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Kumanjan W, Suwanno J, Koson N, Bunsuk C, Klinjun N, Srisomthrong K, Phonphet C, Mayurapak C, Dansuwan C, Suwanno J, Chramnanpho P, Kamlungdee U, Arab W, Ninla-Aesong P, Hamilton SS, Thiamwong L. Psychometric testing of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory version 2. Int J Nurs Pract 2024:e13258. [PMID: 38570920 DOI: 10.1111/ijn.13258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 01/29/2024] [Accepted: 03/10/2024] [Indexed: 04/05/2024]
Abstract
AIM To assess the psychometric properties of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory version 2 (CC-SC-CII-v2) among primary caregivers of individuals with any single or multiple chronic illnesses. BACKGROUND The instrument encompasses three scales that evaluate Caregiver Contribution to Self-Care (CC-SC) Maintenance, Monitoring and Management. METHODS The English version CC-SC-CII-v2 was translated and adapted for Thai context, and a cross-sectional multicenter study involved 430 caregivers from 16 primary care centres in Thailand. Structural validity, internal consistency reliability and test-retest reliability were examined. RESULTS The original two-factor CC-SC Maintenance scale required a re-specified model for good fit, while the CC-SC Monitoring and CC-SC Management scales fit well. The simultaneous model of three scales demonstrated satisfactory fit. The CC-SC Maintenance and CC-SC Management scales both had a composite reliability index of 0.85, with omega coefficients of 0.86 and 0.83, respectively. CC-SC Monitoring had an alpha coefficient of 0.89. The intraclass correlation coefficients ranging from 0.84 to 0.91, indicating good test-retest reliability. CONCLUSION The Thai CC-SC-CII-v2 is a valid and reliable instrument that can provide clinicians and investigators with an evaluation of the contributions of caregivers to the self-care of patients with chronic illnesses.
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Affiliation(s)
- Wanna Kumanjan
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Jom Suwanno
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Naruebeth Koson
- Boromarajonani College of Nursing Nakhon Si Thammarat, Faculty of Nursing, Praboromarajchanok Institute, Nakhon Si Thammarat, Thailand
| | - Chonchanok Bunsuk
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Nuntaporn Klinjun
- Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand
| | - Kannika Srisomthrong
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Chennet Phonphet
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Chidchanog Mayurapak
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Chutiporn Dansuwan
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Nakhon Si Thammarat, Thailand
| | - Juk Suwanno
- Stroke Care Center, Hat Yai Hospital, Songkhla, Thailand
| | | | | | - Wichai Arab
- Baan Huainang Subdistrict Health Promotion Hospital, Trang, Thailand
| | | | - Sadee Saithong Hamilton
- Boromarajonani College of Nursing Sanpasithiprasong, Faculty of Nursing, Praboromarajchanok Institute, Ubon Ratchathani, Thailand
| | - Ladda Thiamwong
- College of Nursing, University of Central Florida, Orlando, Florida, USA
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Suwanno J, Klinjun N, Srisomthrong K, Kelly M, Mayeng M, Suwanno J. Validating the caregiver self-efficacy in contribution to self-care scale Thai version for stroke: A psychometric evaluation. Nurs Open 2023; 10:7360-7367. [PMID: 37641546 PMCID: PMC10563412 DOI: 10.1002/nop2.1990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 06/09/2023] [Accepted: 08/17/2023] [Indexed: 08/31/2023] Open
Abstract
AIM To test the validity and reliability of the Caregiver Self-Efficacy in Contribution to Self-Care Scale Thai Version (CC-Self Efficacy Scale (Thai)) for Stroke. DESIGN A cross-sectional study was undertaken from September to December 2022. METHODS Four hundred thirty-four caregivers of people with stroke were selected from the registry of stroke patients in primary care units or hospitals following inclusion criteria. The research assistants collected information when the caregiver took a patient for a doctor's appointment or visited the patient's and caregiver's home. RESULTS The 434 caregivers had a mean age of 48 years, female 77.67%, 51.97% child or grandchild of patients, and 72.85% living with the patient. Ten items of the CC-Self Efficacy Scale (Thai) were normally distributed and appropriate for exploratory factor analysis (EFA). EFA suggested three-factor model. The confirmatory factor analysis (CFA) of the three-factor model was an unfit model, with the root mean square error of approximation (RMSEA) = 0.09. We regrouped items based on content to create six-factor model. CFA supported the six-factor model of CC-Self Efficacy Scale (Thai) questionnaire with the reliability judged by McDonald's omega being 0.87. The 434 sample size was enough for EFA and CFA. The CC-Self Efficacy Scale (Thai) with the six-factor model is appropriate for evaluating the caregiver confidence of people with stroke.
