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van Zanten R, van Dijk M, Van Hecke A, Duprez V, Annema C, van Staa A, Been-Dahmen JMJ, de Weerd AE, Maasdam L, van Buren M, Ista E, Massey EK. The self-regulation skills instrument in transplantation (SSIt): Development and measurement properties of a self-report self-management instrument. Patient Educ Couns 2023; 115:107924. [PMID: 37516027 DOI: 10.1016/j.pec.2023.107924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 06/30/2023] [Accepted: 07/21/2023] [Indexed: 07/31/2023]
Abstract
OBJECTIVE To develop a self-management instrument for organ transplant recipients that incorporates self-regulations skills and to determine its measurement properties. METHODS The instrument includes concepts from social cognitive models: problem awareness, attitude, self-efficacy, motivation, social support, goal setting, goal pursuit, skills and goal affect. The measurement properties were evaluated based on the COSMIN guidelines. Face and content validity were determined through patient assessment, Three-Step Test-Interview and expert assessment using the Content Validity Index. Structural validity and reliability were tested using exploratory factor analysis and Cronbach's alpha. Construct validity was tested by comparing subscales with the Health Education Impact Questionnaire (heiQ). RESULTS After face and content validity assessment 47 items were entered into the exploratory factor analysis. The analysis showed two meaningful factors, with internal consistency of 0.90 and 0.89. Spearman correlations between the subscales and heiQ were moderate (0.55; 0.46). The final version consists of 21 items, divided into two scales: 'Setbacks' and 'Successes'. CONCLUSIONS The Self-regulation skills instrument in transplantation (SSIt) is a valid and reliable instrument to asses necessary skills for self-management after transplantation and may be useful for other patients as well. PRACTICE IMPLICATIONS Insight into self-regulation competencies can help healthcare professionals to tailor self-management support.
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Affiliation(s)
- Regina van Zanten
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Monique van Dijk
- Department of Internal Medicine, Nursing studies, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Ann Van Hecke
- Department of Public Health and Primary Care, University Centre of Nursing and Midwifery, Ghent University, Ghent, Belgium; Ghent University Hospital, Staff nursing director, Ghent, Belgium
| | - Veerle Duprez
- Ghent University Hospital, nursing department, Ghent, Belgium
| | - Coby Annema
- University of Groningen, University Medical Center Groningen, Department of Health Sciences, section of Nursing Science, Groningen, the Netherlands
| | - AnneLoes van Staa
- Rotterdam University of Applied Sciences, Research Center Innovation in Care, Rotterdam, the Netherlands
| | - Janet M J Been-Dahmen
- Rotterdam University of Applied Sciences, Research Center Innovation in Care, Rotterdam, the Netherlands
| | - Annelies E de Weerd
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Louise Maasdam
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Marleen van Buren
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Erwin Ista
- Department of Internal Medicine, Nursing studies, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Emma K Massey
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
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Beck D, Been-Dahmen J, Peeters M, Grijpma JW, van der Stege H, Tielen M, van Buren M, Weimar W, Ista E, Massey E, van Staa A. A Nurse-Led Self-Management Support Intervention (ZENN) for Kidney Transplant Recipients Using Intervention Mapping: Protocol for a Mixed-Methods Feasibility Study. JMIR Res Protoc 2019; 8:e11856. [PMID: 30821694 PMCID: PMC6418486 DOI: 10.2196/11856] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 11/09/2018] [Accepted: 11/09/2018] [Indexed: 12/25/2022] Open
Abstract
Background Optimal self-management in kidney transplant recipients is essential for patient and graft survival, reducing comorbidity and health care costs while improving the quality of life. However, there are few effective interventions aimed at providing self-management support after kidney transplantation. Objective This study aims to systematically develop a nurse-led, self-management (support) intervention for kidney transplant recipients. Methods The Intervention Mapping protocol was used to develop an intervention that incorporates kidney transplant recipients’ and nurses’ needs, and theories as well as evidence-based methods. The needs of recipients and nurses were assessed by reviewing the literature, conducting focus groups, individual interviews, and observations (step 1). Based on the needs assessment, Self-Regulation Theory, and the “5A’s” model, change objectives were formulated (step 2). Evidence-based methods to achieve these objectives were selected and subsequently translated into practical implementation