The Self-Management Assessment Scale: Development and psychometric testing of a screening instrument for person-centred guidance and self-management support.
Ulrika Öberg, Åsa Hörnsten, Ulf Isaksson
PMID 30918701WHAT IT FOUND
A 10-item scale screens adults with type 2 diabetes for self-management support needs in knowledge, routines, goals, emotions or social support.
The paper did not test whether using it improves care.
Key findings
01The final SMASc contains 10 items in five domains: knowledge, goals for future, daily routines, emotional adjustment and social support.
02In the 104-person sample, domain reliability ranged from 0.727 to 0.883, and the whole scale was 0.925.
03Each domain is scored separately, with lower scores showing higher need; scores of 1 to 4 indicate immediate need.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The final testing used 104 adults from four primary healthcare centres in one country, so it may not apply to other populations or settings. The authors did not test reliability over time with test-retest. Each domain has only two items, which the authors note is not optimal. The cut-off between support levels needs further study. The data did not clearly support the intended five separate domains, and one factor was suggested. Some items had skewed responses, and the sample size was relatively limited. The paper reports scale development and psychometric testing, not a trial of care improvement.
Declared interests
No conflict of interest was declared by the authors.
The easy way to misread this
Do not conclude that using SMASc improves diabetes self-management or clinical outcomes. The study tested the questionnaire's structure and reliability, not whether it changes care or patient results.