Purpose: To examine the validity and reliability of the Chronic Disease Self-Efficacy Scale–Korean Version (CDSES-K) in 380 Korean adults with three chronic diseases: arthritis, diabetes, and hypertension. Methods: The Korean translated CDSES-K was back-translated to ensure translation equivalency. A methodological research design was used with exploratory factor analysis for validity and Cronbach’s alpha coefficients for reliability. Results: The factor analysis identified eight CDSES-K factors explaining 72.5% of the total variance. The internal consistency reliability for the total instrument was high with Cronbach’s alpha of .93. Conclusion: The results support the cross-cultural applicability of the concepts underlying the CDSES-K and the self-efficacy transcends across cultures. Implications: The CDSES-K can be used not only to assess self-efficacy in Koreans with chronic diseases but also to examine the potential function of self-efficacy in improvement of self-management behaviors and enhanced health status of people with chronic diseases in a variety of clinical settings.
BanduraA. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice Hall.
2.
BodenheimerT.LorigK.HolmanH.GrumbachK. (2002). Patient self-management of chronic disease in primary care. Journal of the American Medical Association, 288, 2469-2475.
3.
BrislinR. W. (1986). The wording and translation of research instruments. In LonnerW. L.BerryJ. W. (Eds.), Field methods in cross-cultural research (pp. 137-164). Newbury Park, CA: Sage.
4.
CostelloA. B.OsborneJ. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment Research & Evaluation, 10(7), 173-178. Retrieved from http://pareonline.net/getvn.asp?v=10&n=7
5.
EverettB.SalamonsonY.DavidsonP. M. (2009). Bandura’s Exercise Self-Efficacy Scale: Validation in an Australian cardiac rehabilitation setting. International Journal of Nursing Studies, 46, 824-829.
6.
FisherL. (2004). The state of arthritis in Florida. Atlanta, GA: Centers for Disease Control and Prevention.
7.
FloydF. J.WidamanK. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286-299.
8.
HairJ.TathamR.AndersonR.BlackW. (1998). Multivariate data analysis (5th ed.). Upper Saddle River, NJ: Prentice Hall.
9.
JerantA.MooreM.LorigK.FranksP. (2008). Perceived control moderated the self-efficacy-enhancing effects of a chronic illness self-management intervention. Chronic Illness, 4, 173-182.
10.
JonesP. S.LeeJ. W.PhillipsL. R.ZhangX. E.JaceldoK. B. (2001). An adaptation of Brislin’s translation model for cross-cultural research. Nursing Research, 50, 300-304.
11.
KaneR. L. (2006). Understanding health outcomes research. Sudbury, MA: Jones & Bartlett.
12.
KimC. J.KimD. J.ChaeS. M. (2008). The validity and reliability of the Korean version of revised processes of change for weight control scale in adults with metabolic syndrome. Journal of Korean Academy Society Nursing Education, 14, 262-272.
LedesmaR. D.Valero-MoraP. (2007). Determining the number of factors to retain in EFA: An easy-to-use computer program for carrying out parallel analysis. Practical Assessment, Research & Evaluation, 12(2). Retrieved from http://pareonline.net/getvn.asp?v=12&n=2
15.
LorigK.HolmanH. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1-7.
16.
LorigK. R.LaurentD. D.GonzalezV. M. (1994). Chronic disease self-management course leader’s manual. Palo Alto, CA: Stanford Patient Education Research Center.
17.
LorigK.StewartA.RitterPGonzalezV. M.LaurentD.LynchJ. (1996). Outcome measures for health education and other health care interventions. Thousand Oaks, CA: Sage.
18.
MarksR.AllegranteJ. P.LorigK. (2005a). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice (Part I). Health Promotion Practice, 6, 37-43.
19.
MarksR.AllegranteJ. P.LorigK. (2005b). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice (Part II). Health Promotion Practice, 6, 148-156.
20.
MunroB. H. (2005). Statistical methods for health care research (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
21.
RaicheG.RiopelM.BlaisJ. G. (2006, June16). Non graphical solutions for the Cattell’s Scree Test. Paper presented at the International Meeting of the Psychometrics Society, Montreal, Canada.
22.
RashiqS.SchopflocherD.TaenzeerP.JonssenE. (2008). Chronic pain: A health policy perspective health care and disease management (1st ed.). Edmonton, Alberta, Canada: Institute of Health Economics.
23.
TuckerS.OlsonM. E.FrustiD. K. (2009). Validity and reliability of the evidence-based practice self-efficacy scale. Western Journal of Nursing Research, 31, 1090-1091.
24.
XuY.SavageC.ToobertD.PanW.WhitmerK. (2008). Adaptation and testing of instruments to measure diabetes self-management in people with type 2 diabetes in mainland China. Journal of Transcultural Nursing, 19, 234-242.