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Affiliation(s)
- Jom Suwanno
- School of NursingWalailak UniversityNakhon Si ThammaratThailand
- The Excellent Center of Community Health PromotionWalailak UniversityNakhon Si ThammaratThailand
| | | | - Kannika Srisomthrong
- School of NursingWalailak UniversityNakhon Si ThammaratThailand
- The Excellent Center of Community Health PromotionWalailak UniversityNakhon Si ThammaratThailand
| | - Matthew Kelly
- Department of Global Health, Research School of Population HealthAustralian National UniversityCanberraAustralian Capital TerritoryAustralia
| | - Marzukee Mayeng
- Department of Epidemiology, Faculty of MedicinePrince of Songkla UniversitySongkhlaThailand
| | - Juk Suwanno
- Hatyai Stroke CenterHat Yai HospitalSongkhlaThailand
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Klinjun N, Suwanno J, Srisomthrong K, Suwanno J, Kelly M. A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers. Int J Nurs Sci 2023; 10:456-467. [PMID: 38020839 PMCID: PMC10667295 DOI: 10.1016/j.ijnss.2023.09.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 09/14/2023] [Accepted: 09/25/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers. Methods We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluating validity and reliability of three separate scales, CC-SC Maintenance, CC-SC Monitoring, and CC-SC Management, as well as overall CC-SC-CII-v2. From September to December 2022, we enrolled 422 stroke caregivers from primary care centers in southern Thailand. Structural validity was assessed through confirmatory factor analysis (CFA), while concurrent validity was evaluated using Pearson's correlation r coefficients between CC-SC-CII-v2 and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Internal coherence reliability was assessed using Cronbach's α coefficient, the composite reliability index, and the McDonald's ω coefficient. Additionally, test-retest reliability was assessed with intraclass correlation coefficients (ICCs). Results The study included mostly middle-aged women who cared for their parent. CFA supported the two-factor structure of the CC-SC Maintenance and Management scales and the one-factor structure of the CC-SC Monitoring scale. A simultaneous CFA on the combined set of items supported the more general model. The concurrent validity of CC-SC-CII-v2 with CSE-CSC was established (r ranging 0.47-0.65, all P < 0.001). Reliability estimates supported adequate Cronbach's α coefficient (ranging 0.83-0.89), composite reliability (ranging 0.84-0.85), McDonald's ω coefficients (ranging 0.83-0.85), and ICCs (ranging 0.86-0.90) across the three scales. Conclusions The Thai CC-SC-CII-v2 demonstrated strong psychometric properties among stroke caregivers. It can be a valuable instrument to investigate the role of caregivers in contributing to stroke patients' self-care in diverse cultural contexts like Thailand.
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Affiliation(s)
- Nuntaporn Klinjun
- Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand
| | - Jom Suwanno
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Kannika Srisomthrong
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Juk Suwanno
- Stroke Care Center, Hat Yai Hospital, Songkhla, Thailand
| | - Matthew Kelly
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
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Bunsuk C, Suwanno J, Klinjun N, Kumanjan W, Srisomthrong K, Phonphet C, Mayurapak C, Dansuwan C, Suwanno J, Chramnanpho P, Kamlungdee U, Arab W, Ninla-aesong P, Hamilton SS, Thiamwong L. Cross-cultural adaptation and psychometric evaluation of the Thai version of Self-Care of Chronic Illness Inventory Version 4.c. Int J Nurs Sci 2023; 10:332-344. [PMID: 37545777 PMCID: PMC10401351 DOI: 10.1016/j.ijnss.2023.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 05/28/2023] [Accepted: 06/24/2023] [Indexed: 08/08/2023] Open
Abstract
Objectives To translate and validate the Thai Self-Care of Chronic Illness Inventory version 4.c (Thai SC-CII v4.c) in individuals with chronic illnesses. Methods A scale translation and cross-sectional validation study was conducted. The English version was translated for Thai involved nine steps: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing and finalization, and proofreading. A cross-sectional study was conducted from July to November 2022 at 16 primary care centers in southern Thailand, involving 410 participants with at least one chronic condition. Validity assessments included structural, convergent, and discriminant validity. Concurrent validity examined correlations between SC-CII v4.c with the Self-Care Self-Efficacy Scale (SCSES) and self-perceived health. Internal coherence reliability was calculated using Cronbach's α coefficient, item-total correlation coefficients, and the composite reliability (CR) index. Results Thai SC-CII v4.c demonstrated excellent translational validity (κ = 0.99). The specified Self-Care Maintenance model fit well, with minor differences in health promoting behavior and illness-related behavior items compared to the original model. The original Self-Care Monitoring, and Self-Care Management models fit well with Thai data. Simultaneous confirmatory factor analysis confirmed a satisfactory fit of the full SC-CII v4.c. Convergent validity had partial support (average variance extracted = 0.23-0.51), and discriminant validity was established (heterotrait-monotrait ratios = 0.37-0.88). Concurrent validity was supported by positive correlations between each scale and overall SC-CII v.4c with SCSES (r = 0.25-0.65) and self-perceived health (r = 0.09-0.35). The Cronbach's α coefficient were adequate for all scales except the Self-Care Maintenance scale (Cronbach's α = 0.68), but the CR estimate improved the reliability of all three scales (ranging 0.80-0.82). All items had satisfactory item-total correlation coefficients (ranging 0.34-0.71), except the one pertaining to sleep. Conclusions The Thai SC-CII v4.c is valid and reliable for assessing self-care in various chronic illnesses. Further testing is recommended for patients with specific diseases.
