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The Appraisal of Self-Care Agency Scale - Revised (ASA-R): Adaptation and Validation in a Sample of Spanish Older Adults

Published online by Cambridge University Press:  23 October 2017

Tamara Alhambra-Borrás*
Affiliation:
Universitat de Valencia (Spain)
Estrella Durá-Ferrandis
Affiliation:
Universitat de Valencia (Spain)
Jorge Garcés-Ferrer
Affiliation:
Universitat de Valencia (Spain)
Javier Sánchez-García
Affiliation:
Universitat de Valencia (Spain)
*
*Correspondence concerning this article should be addressed to Tamara Alhambra-Borrás. Universitat de Valencia - Polibienestar Research Institute. C/ Serpis, 29. 46022. Valencia (Spain). E-mail: tamara.alhambra@uv.es

Abstract

Self-care agency is an important determinant of healthy aging. The Appraisal of Self-care Agency Scale (ASA-R) (Sousa et al., 2010) is one of the main instrument to assess self-care capacity. The objectives of the study were: 1) to adapt and validate ASA-R scale for use in Spanish population; 2) to examine the dimensionality, validity and reliability; 3) and to establish the convergent validity of ASA-R using a self-reported health measure. The ASA-R Scale and the 12-item Short Form Health Survey (SF-12) were administered to 488 Spanish seniors aged 65 and over. Confirmatory Factor Analysis (CFA) was used to analyze the dimensionality, validity and reliability. Convergent validity was tested by correlating the ASA-R factors with the SF-12 subscales; correlations were significant (p < .005). CFA showed that the ASA-R Three Factor Model fit well to the data, showing satisfactory fit indices, with S-Bχ2 > 0.05 (0.436), RMSEA closer to 0 (0.006), SRMR < 0.08 (0.065), GFI and AGFI close to 1 (0.924 and 0.921), and CFI and NNFI > 0.95 (0.996 and 0.995). The results also demonstrated that ASA-R is a reliable and valid instrument. The ASA-R has demonstrated to be a reliable (CR indices > 0.7) and valid (AVE > 0.5) instrument in measuring self-care agency among Spanish older population.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2017 

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Footnotes

How to cite this article:

Alhambra-Borrás, T., Durá-Ferrandis, E., Garcés-Ferrer, J., & Sánchez-García, J. (2017). The appraisal of Self-Care Agency Scale - Revised (ASA-R): Adaptation and validation in a sample of Spanish older adults. The Spanish Journal of Psychology, 20. e48. Doi:10.1017/sjp.2017.52

