<p><strong>Bakgrund</strong>: Det finns i nuläget inget svenskt self-efficacy instrument för barn och ungdomar med smärta. Den här undersökningen syftade till att översätta samt reliabilitets- och validitetstesta en engelskspråkig self-efficacy skala för barn och ungdomar med smärta.</p><p><strong>Metod</strong>: Urvalet bestod av 62 elever från tre olika klasser i Uppsala. Skalan översattes till svenska och ett frågeformulär utformades för att möjliggöra en utvärdering av test-retest reliabilitet samt kriterie- och ögonblicksvaliditet.</p><p><strong>Resultat</strong>: Värdena på viktad kappa för överensstämmelsen av två skattningar (S1 och S2) med self-efficacy instrumentet (SEIS) varierade mellan <em>K_w</em>₌0,37 -  <em>K_w</em>₌0,75. Sambandet mellan Functional disability inventory (FDI) och SEIS beräknades med Spearmans rangkorrelation där <em>r_s</em> = 0,364 (p<0,05). Ögonblicksvaliditeten för SEIS beskrevs som att den var lättförståelig, innehöll vardagliga aktiviteter men att vissa aktiviteter saknades.</p><p><strong>Konklusion</strong>: Slutsatsen av denna undersökning var att frågorna i SEIS bör omarbetas för att bli mer specifika och kunna användas. Det kan även utarbetas nya aktiviteter till instrumentet eftersom resultaten av undersökningen visade att vissa aktiviteter saknades. På grund av urvalets karaktär var resultaten troligtvis inte generaliserbara.</p>

Bakgrund: Det finns i nuläget inget svenskt self-efficacy instrument för barn och ungdomar med smärta. Den här undersökningen syftade till att översätta samt reliabilitets- och validitetstesta en engelskspråkig self-efficacy skala för barn och ungdomar med smärta. Metod: Urvalet bestod av 62 elever från tre olika klasser i Uppsala. Skalan översattes till svenska och ett frågeformulär utformades för att möjliggöra en utvärdering av test-retest reliabilitet samt kriterie- och ögonblicksvaliditet. Resultat: Värdena på viktad kappa för överensstämmelsen av två skattningar (S1 och S2) med self-efficacy instrumentet (SEIS) varierade mellan Kw= 0,37 -  Kw=0,75. Sambandet mellan Functional disability inventory (FDI) och SEIS beräknades med Spearmans rangkorrelation där rs = 0,364 (p&lt;0,05). Ögonblicksvaliditeten för SEIS beskrevs som att den var lättförståelig, innehöll vardagliga aktiviteter men att vissa aktiviteter saknades. Konklusion: Slutsatsen av denna undersökning var att frågorna i SEIS bör omarbetas för att bli mer specifika och kunna användas. Det kan även utarbetas nya aktiviteter till instrumentet eftersom resultaten av undersökningen visade att vissa aktiviteter saknades. På grund av urvalets karaktär var resultaten troligtvis inte generaliserbara.

Background: Health Canada recommends exclusive breastfeeding for the first 6 months postpartum with continued breastfeeding up to 2 years and beyond. While 88% of Canadian mothers initiate breastfeeding, only 70% of mothers continue to do so at 4 weeks postpartum and only 14% are exclusively breastfeeding at 6 months. Breastfeeding self-efficacy is a potentially modifiable variable that has been associated with mothers’ breastfeeding practices. The Breastfeeding Self-Efficacy Scale (Short-Form) is an instrument that could potentially identify women with low breastfeeding self-efficacy during the in hospital period. Purpose: To describe the breastfeeding practices of new mothers in the Kingston, Frontenac and Lennox & Addington area and to assess the association between in-hospital scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of breastfeeding. Methods: This study was a secondary analysis of a dataset from the 2008 Infant Feeding Survey, a prospective study of 463 mothers with 12-month longitudinal follow-up. Data were weighted according to the maternal age distribution of the general population of new mothers. Breastfeeding practices were described using Kaplan-Meier survival distributions. Four outcomes were described: ‘exclusive breastfeeding from birth’, ‘exclusive breastfeeding from discharge’, ‘high breastfeeding’, and ‘any breastfeeding’. Using logistic regression, scores from the Breastfeeding Self-Efficacy Scale (Short-Form) were assessed for association with duration of ‘exclusive breastfeeding from birth’ and duration of ‘any breastfeeding’ (dichotomized as ‘less than 6 weeks’ and ‘6 weeks or beyond’). Results: The sample was highly educated (75% had post-secondary education) and reported high levels of household income (37% reported >$80,000/year). Six percent of mothers exclusively breastfed to 6 months. Close to one quarter (24%) of women sustained some extent of breastfeeding for 12 months. The relationship between scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of ‘exclusive breastfeeding from birth’ and the relationship between self-efficacy scores and duration of ‘any breastfeeding’ were identical (OR = 1.05) and non-significant (95% CI 1.0-1.1). Conclusion: This study did not show a significant relationship between in-hospital scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of breastfeeding. Given the high socioeconomic status of women in this study, further studies are warranted to confirm these results. / Thesis (Master, Community Health & Epidemiology) -- Queen's University, 2011-12-06 14:46:41.103

