Confirmatory Factor Analysis of Self-management for Chronic Disease Patients at Pathum Thani Province
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Abstract
The purpose of this analytical research was to study the confirmatory factor of self-management for chronic disease patients. The sample consisted of 230 persons with diabetes and/or hypertension in Pathum Thani province. The data were collected by using self-report questionnaires with 4-point rating scale. The content validity was determined with the validity index = 0.92 and coefficient Cronbach’s alpha = 0.77. The quantitative data was analyzed by using descriptive statistics and the component statistics was analyzed by using Confirmatory Factor Analysis.
The research findings showed that there were 4 components of self-management of patients with chronic disease from the literature review and content analysis namely: 1) Self-health care behaviors during exacerbation 2) Self-health monitoring behaviors 3) Self-health promotion behavior, and 4) General health management behavior. When analyzed by Exploratory Factor Analysis (EFA), the 4 components had Eigen values greater than 1% of valance cumulative 67.94 and Confirmatory Factor Analysis by the test of congruence of the empirical data with the conceptual framework showed the following results: (c2 (df = 79, n = 230) = 318.470, CFI = .901, TLI = .900, RMSEA = .056, SRMR = .065). This research points out that explicit knowledge of confirmatory factors for self-management for chronic disease patients which is consistent with the community hospital context is a quality tool that can be applied to develop health promotion program for chronic disease patients in Thailand.
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