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


CONCLUSIONS
These detailed analyses with ASSET provide rich data and give the researcher an insight into the underlying mechanism of the intervention process.


CONCLUSIONS
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.
School of Psychology, University of Southampton, Highfield, Southampton, UK. kzinken@soton.ac.uk
Katarzyna M
KM
Zinken
Sue
S
Cradock
T Chas
TC
Skinner
D000043:Abstracting and Indexing / Q000379:methods* / Q000592:standards; D000339:Affect; D000704:Analysis of Variance; D003625:Data Collection / Q000379:methods* / Q000592:standards; D003922:Diabetes Mellitus, Type 1 / Q000517:prevention & control / Q000523:psychology; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D010565:Persuasive Communication; D011369:Professional-Patient Relations; D011582:Psychological Theory; D012380:Role; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D006113:United Kingdom; D014705:Verbal Behavior; D014743:Videotape Recording