No description available.

<p><strong>Syfte:</strong> Studiens syfte var att reliabilitetspröva stabiliteten för M-SES för patienter med långvarig smärta genom test-retest metoden. Syftet var även att undersöka samtidig validitet för M-SES, genom att utföra M-SES och SES mätt vid samma tillfälle.</p><p><strong>Metod:</strong> I studien undersöktes self-efficacy instrumentet M-SES på Uppsala Akademiska sjukhus, på avdelningarna för Smärtcentrum och Smärtrehabilitering. Frågeställningarna berörde vilken stabilitets reliabilitet mätt med test-retest som förelåg hos M-SES, samt vilken grad av samtidig validitet som förelåg för M-SES korrelerat med SES. Den slutliga undersökningsgruppen bestod i frågeställningen om stabilitets reliabilitet av 29 patienter (23 kvinnor, sex män), och i frågeställning om samtidig validitet av 22 patienter (17 kvinnor, fem män).</p><p><strong>Resultat: </strong>Vid prövning av stabilitets reliabilitet för M-SES visade resultatet en stark korrelation, med korrelationskoefficient 0,92 och p<0,05. Det förelåg även en god överrensstämmelse för test-retest undersökningen. Prövningen av samtidig validitet för M-SES visade en stark korrelation, med koefficienten 0,88 och p<0,05.</p><p><strong>Konklusion:</strong> Studiens resultat visade att det förelåg en stark stabilitets reliabilitet och samtidig validitet för M-SES för patienter med långvarig smärta. Då studien genomfördes med få deltagare bör resultatet tolkas med försiktighet.</p>

Syfte: Studiens syfte var att reliabilitetspröva stabiliteten för M-SES för patienter med långvarig smärta genom test-retest metoden. Syftet var även att undersöka samtidig validitet för M-SES, genom att utföra M-SES och SES mätt vid samma tillfälle. Metod: I studien undersöktes self-efficacy instrumentet M-SES på Uppsala Akademiska sjukhus, på avdelningarna för Smärtcentrum och Smärtrehabilitering. Frågeställningarna berörde vilken stabilitets reliabilitet mätt med test-retest som förelåg hos M-SES, samt vilken grad av samtidig validitet som förelåg för M-SES korrelerat med SES. Den slutliga undersökningsgruppen bestod i frågeställningen om stabilitets reliabilitet av 29 patienter (23 kvinnor, sex män), och i frågeställning om samtidig validitet av 22 patienter (17 kvinnor, fem män). Resultat: Vid prövning av stabilitets reliabilitet för M-SES visade resultatet en stark korrelation, med korrelationskoefficient 0,92 och p&lt;0,05. Det förelåg även en god överrensstämmelse för test-retest undersökningen. Prövningen av samtidig validitet för M-SES visade en stark korrelation, med koefficienten 0,88 och p&lt;0,05. Konklusion: Studiens resultat visade att det förelåg en stark stabilitets reliabilitet och samtidig validitet för M-SES för patienter med långvarig smärta. Då studien genomfördes med få deltagare bör resultatet tolkas med försiktighet.

