Validity and Reliability of the Self-Care of Chronic Illness Inventory and Self-Care Self-Efficacy Scale in Patients Living With Cancer.
Marco Di Nitto, Angela Durante, Francesco Torino and 7 others
PMID 39968728WHAT IT FOUND
Cancer patients taking oral anticancer drugs could be assessed with existing self-care questionnaires.
The monitoring and self-efficacy scales each worked as a single measure, and self-care scores tracked patients' global health status.
Key findings
01The monitoring and self-efficacy scales each worked as a single clear measure in these patients.
02The maintenance and management scales fitted better after item adjustments.
03Self-care and self-efficacy scores were positively associated with patients' global health status ratings.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience sample from five Italian facilities, so it may not represent other countries or health systems. Patients with haematological cancers were excluded, and only those on oral anticancer agents for at least 3 months were included. The study did not assess whether patients found every question understandable or relevant. The factor models were adjusted after looking at modification indices, so the final structures need confirmation in new samples. It tested measurement properties only; it did not show that using the scales improves patient care or outcomes.
The easy way to misread this
Do not read the validated scales as proof that improving self-care or self-efficacy improves cancer outcomes. This study only checked how well the questionnaires measured these traits in an Italian group of patients taking oral anticancer agents.