Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-1-31
pubmed:abstractText
Medication nonadherence remains a significant obstacle to achieving improved health outcomes in patients with chronic disease. Self-efficacy, the confidence in one's ability to perform a given task such as taking one's medications, is an important determinant of medication adherence, indicating the need for reliable and valid tools for measuring this construct. This study sought to develop a self-efficacy scale for medication adherence in chronic disease management that can be used in patients with a broad range of literacy skills. The Self-efficacy for Appropriate Medication Use (SEAMS) was developed by a multidisciplinary team with expertise in medication adherence and health literacy. Its psychometric properties were evaluated among 436 patients with coronary heart disease and other comorbid conditions. Reliability was evaluated by measuring internal consistency and test-retest reliability. Principal component factor analysis was performed to evaluate the validity of the SEAMS. Reliability and validity analyses were also performed separately among patients with low and higher literacy levels. The final 13-item scale had good internal consistency reliability (Cronbach's alpha = 0.89). A two-factor solution was found, explaining 52.3% of the scale's variance. The scale performed similarly across literacy levels. The SEAMS is a reliable and valid instrument that may provide a valuable assessment of medication self-efficacy in chronic disease management, and appears appropriate for use in patients with low literacy skills.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1061-3749
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
203-19
pubmed:meshHeading
pubmed-meshheading:18232619-Aged, pubmed-meshheading:18232619-Analysis of Variance, pubmed-meshheading:18232619-Chronic Disease, pubmed-meshheading:18232619-Coronary Disease, pubmed-meshheading:18232619-Educational Status, pubmed-meshheading:18232619-Factor Analysis, Statistical, pubmed-meshheading:18232619-Female, pubmed-meshheading:18232619-Follow-Up Studies, pubmed-meshheading:18232619-Humans, pubmed-meshheading:18232619-Male, pubmed-meshheading:18232619-Middle Aged, pubmed-meshheading:18232619-Nursing Assessment, pubmed-meshheading:18232619-Nursing Evaluation Research, pubmed-meshheading:18232619-Nursing Methodology Research, pubmed-meshheading:18232619-Patient Compliance, pubmed-meshheading:18232619-Patient Education as Topic, pubmed-meshheading:18232619-Principal Component Analysis, pubmed-meshheading:18232619-Psychometrics, pubmed-meshheading:18232619-Questionnaires, pubmed-meshheading:18232619-Randomized Controlled Trials as Topic, pubmed-meshheading:18232619-Self Administration, pubmed-meshheading:18232619-Self Efficacy
pubmed:year
2007
pubmed:articleTitle
Development and psychometric evaluation of the Self-efficacy for Appropriate Medication Use Scale (SEAMS) in low-literacy patients with chronic disease.
pubmed:affiliation
Emory University School of Medicine, Atlanta, GA 30317, USA. jessicarisser@gmail.com
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Validation Studies