Testing the psychometric properties of the Turkish culture version of the self-efficacy scale for pediatric chronic illn

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Testing the psychometric properties of the Turkish culture version of the self-efficacy scale for pediatric chronic illness Meltem Gürcan 1

&

Sevcan Atay Turan 2

Accepted: 14 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract The aim of the study was to evaluate the validity and reliability and to test the psychometric properties of the Turkish culture version of the Pediatric Rating of Chronic Illness Self-Efficacy Scale (PRCISE). The sample of this methodological study consisted of adolescents with chronic disease who were followed up in pediatric polyclinics. 220 adolescents aged 10–17 were included in the study. The study was conducted between April and November 2019 at a university hospital in Turkey. Data were collected using face-to-face interviews with the participants visited to the outpatient clinic in the hospital. Questionnaires (personal information form and Pediatric Rating of Chronic Illness Self-Efficacy Scale) were administered to the adolescents. Psychometric testing consisted of internal consistency reliability (item-total correlations and Cronbach alpha coefficient), testretest reliability, and validity (exploratory factor analysis and confirmatory factor analysis). In the exploratory factor analysis, Barlett’s sphericity test was (χ2(105) =497.953; p = 0.000). The five-factor model with an eigenvalue value of more than 1 in the exploratory factor analysis obtained the best and acceptable fit indices in the confirmatory factor analysis. The factor structure was verified by the confirmatory factor analysis. In the confirmatory factor analysis, the model fit indices of this scale were obtained as follows: Goodness-of-Fit Index = 0.92, Comparative Fit Index = 0.87, and Root Mean Square Error of Approximation = 0.55. Cronbach alpha value indicating the internal consistency of the entire scale was .703. The PRCISE is a reliable and valid instrument for Turkish adolescents with chronic illness. Keywords Children . Chronic illness . Self-efficacy

Introduction Self-efficacy is an individual’s belief in his or her success in overcoming change or outcomes. This belief shapes the person’s ability to adopt and sustain a behavior. Self-efficacy, which is an important part of Albert Bandura’s social cognitive theory, is one of the most important indicators of an individual feeling strong in the face of a negative life event such as disease (Bandura 2004; Herts et al. 2017). The concept of selfefficacy is particularly important for adolescents with chronic conditions. Chronic illnesses involve challenging processes of

* Meltem Gürcan [email protected] Sevcan Atay Turan [email protected] 1

Research Assistant, Akdeniz University, Nursing Faculty, Antalya, Turkey

2

Akdeniz University, Nursing Faculty, Antalya, Turkey

special education, long-term care and monitoring for the rehabilitation of pediatric patients. Adapting to irreversible life changes is difficult for adolescents (Boyse et al. 2012; Emerson et al. 2018). Chronic illnesses are distinc