The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease.
Chronic Kidney Disease (CKD) is a major burden on patients and the health care system. Treatment of CKD requires dedicated involvement from both caretakers and patients. Self-efficacy, also known as perceived competence, contributes to successful maintenance of patient's CKD self-management behaviors such as medication adherence and dietary regulations. Despite a clear association between self-efficacy and improved CKD outcomes, there remains a lack of validated self-report measures of CKD self-efficacy. To address this gap, the Perceived Kidney/Dialysis Self-Management Scale (PKDSMS) was adapted from the previously validated Perceived Medical Condition Self-Management Scale. We then sought to validate this using data from two separate cohorts: a cross-sectional investigation of 146 patients with end-stage renal disease receiving maintenance hemodialysis and a longitudinal study of 237 patients with CKD not receiving dialysis. The PKDSMS was found to be positively and significantly correlated with self-management behaviors and medication adherence in both patient cohorts. The PKDSMS had acceptable reliability, was internally consistent, and exhibited predictive validity between baseline PKDSMS scores and self-management behaviors across multiple time points. Thus, the PKDSMS is a valid and reliable measure of CKD patient self-efficacy and supports the development of interventions enhancing perceived competence to improve CKD self-management.
['Wild|Marcus G|MG|', 'Wallston|Kenneth A|KA|', 'Green|Jamie A|JA|', 'Beach|Lauren B|LB|', 'Umeukeje|Ebele|E|', 'Wright Nunes|Julie A|JA|', 'Ikizler|T Alp|TA|', 'Steed|Julia|J|', 'Cavanaugh|Kerri L|KL|']
D000328:Adult D000368:Aged D003430:Cross-Sectional Studies D019468:Disease Management D005260:Female D057220:Health Literacy D006801:Humans D008137:Longitudinal Studies D008297:Male D055118:Medication Adherence D008875:Middle Aged D006435:Renal Dialysis D051436:Renal Insufficiency, Chronic D015203:Reproducibility of Results D020377:Self Efficacy D057566:Self Report D000073278:Self-Management
chronic kidney disease self-efficacy perceived competence validation self-report