inter-item correlations from 0.37 to 0.92, while for discriminant validity, 100% of the items presented greater correlation in their own factors. Cronbach's coefficient alpha for the total scale was 0.78, ranging from 0.57 to 0.86 among factors. Conclusion: semantic, cultural, conceptual and idiomatic equivalences were achieved and the instrument's Brazilian version also presented psychometric properties that showed evidence of reliability and validity. Thus, it can be applied both in clinical practice and research. Self-efficacy is useful for planning and assessing educational interventions, as well as predicting behavior modification in self-care.

Objetivo: realizar a adaptação cultural e validação da Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus para uma amostra populacional brasileira. Método: estudo metodológico transversal, cujo processo de adaptação e validação incluiu as etapas preconizadas pela literatura. A validade de construto e a confiabilidade foram avaliadas em 200 adultos com diabetes mellitus tipo 2. Resultados: na adaptação cultural, foram ajustados itens indicados pelo Comitê de Juízes e pela população alvo, para maior clareza e compreensão. Na análise fatorial confirmatória manteve-se os quatro fatores, com cargas fatoriais dos itens superiores a 0,30, exceto para o fator 4; a análise multitraço-multimétodo mostrou para a validade convergente, correlações inter-itens de 0,37 a 0,92, e para a discriminante, que 100% dos itens obtiveram maior valor de correlação em seu próprio fator. O coeficiente alfa de Cronbach para a escala total foi de 0,78, com variação de 0,57 a 0,86 entre os fatores. Conclusão: as equivalências semântica, cultural, conceitual e idiomática foram mantidas, e as propriedades psicométricas mostraram evidências de confiabilidade e de validade da versão brasileira do instrumento, portanto, poderá ter aplicação clínica e em pesquisas. A autoeficácia é útil para planejar e avaliar intervenções educativas e predizer mudanças comportamentais para o cuidado.

Objetivo: realizar la adaptación cultural y validación de la Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus en una muestra poblacional brasileña. Método: estudio metodológico transversal, cuyo proceso de adaptación y validación incluyó las etapas preconizadas por la literatura. La validez de constructo y la confiabilidad fueron evaluadas en 200 adultos con diabetes mellitus tipo 2. Resultados: para mayor clareza y comprensión, en la adaptación cultural fueron ajustados los ítems indicados por el Comité de Jueces y por la población objetivo. En el análisis factorial confirmatorio se mantuvieron los cuatro factores, con cargas factoriales de los ítems superiores a 0,30, excepto para el factor 4; el análisis multirrasgo y multimétodo mostró para la validez convergente, correlaciones entre ítems de 0,37 a 0,92, y en el caso del discriminante que 100% de los ítems obtuvieron mayor valor de correlación en su propio factor. El coeficiente alfa de Cronbach para la escala total fue de 0,78, con variación de 0,57 a 0,86 entre los factores. Conclusión: las equivalencias semántica, cultural, conceptual e idiomática fueron mantenidas; las propiedades psicométricas mostraron evidencias de confiabilidad y de validez en la versión brasileña del instrumento; por tanto, la adaptación podrá tener aplicación en la clínica e investigaciones. La autoeficacia es útil para planificar y evaluar intervenciones educativas y predecir cambios comportamentales para el cuidado.