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Reduction of the Adult Epilepsy Self-Management Measure Instrument (AESMMI).
Cam Escoffery1, Regine Haardoerfer1, Yvan Bamps1
1Emory University, Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA 30322, United States.
Epilepsy & Behavior : E&B
|May 8, 2022
Summary
Researchers developed a shorter epilepsy self-management scale to better assess patient behaviors. This validated tool aids in measuring outcomes for epilepsy self-management interventions.
Area of Science:
- Neurology
- Psychology
- Health Services Research
Background:
- Self-management is crucial for individuals with chronic diseases like epilepsy, encompassing symptom, medication, and lifestyle management.
- The Institute of Medicine categorizes epilepsy self-management into medication, behavior, and emotional support.
- Limited research exists on interventions measuring epilepsy self-management behaviors.
Purpose of the Study:
- To develop an abbreviated version of the Adult Epilepsy Self-Management Measurement Instrument (AESMMI).
- To create a more efficient tool for assessing epilepsy self-management behaviors.
- To facilitate outcome measurement in epilepsy self-management research.
Main Methods:
- A cross-sectional survey was conducted with 422 adults diagnosed with epilepsy.
- Confirmatory factor analysis was employed to test and reduce the scale.
- A theory-driven, data-informed approach was used to shorten the instrument.
Main Results:
- The Adult Epilepsy Self-Management Measurement Instrument (AESMMI) was reduced by 40% (65 to 38 items).
- The abbreviated scale demonstrated strong overall internal consistency (0.912).
- All 11 original subdomains were retained, with Cronbach's alphas ranging from 0.535 to 0.878.
Conclusions:
- The abbreviated AESMMI is a reliable and valid instrument for assessing self-management in people with epilepsy.
- This shorter scale can be effectively used in clinical practice and research settings.
- The tool supports the evaluation of interventions aimed at improving epilepsy self-management.