strategies (step 3). Then, program materials and protocols were developed accordingly (step 4). The implementation to test the feasibility and acceptability was scheduled for 2015-2017 (step 5). The last step of Intervention Mapping, evaluation of the intervention, falls outside the scope of this paper (step 6). Results The intervention was developed to optimize self-management (support) after kidney transplantation and targeted both kidney transplant recipients and nurse practitioners who delivered the intervention. The intervention was clustered into four 15-minute sessions that were combined with regular appointments at the outpatient clinic. Nurses received a training syllabus and were trained in communication techniques based on the principles of Solution-Focused Brief Therapy and Motivational Interviewing; this entailed guiding the patients to generate their own goals and solutions and focus on strengths and successes. Kidney transplant recipients were encouraged to assess self-management challenges using the Self-Management Web and subsequently develop specific goals, action plans, and pursuit skills to solve these challenges. Conclusions The Intervention Mapping protocol provided a rigorous framework to systematically develop a self-management intervention in which nurses and kidney transplant recipients’ needs, evidence-based methods, and theories were integrated. International Registered Report Identifier (IRRID) DERR1-10.2196/11856
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Affiliation(s)
- Denise Beck
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Janet Been-Dahmen
- Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, Netherlands
| | - Mariëlle Peeters
- Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, Netherlands
| | - Jan Willem Grijpma
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Heleen van der Stege
- Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, Netherlands
| | - Mirjam Tielen
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Marleen van Buren
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Willem Weimar
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Erwin Ista
- Section of Nursing Science, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Emma Massey
- Section of Nephrology & Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - AnneLoes van Staa
- Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, Netherlands.,Erasmus School Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands
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van Staa A, Been-Dahmen J, van der Stege H, Beck D, Tielen M, van Buren M, Braat C, Massey E, Oldenmenger W, Ista E. Correction to: S11 Experiences with a nurse-led self-management support intervention for people with chronic conditions; a mixed-methods approach. BMC Nurs 2019. [PMID: 30741266 PMCID: PMC6117628 DOI: 10.1186/s12912-018-0301-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- AnneLoes van Staa
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Janet Been-Dahmen
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Heleen van der Stege
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Denise Beck
- 2Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Mirjam Tielen
- 2Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Marleen van Buren
- 2Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Cora Braat
- 3Erasmus Medical Centre Cancer Institute, Rotterdam, the Netherlands
| | - Emma Massey
- 2Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Wendy Oldenmenger
- 3Erasmus Medical Centre Cancer Institute, Rotterdam, the Netherlands
| | - Erwin Ista
- 2Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
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van Staa A, Been-Dahmen J, van der Stege H, Beck D, Tielen M, van Buren M, Braat C, Massey E, Oldenmenger W, Ista E. Correction to: S11 Experiences with a nurse-led self-management support intervention for people with chronic conditions; a mixed-methods approach. BMC Nurs 2019; 18:3. [PMID: 30741266 PMCID: PMC6360782 DOI: 10.1186/s12912-019-0327-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 01/11/2019] [Indexed: 12/02/2022] Open
Abstract
[This corrects the article DOI: 10.1186/s12912-018-0301-3.].
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Affiliation(s)
- AnneLoes van Staa
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Janet Been-Dahmen
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Heleen van der Stege
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands
| | - Denise Beck
- Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Mirjam Tielen
- Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Marleen van Buren
- Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Cora Braat
- Erasmus Medical Centre Cancer Institute, Rotterdam, the Netherlands
| | - Emma Massey
- Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | | | - Erwin Ista
- Deparment of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands
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