title: Measurement properties of instruments evaluating self-care and related concepts in people with chronic obstructive pulmonary disease: A systematic review.
abstract: The use of valid and reliable instruments for assessing self-care is crucial for the evaluation of chronic obstructive pulmonary disease (COPD) management programs. The aim of this review is to evaluate the measurement properties and theoretical foundations of instruments for assessing self-care and related concepts in people with COPD. A systematic review was conducted of articles describing the development and validation of self-care instruments. The methodological quality of the measurement properties was assessed using the COSMIN checklist. Ten studies were included evaluating five instruments: three for assessing self-care and self-management and two for assessing self-efficacy. The COPD Self-Efficacy Scale was the most studied instrument, but due to poor study methodological quality, evidence about its measurement properties is inconclusive. Evidence from the COPD Self-Management Scale is more promising, but only one study tested its properties. Due to inconclusive evidence of their measurement properties, no instrument can be recommended for clinical use.
authors.affiliation: Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', via Montpellier 1, Rome 00133, Italy. Electronic address: marco.clari@med.uniupo.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Clari
authors.affiliation: Unit of Nursing Science, Department of Medicine, Campus Bio-Medico University of Rome, via Alvaro del Portillo 21, Rome, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Matarese
authors.affiliation: Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', via Montpellier 1, Rome 00133, Italy.
authors.forename: Rosaria
authors.initials: R
authors.lastname: Alvaro
authors.affiliation: Unit of Nursing Science, Department of Medicine, Campus Bio-Medico University of Rome, via Alvaro del Portillo 21, Rome, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Piredda
authors.affiliation: Unit of Nursing Science, Department of Medicine, Campus Bio-Medico University of Rome, via Alvaro del Portillo 21, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: De Marinis
mesh_terms: D057189:Checklist; D059026:Diagnostic Self Evaluation; D006801:Humans; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000628:therapy*; D012648:Self Care / Q000295:instrumentation*; D020377:Self Efficacy
keywords: COPD; Measurement properties; Self-care; Self-efficacy; Self-management; Systematic review