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Patient‐reported assessment of self‐management strategies of health in cancer patients: development and validation of the Smart Management Strategy for Health Assessment Tool (SAT)
Author(s) -
Yun Young Ho,
Jung Ju Youn,
Sim Jin Ah,
Choi Hyewon,
Lee Jong Mok,
Noh DongYoung,
Han Wonshik,
Park Kyu Joo,
Jeong SeungYong,
Park JiWon,
Wu HongGyun,
Chie Eui Kyu,
Kim Hak Jae,
Lee June Hee,
Zo Zae Ill,
Kim Sung,
Lee Jeong Eon,
Nam Seok Jin,
Lee Eun Sook,
Oh Jae Hwan,
Kim YoungWoo,
Kim Young Tae,
Shim Young Mog
Publication year - 2015
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.3839
Subject(s) - reliability (semiconductor) , medicine , self management , set (abstract data type) , health management system , psychology , computer science , artificial intelligence , alternative medicine , power (physics) , physics , pathology , quantum mechanics , programming language
Objective The objective of this study was to evaluate the psychometric properties of the Smart Management Strategy for Health Assessment Tool (SAT), which we developed to enable cancer patients to assess their self‐management (SM) strategies of health by themselves. Patients and methods The development of the questionnaire included four phases: item generation, construction, pilot testing, and field testing. To assess the instrument's sensitivity and validity, we recruited 300 cancer patients from three Korean hospitals who were 18 or more years old and accustomed to using the Internet or email. Using the appropriate and priority criteria for pilot and field testing, we tightened the content and constructed the first version of the SAT. Results We developed the core strategies with 28 items, preparation strategies with 30 items, and implementation strategies with 33 items. Factor analysis of data from 300 patients resulted in core strategies with four factors, preparation strategies with five factors, and implementation strategies with six factors. All the SAT subscales demonstrated a high reliability with good internal consistency. The total scores of the three SAT sets differentiated participant groups well according to their stage of goal implementation and proportions of action of the 10 Rules for Highly Effective Health Behavior. Each factor of the three SAT sets correlated positively with the scores for additional assessment tool. Conclusion The SAT is a three‐set, 16‐factor, 91‐item tool that assesses the SM strategies of health that patients use to overcome a crisis. Patients can use the SAT to assess their SM strategies of health and obtain feedback from clinicians in the practice setting. Copyright © 2015 John Wiley & Sons, Ltd.