Development and Validation of the Dietary Sodium Reduction Self-Care Agency Scale (DSR-SCA Scale)

Saturday, 29 October 2011: 3:55 PM

Pratsani Srikan, MSN, RN
Kenneth Phillips, PhD, RN
College of Nursing, The University of Tennessee, Knoxville, Knoxville, TN

Learning Objective 1: The leaner will be able to understand the process and psychometric properties of the DSR-SCA scale.

Learning Objective 2: The learner will be able to gain insight in applying this scale in to research and practice.

Development and Validation of the Dietary Sodium Reduction Self-Care Agency Scale

 (DSR-SCA Scale) 

ABSTRACT

Background: A scale for measuring the capability or self-care agency of lowering salt consumption in older adults with hypertension did not exist.

Objectives: To develop and validate the Dietary Sodium Reduction Self-Care Agency scale (DSR-SCA Scale)

Methods: A 24-item scale was developed and tested in 242 hypertensive older adults. Exploratory factor analysis using principal components extraction, Rasch analysis, and internal consistency reliability were used to evaluate the DSR-SCA scale.

Results: Principal components extraction with Varimax rotation was employed. An 11-item DSR-SCA scale with three factor loadings which measure proficiency, persuasiveness, and resourcefulness was finalized after found to meet the criteria of a minimal factor loading of 0.40, Eigenvalues were 2.20, 1.73, and 1.64. The Kaiser-Meyer-Olkin was 0.80, and Bartlet’s test was significant (χ2 (df=55) 403.71, p<0.0001). Total variance explained accounted for 55.53%. Infit and outfit mean square (MNSQ) ranged from 0.88 to 1.18 and infit and outfit standardized mean square (ZSTD) was -1.8 to 1.7. The 11-item scale demonstrated internal consistency with a Cronbach’s alpha coefficient of 0.73 for the total scale.

Discussion: The results showed that the DSR-SCA scale consisted of three factors which have an adequate construct validity and reliability to measure power components and enabling capability. This scale is short, easy-to-complete, and useful for measuring salt reduction self-care agency in hypertensive older adults.