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This study first developed an ADL gap self-efficacy scale and then examined the reliability and validity of this scale using 146 elderly persons requiring home based nursing care due to chronic motor function disability and undergoing motor rehabilitation. This scale is one-dimensional and consists of 10 items developed based on principal components analysis and Kappa statistics. The reliability assessment demonstrated that this scale had a Cronbach alpha coefficient of 0.86, which is an assessment of internal consistency. The mean test-retest correlation coefficient was 0.74, which is an acceptable level of stability. Construct validity was supported by a significant correlation between ADL gap self-efficacy and a depression index and between ADL gap self-efficacy and the ADL gap. Concurrent validity was supported by significant correlation between this scale and a standard self-efficacy scale when the examinees were 64 years or under, male and could walk independently. The predictive validity of this scale were examined by to discuss significant correlation between ADL gap self-efficacy and ADL change, umong ADL gap self-efficacy and ADL gap and ADL change. By using the ADL gap, it was shown that the ADL gap self-efficacy influences ADL change, which provides indirect support for the predictive validity of this scale.

Development, Reliability and Validity of an ADL Gap Self-Efficacy Scale for Elderly Persons Requiring Home Based Nursing Care