References

Abellán-García, A., & Pujol-Rodríguez, R. (2016). Un perfil de las personas mayores en España, 2016. Indicadores estadísticos básicos [A profile of elderly people in Spain, 2016. Basic statistical indicators]. Madrid, Spain: Informes Envejecimiento en red n° 14.Google Scholar
Bentler, P. M. (2006). EQS 6 Structural Equations Program Manual. Encino, CA: Multivariate Software, Inc.Google Scholar
Boehm, J. K., Vie, L. L., & Kubzansky, L. D. (2012). The promise of well-being interventions for improving health risk behaviors. Current Cardiovascular Risk Reports, 6, 511519. https://doi.org/10.1007/s12170-012-0273-x Google Scholar
Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1, 185216.CrossRefGoogle Scholar
Cocchieri, A., Riegel, B., D’Agostino, F., Rocco, G., Fida, R., Alvaro, R., & Vellone, E. (2015). Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. European Journal of Cardiovascular Nursing, 14, 126136. https://doi.org/10.1177/1474515113518443 Google Scholar
Damásio, B. F., & Koller, S. H. (2013). The Appraisal of Self-Care Agency Scale - Revised (ASAS-R): Adaptation and construct validity in the Brazilian context. Cadernos de Saúde Pública, 29, 20712082. https://doi.org/10.1590/0102-311X00165312 Google Scholar
Evers, G. C., Isenberg, M., Philipsen, H., Brouns, G., Halfens, R., & Smeets, H. (1986). The Appraisal of Self-Care Agency’s ASA-Scale: Research program to test reliability and validity. In Stinson, S. M. (Ed.), New frontiers in nursing research: Proceedings of the International Nursing Research Conference (pp. 130). Edmond, Canada: University of Alberta.Google Scholar
Fernández, A. R., & Manrique-Abril, F. G. (2011). Agencia de autocuidado y factores básicos condicionantes en adultos mayores [Self-Care Agency and basic conditioning factors in the elderly]. Avances en Enfermería, 29(1), 3041.Google Scholar
Fex, A., Flensner, G., Ek, A. C., & Söderhamn, O. (2012). Self-Care Agency and perceived health among people using advanced medical technology at home. Journal of Advanced Nursing, 68, 806815. https://doi.org/10.1111/j.1365-2648.2011.05781.x Google Scholar
Fok, M. S. M., Alexander, M. F., Wong, T. K. S., & McFadyen, A. K. (2002). Contextualising the Appraisal of Self-Care Agency Scale in Hong Kong. Contemporary Nurse, 12, 124134. https://doi.org/10.5172/conu.12.2.124 Google Scholar
Gallegos, C. E. (1998). Validez y confiabilidad de la versión en español de la escala: Valoración de las Capacidades de Autocuidado [Validity and reliability of the Spanish version of the scale: Appraisal of Self-Care Agency]. Desarrollo Científico de Enfermería, 6, 260266.Google Scholar
Guerra-Stacciarini, T. S., & Pace, A. E. (2014). Translation, adaptation and validation of a Self-Care Scale for type 2 diabetes patients using insulin. Acta Paulista de Enfermagem, 27, 221229. https://doi.org/10.1590/1982-0194201400038 Google Scholar
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7 th Ed.). Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 155. https://doi.org/10.1080/10705519909540118 Google Scholar
Jöreskog, K. G., & Sörbom, D. (1996). LISREL 8: User’s reference guide. Chicago, IL: Scientific Software.Google Scholar
Lommi, M., Matarese, M., Alvaro, R., Piredda, M., & De Marinis, M. G. (2015). The experiences of self-care in community-dwelling older people: A meta-synthesis. International Journal of Nursing Studies, 52, 18541867. https://doi.org/10.1016/j.ijnurstu.2015.06.012 CrossRefGoogle ScholarPubMed
Lorensen, M., Holter, I. M., Evers, G. C., Isenberg, M. A., & van Achterberg, T. (1993). Cross-cultural testing of the Appraisal of Self-Care Agency: ASA Scale’ in Norway. International Journal of Nursing Studies, 30, 1523. https://doi.org/10.1016/0020-7489(93)90089-D Google Scholar
Manrique-Abril, F., Fernandez, A., & Velandia, A. (2009). Análisis factorial de la Escala Valoración de Agencia de Autocuidado (ASA) en Colombia [Factor analysis of the Appraisal of Self-Care Agency Scale (ASA) in Colombia]. Aquichan, 9, 222235.Google Scholar
OECD. (2017). Elderly population (indicator). https://doi.org/10.1787/8d805ea1-en Google Scholar
Orem, D. E. (1971). Nursing: Concepts of practice. New York, NY: McGraw-Hill.Google Scholar
Orem, D. E. (1995). Nursing: Concepts of practice (5 th Ed.). Saint Louis, MO: Mosby.Google Scholar
Paúl, C., Ribeiro, O., & Teixeira, L. (2012). Active ageing: An empirical approach to the WHO Model. Current Gerontology and Geriatrics Research, 2012, 10.Google Scholar
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health promotion in nursing practice (6 th Ed.). Boston, MA: Pearson.Google Scholar
Peterson, J. C., Charlson, M. E., Hoffman, Z., Wells, M. T., Wong, S. C., Hollenberg, J. P., … Allegrante, J. P. (2012). A randomized controlled trial of positive-affect induction to promote physical activity after percutaneous coronary intervention. Archives of Internal Medicine, 172, 329336. https://doi.org/10.1001/archinternmed.2011.1311 Google Scholar
Räsänen, P. M., Kanste, O., Elo, S., & Kyngäs, H. (2014). Factors associated with the self-care of home-dwelling older people. Journal of Nursing Education and Practice, 4, 9096. https://doi.org/10.5430/jnep.v4n8p90 Google Scholar
Söderhamn, O., Evers, G. C., & Hamrin, E. (1996). A Swedish version of the Appraisal of Self-Care Agency (ASA) Scale. Scandinavian Journal of Caring Sciences, 10, 39. https://doi.org/10.1111/j.1471-6712.1996.tb00302.x Google Scholar
Söderhamn, O., & Cliffordson, C. (2001). The internal structure of the Appraisal of Self-care Agency (ASA) Scale. Journal of Nursing Theory, 10, 512.Google Scholar
Sousa, V. D., Zauszniewski, J. A., Bergquist-Beringer, S., Musil, C. M., Neese, J. B., & Jaber, A. F. (2010). Reliability validity and factor structure of the Appraisal of Self-Care Agency Scale - Revised (ASAS-R). Journal of Evaluation in Clinical Practice, 16, 10311040. https://doi.org/10.1111/j.1365-2753.2009.01242.x Google Scholar
Sousa, V. D., Zauszniewski, J. A., Zeller, R. A., & Neese, J. B. (2008). Factor analysis of the Appraisal of Self-Care Agency Scale in American adults with diabetes mellitus. The Diabetes Educator, 34(1), 98108. https://doi.org/10.1177/0145721707311955 Google Scholar
Sundsli, K., Espnes, G. A., & Söderhamn, O. (2013). Lived experiences of self-care among older physically active urban-living individuals. Journal of Clinical Interventions in Aging, 8, 123130. https://doi.org/10.2147/CIA.S39689 Google Scholar
Sundsli, K., Söderhamn, U., Espnes, G. A., & Söderhamn, O. (2012). Ability for selfcare in urban living older people in southern Norway. Journal of Multidisciplinary Healthcare, 5, 8595. https://doi.org/10.2147/JMDH.S29388 Google Scholar
Sundsli, K., Söderhamn, U., Espnes, G. A. & Söderhamn, O. (2014). Self-care telephone talks as a health-promotion intervention in urban home-living persons 75+ years of age: A randomized controlled study. Clinical Interventions in Aging, 9, 95103. https://doi.org/10.2147/CIA.S55925 Google Scholar
van Achterberg, T., Lorensen, M., Isenberg, M. A., Evers, G. C. M., Levin, E., & Philipsen, H. (1991). The Norwegian, Danish and Dutch version of the Appraisal of Self-care Agency Scale: Comparing reliability aspects. Scandinavian Journal of Caring Sciences, 5, 101108. https://doi.org/10.1111/j.1471-6712.1991.tb00091.x Google Scholar
Vilagut, G., Valderasa, J. M., Ferrera, M., Garina, O., López-García, E., & Alonso, J. (2008). Interpretación de los Cuestionarios de Salud SF-36 y SF-12 en España: Componentes físico y mental [Interpretation of SF-36 and SF-12 Questionnaires in Spain: Physical and mental components]. Medicina Clínica, 130, 726735. https://doi.org/10.1157/13121076 CrossRefGoogle Scholar
World Health Organization. (2015). World report on ageing and health. Geneva, Switzerland: WHO.Google Scholar