Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions
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Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions. / Zinken, Katarzyna M.; Cradock, Sue; Skinner, T. Chas.
In: Patient Education and Counseling, Vol. 72, No. 2, 01.08.2008, p. 186-193.Research output: Contribution to journal › Journal article › Research › peer-review
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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
VL - 72
SP - 186
EP - 193
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 2
ER -
ID: 189876025