Abstract
Background and Purpose: Self-efficacy, a central construct in health interventions, has been measured in various contexts. The absence of any published meta-review of self-efficacy instrumentation led to the current meta-synthesis that reports and evaluates the instrumentation processes. Methods: A systematic search resulted in 39 self-efficacy instrumentation studies, which were evaluated for the aspects of conceptual bases, health contexts, operational definition, instrumentation procedures, reliability and scale length, and item content. Results: Primarily based in Bandura's social cognitive theory, these studies reported selfefficacy instrumentation for developing new scales and modifying/validating measures for illness management, healthy behavior adoption/maintenance, disease/risk prevention, and aging management. Trait-like, specific-domain, and situation approaches were used for generating item content. Problems in some studies include non-efficacy items, a lack of systematic instrumentation procedures, item content too general for specific-domain self-efficacy, and measurement inefficiency. Conclusions: The piecemeal fashion of selfefficacy instrumentation has resulted in incomparable self-efficacy measures of similar domains of health functioning. A trans-domain framework, thus, is warranted. Suggestions are provided for solving other problems in self-efficacy instrumentation.
Original language | English |
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Pages (from-to) | 77-93 |
Number of pages | 17 |
Journal | Journal of Nursing Measurement |
Volume | 22 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2014 |
Scopus Subject Areas
- Nursing(all)
User-Defined Keywords
- Item content validity
- Meta-synthesis
- Self-efficacy measures
- Social cognitive theory