Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions

TY - JOUR

T1 - Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions

AU - Zinken, Katarzyna M.

AU - Cradock, Sue

AU - Skinner, T. Chas

PY - 2008/8/1

Y1 - 2008/8/1

N2 - Objective: The paper presents the development of a coding tool for self-efficacy orientated interventions in diabetes self-management programmes (Analysis System for Self-Efficacy Training, ASSET) and explores its construct validity and clinical utility. Methods: Based on four sources of self-efficacy (i.e., mastery experience, role modelling, verbal persuasion and physiological and affective states), published self-efficacy based interventions for diabetes care were analysed in order to identify specific verbal behavioural techniques. Video-recorded facilitating behaviours were evaluated using ASSET. Results: The reliability between four coders was high (K = 0.71). ASSET enabled assessment of both self-efficacy based techniques and participants' response to those techniques. Individual patterns of delivery and shifts over time across facilitators were found. In the presented intervention we observed that self-efficacy utterances were followed by longer patient verbal responses than non-self-efficacy utterances. Conclusion: These detailed analyses with ASSET provide rich data and give the researcher an insight into the underlying mechanism of the intervention process. Practice implications: By providing a detailed description of self-efficacy strategies ASSET can be used by health care professionals to guide reflective practice and support training programmes.

AB - Objective: The paper presents the development of a coding tool for self-efficacy orientated interventions in diabetes self-management programmes (Analysis System for Self-Efficacy Training, ASSET) and explores its construct validity and clinical utility. Methods: Based on four sources of self-efficacy (i.e., mastery experience, role modelling, verbal persuasion and physiological and affective states), published self-efficacy based interventions for diabetes care were analysed in order to identify specific verbal behavioural techniques. Video-recorded facilitating behaviours were evaluated using ASSET. Results: The reliability between four coders was high (K = 0.71). ASSET enabled assessment of both self-efficacy based techniques and participants' response to those techniques. Individual patterns of delivery and shifts over time across facilitators were found. In the presented intervention we observed that self-efficacy utterances were followed by longer patient verbal responses than non-self-efficacy utterances. Conclusion: These detailed analyses with ASSET provide rich data and give the researcher an insight into the underlying mechanism of the intervention process. Practice implications: By providing a detailed description of self-efficacy strategies ASSET can be used by health care professionals to guide reflective practice and support training programmes.

KW - Coding tool

KW - Diabetes

KW - Patient education

KW - Self-efficacy

UR - http://www.scopus.com/inward/record.url?scp=45649084924&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2008.04.006

DO - 10.1016/j.pec.2008.04.006

M3 - Journal article

C2 - 18534809

AN - SCOPUS:45649084924

SN - 0738-3991

VL - 72

SP - 186

EP - 193

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 2

ER -