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Original Article
Validation of an Instrument to Measure Exercise of Self-Care Agency and its Predictors
Hyang Sook So, Eun Sook Lee
The Journal of Nurses Academic Society 1989;19(3):273-284.
DOI: https://doi.org/10.4040/jnas.1989.19.3.273
Published online: March 31, 2017

Copyright © 1989 Korean Society of Nursing Science

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  • The aim of this investigation was to delineate concepts contributing to the Exercise of Self-Care Agency (E.S.C.A.) Scale developed by Kearney & Fleischer (1979) and to test its construct validity and its predictors. The results are summarized as follows : 1. By means of principal factor analysis and maximal likelihood factor analysis upon data generated from 280 undergraduate students, the factors of Concern about Health Knowledge, Self-Concept, Information-Seeking Behavior, Decision-making and Responsibility, Self-esteem, and Passivity emerged. The total percent of variance explained by the 6 factors was 75.1 % 2. To assess factor independence and instrument homogeneity, correlations among the 6 factors were computed. The correlations ranged from .24 to .46 indicating that the factors and the items were not too similar or redundant. 3. Test-retest reliability of the total scale is r=.70. Cronbach's a coefficient for internal consistency of the total scale is .86 and that of the factors ranged from .750 to .661 (only factor 6 .497). 4. In additional analysis of the Exercise of self-Care Agency Scale in relationship to Multiple Health Locus of Control, Family Environmental Scale, and Cornell Medical Index using stepwise multiple regression, the Internal Health Locus of Control Score predicted 21.8%(F=53.34, P=.0001), Family Environmental Score 8.3 %(F=22.59, P=.0001), Modified Cornell Medical Index Score 5.4%(F=15.74, P=. 0001) of the score of the E.S.C.A.

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