Lower extremity injuries are the most common sports related injury. Many steps have been taken to attempt to identify individuals who might be at a higher risk for sustaining a lower extremity injury. Resource and time intensive screening techniques have been used previously to attempt to identify such individuals. However these techniques have focused heavily on postural control and landing mechanics in athletes, no psychological measure has been used to identify individuals who might be at a higher risk of lower extremity injury. Self-efficacy of balance can be defined as how capable an individual feels he or she can balance in different scenarios. Research in the balance deficient population (elderly, post-stroke, knee osteoarthritis) has revealed that selfefficacy of balance is a quantifiable psychological component of balance related behavior. As previously stated, current screening techniques for lower extremity injuries do not incorporate psychological measures. Research suggests that psychological indicators of balance confidence are important to measure in conjunction with balance test performance to establish the relationship between the two constructs. Assessment of these factors is necessary to examine how psychological measures affect performance on tests used in clinical balance assessments. The objective of this dissertation was to develop the Self-Efficacy of Balance Scale (SEBS), a psychometrically sound self-efficacy of balance instrument for use in the young, active population. The relationship between selfefficacy of balance and self-reported measures of lower extremity function, and clinical and laboratory measures of balance were also examined in the young, active population. It was hypothesized that a valid, reliable, responsive tool could be created to accurately and precisely measure self-efficacy of balance in a young, active population. It addition, it was hypothesized that high levels of selfefficacy of balance would have a significant, positive relationship with selfreported measure of lower extremity function, and clinical and laboratory measure of balance. Results from the three studies brought about several interesting observations. Studies one, two, and three demonstrated evidence of a psychometrically sound instrument. This indicates that the SEBS is a valid, reliable, responsive self-efficacy of balance instrument when evaluating young, active individuals. Study three demonstrated the relationships between selfefficacy of balance and self-reported measures of function, and objective measures of balance. These relationships revealed that while lower extremity function and some measures of balance influence scores of the SEBS, they do not account for all of the variability of the SEBS. This finding further supports the claim that balance behavior is changing as function and postural control change. Therefore, future research should include investigation regarding the utility of the SEBS, as well as longitudinal studies to establish effectiveness of identifying individuals at a higher risk of sustaining a lower extremity injury.

Venous leg ulceration has a high recurrence rate. Patients with healed or frequently recurring venous ulceration are required to perform self-care behaviours to prevent recurrence or promote healing, but many find these difficult to perform. Bandura’s self-efficacy theory is a widely used and robust behaviour change model and underpins many interventions designed to promote self-care in a variety of chronic conditions. By identifying areas where patients may experience difficulty in performing self-care, interventions can be developed to strengthen their self-efficacy beliefs in performing these activities successfully. There are currently a variety of self-efficacy scales available to measure self-efficacy in a variety of conditions; but not a disease-specific scale for use with venous ulcer patients. The aim of this study, therefore, was to develop a disease-specific, patient-focused self-efficacy scale for patients with healed venous leg ulceration. Phase 1 consisted of a qualitative design and used focus group methodology to generate an item pool for potential inclusion into the scale from the patients’ perspective. In phase 2, factor analysis using equamax orthogonal rotation methods was used to reduce the items from 60 to 30, resulting in 5 major domains: general self-care; daily self-care tasks; normal living; developing expertise and avoiding trauma. Preliminary reliability studies indicated that the developed scale, VeLUSET© has good internal consistency, with an overall Cronbach alpha of .929 and a strong test-re-test reliability. Furthermore, correlation with the General Self-Efficacy Scale demonstrated a strong positive relationship between the two scales. These results indicate that the VeLUSET©, although still in the early validation stages, is a reliable instrument to measure venous leg ulcer patients’ self-efficacy in performing self-care tasks within clinical practice. The development of this disease-specific tool has now filled a gap in the research on managing patients with healed venous leg ulceration.

The purpose of this study was to develop a questionnaire to measure career self-efficacy for undergraduates. The theoretical framework of the questionnaire was based on Bandura¡¦s self-efficacy theory. A total of 409 participants were selected by judgment sampling from the first- and second-grade undergraduate of six colleges in national Sun Yat-sen university. The newly developed career efficacy and motivation questionnaire (CEMQ) was modified from Taylor & Betz's CDMSE scale. The content validity was informed by three experts, and the data were analyzed by rating scale model (RSM) by ConQuest. After removing the items that did not fit the model, seventy-two items were retained in the CEMQ questionnaire.

No description available.