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Affiliation(s)
- Chonchanok Bunsuk
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Jom Suwanno
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Nuntaporn Klinjun
- Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand
| | - Wanna Kumanjan
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Kannika Srisomthrong
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Chennet Phonphet
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Chidchanok Mayurapak
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Chutiporn Dansuwan
- School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- The Excellent Center of Community Health Promotion, Walailak University, Thailand
| | - Juk Suwanno
- Stroke Center, Hat Yai Hospital, Songkhla, Thailand
| | | | | | - Wichai Arab
- Baan Huainang Subdistrict Health Promotion Hospital, Trang, Thailand
| | | | - Sadee Saithong Hamilton
- Boromarajonani College of Nursing Sanpasithiprasong, Faculty of Nursing, Praboromarajchanok Institute, Ubon Ratchathani, Thailand
| | - Ladda Thiamwong
- College of Nursing, University of Central Florida, Orlando, FL, USA
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Thiamwong L, McManus M, Suwanno J. DEVELOPMENT OF THE HEALTHY AGING MODEL: A GROUNDED THEORY STUDY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- L. Thiamwong
- College of Nursing, University of Central Florida, Orlando, Florida,
| | - M. McManus
- University of the Ozarks, Clarksville, Arkansas,
| | - J. Suwanno
- Walailak University, Tasala, Nakhon Si Thammarat, Thailand
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Rajborirug K, Tumviriyakul H, Suwanno J. Effects of Stroke Unit Care in Acute Ischemic Stroke Patient Ineligible for Thrombolytic Treatment. J Med Assoc Thai 2017; 100:410-417. [PMID: 29911837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Several trials have verified the benefits of stroke unit (SU) in acute stroke care worldwide. OBJECTIVE Compare clinical outcomes and costs of care in acute ischemic stroke patients who were ineligible for thrombolytic treatment (recombinant tissue plasminogen activator-rt PA) in a primary stroke center. MATERIAL AND METHOD A prospective study was conducted in acute ischemic stroke patients, aged 15 years old and above, presenting within 72 hours of onset. At discharge, neurological and medical complications, mortality rate, National Institutes of Health Stroke Scale (NIHSS), Barthel Activities of Daily Living (Barthel ADLs Index), and modified Rankin Scale (mRS) for disability were measured, as well as the length of stay, and cost of hospital care. RESULTS There were 1,110 acute ischemic stroke patients, 472 subjects (42.52%) in general medical ward (GMW), and 638 subjects (57.48%) in stroke unit (SU). The number of neurological (brain edema, hemorrhagic transformation, or recurrent stroke), and medical complications (gastrointestinal hemorrhage, pneumonia, or pressure sore) in GMW had highly statistical significance (p<0.001, p<0.001) more than those in SU, with adjusted OR (aOR) (95% CI) of 84.53 (31.14 to 229.46), 4.03 (1.99 to 8.17), respectively. Whereas, the death rate, NIHSS, and disability (Barthel Index of ADLs, and mRS) were statistically significant lower among SU cases (p = 0.05, p<0.001, p<0.001) respectively. The median length of stay was three days in both groups, while the median cost of in hospital care was 10,206 Thai Bahts in SU, which was 15.23% higher (p<0.001). CONCLUSION The stroke unit increases the survival rate among stroke patient compared with the general medical ward and have less complication.
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Lee C, Riegel B, Driscoll A, Suwanno J, Moser D, Lennie T, Dickson V, Cameron J, Worrall-Carter L. FP9 Gender is not a Determinant of Heart Failure Self-Care. Eur J Cardiovasc Nurs 2009. [DOI: 10.1016/s1474-5151(09)60048-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- C.S. Lee
- University of Pennsylvania, Philadelphia, United States of America
| | - B. Riegel
- University of Pennsylvania, Philadelphia, United States of America
| | | | - J. Suwanno
- Walailak University, Nakhon Si Thammarat, Thailand
| | - D.K. Moser
- University of Kentucky, Lexington, United States of America
| | - T.A. Lennie
- University of Kentucky, Lexington, United States of America
| | - V.V. Dickson
- New York University, New York, United States of America
| | - J. Cameron
- Australian Catholic University, Melbourne, Australia
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