DOI: 10.5176/2315-4330_WNC13.76
Authors: Ismat F. Mikky
Abstract:
Chronic conditions place a tremendous burden on clients and deplete the health resources on the national level. Empowerment tenets should supplant the medical model for an effective management of chronic disease. The purpose of this study was to report the psychometric properties of the Client Empowerment Scale (CES) among clients with different chronic diseases. The sample of 318 participants completed the 60-item CES questionnaire, which was posted on online support groups. The sample represented participants with different chronic health conditions including: comorbid (n = 104, 32.7{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}), neurological (n = 68, 21.4{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}), and diabetes mellitus (n = 35, 11{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}). Reliability of the CES scale was supported with Alpha (α) of 0.97. Principal component analysis revealed that the extracted 6-factor solution was the most conceptually meaningful and accounted for 58.64 {6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} of the total variance. Reliability of the extracted 6-subscales ranged from 0.95-0.71. The CES instrument can be used to measure clients’ empowerment, predict clients’ self-management practices, and evaluate the effectiveness of empowering programs.
Keywords: empowerment, chronic disease, instrument development
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