{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:07:04Z","timestamp":1790320024236,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,7,22]],"date-time":"2016-07-22T00:00:00Z","timestamp":1469145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Canadian Institutes of Health Research Emerging Team Grant for Rare Diseases","award":["TR3-119192"],"award-info":[{"award-number":["TR3-119192"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Self\u2010management programs for patients with chronic illnesses, including rheumatic diseases, seek to enhance self\u2010efficacy for performing health management behaviors. No measure of self\u2010efficacy has been validated for patients with systemic sclerosis (SSc; scleroderma). The objective of this study was to assess the validity and internal consistency reliability of the Self\u2010Efficacy for Managing Chronic Disease (SEMCD) scale in SSc.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>English\u2010speaking SSc patients enrolled in the Scleroderma Patient\u2010centered Intervention Network Cohort who completed the SEMCD scale at their baseline assessment between March 2014 and June 2015 were included. Patients were enrolled from 21 sites in Canada, the US, and the UK. Confirmatory factor analysis (CFA) was used to evaluate the factor structure of the SEMCD scale. Cronbach's alpha was calculated to assess internal consistency reliability. Hypotheses on the direction and magnitude of Pearson's correlations with psychological and physical outcome measures were formulated and tested to examine convergent validity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 553 patients were included. CFA supported the single\u2010factor structure of the SEMCD scale (Tucker Lewis Index\u2009=\u20090.99, comparative fit index\u2009=\u20090.99, root mean square error of approximation\u2009=\u20090.10). Internal consistency was high (\u03b1\u2009=\u20090.93), and correlations with measures of psychological and physical functioning were moderate to large (|r|\u2009=\u20090.48\u20130.67, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), confirming study hypotheses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Scores from the SEMCD scale are valid for measuring self\u2010efficacy in patients with SSc, and results support using the scale as an outcome measure to evaluate the effectiveness of self\u2010management programs in SSc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22807","type":"journal-article","created":{"date-parts":[[2015,11,30]],"date-time":"2015-11-30T10:15:01Z","timestamp":1448878501000},"page":"1195-1200","source":"Crossref","is-referenced-by-count":36,"title":["Validation of the Self\u2010Efficacy for Managing Chronic Disease Scale: A Scleroderma Patient\u2010Centered Intervention Network Cohort Study"],"prefix":"10.1002","volume":"68","author":[{"given":"Kira E.","family":"Riehm","sequence":"first","affiliation":[{"name":"Jewish General Hospital Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Kwakkenbos","sequence":"additional","affiliation":[{"name":"Jewish General Hospital and McGill University, Montreal, Canada, and Radboud University Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Eve","family":"Carrier","sequence":"additional","affiliation":[{"name":"Jewish General Hospital Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J.","family":"Bartlett","sequence":"additional","affiliation":[{"name":"McGill University Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa L.","family":"Malcarne","sequence":"additional","affiliation":[{"name":"San Diego State University San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"Mouthon","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes, Assistance Publique\u2010H\u00f4pitaux de Paris, and H\u00f4pital Cochin Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren R.","family":"Nielson","sequence":"additional","affiliation":[{"name":"St. Joseph's Health Care and the Lawson Health Research Institute London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Poiraudeau","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes, Assistance Publique\u2010H\u00f4pitaux de Paris, H\u00f4pital Cochin, and IFR Handicap INSERM Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Scleroderma Society of Ontario Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray","family":"Baron","sequence":"additional","affiliation":[{"name":"Jewish General Hospital, and McGill University Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Frech","sequence":"additional","affiliation":[{"name":"University of Utah Salt Lake City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Hudson","sequence":"additional","affiliation":[{"name":"Jewish General Hospital, and McGill University Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Pope","sequence":"additional","affiliation":[{"name":"University of Western Ontario and St. Joseph's Health Care London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Sauve","sequence":"additional","affiliation":[{"name":"Scleroderma Society of Ontario, Hamilton, and Scleroderma Society of Canada Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Suarez\u2010Almazor","sequence":"additional","affiliation":[{"name":"University of Texas M. 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Anderson Cancer Center Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrick M.","family":"Wigley","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett D.","family":"Thombs","sequence":"additional","affiliation":[{"name":"Jewish General Hospital, and McGill University Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Scleroderma Patient\u2010Centered Intervention Network Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,22]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"CD005108","article-title":"Self\u2010management education programmes by lay leaders for people with chronic conditions","volume":"4","author":"Foster G","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.06.009"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003563"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38098"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20591"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.06.026"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep443"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790040106"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_4_12_1","first-page":"136","volume-title":"Testing structural equation models","author":"Browne MW","year":"1993"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.181"},{"key":"e_1_2_4_14_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0013164413495237"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jrp.2013.05.009"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Facr.22807","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Facr.22807","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.22807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T17:33:04Z","timestamp":1759426384000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.22807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,22]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1002\/acr.22807"],"URL":"https:\/\/doi.org\/10.1002\/acr.22807","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,22]]}}}