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Psychometric Testing of the Sidani and Doran Therapeutic Self-Care Scale in a Home Health Care Population
1University of Colorado, Aurora, USA.
Background And Purpose:
Self-care is a central goal of home health (HH) nursing care. The study purpose was to assess psychometric performance of the Therapeutic Self-Care Scale (TSCS) in a U.S. HH population.
Methods:
TSCS reliability was assessed with Cronbach's alpha and test-retest analyses ( n = 59). Convergent validity testing and principal components analysis (PCA) were performed.
Results:
After elimination of 2 items, internal consistency reliability was acceptable (α = .804) and test-retest reliability was high (intraclass correlation = .94; p < .001). Convergent validity analyses were inconclusive. PCA found 2 underlying dimensions consistent with a conceptual difference between self-care and self-management.
Conclusions:
A valid, reliable measure of self-care/management would be useful for measurement of HH nursing outcomes. The TSCS holds promise but needs further refinement before it can serve this purpose.