Abstract
Purpose: This research is to make the self-efficacy evaluation index of the elderly people who became non-correspondence of long-term care insurance to participate in support care service which is one of the nursing prevention projects. Methods : We conducted a focus-group interview involving 16 people who participated in day-service programs, which formed part of a living-support project, in two regions of F Prefecture. Twenty-three items were extracted to be used in the self-efficacy. We then conducted to survey of 103 people who participated in day-service programs in F and H Prefectures, using the 23 items from the interview and general efficacy scales in order to evaluate reliability and validity. Factor structure of the evaluation index was determined using factor analysis and reliability was analyzed using the Cronbach α coefficient. Criterion-related validity was analyzed by determining the correlation to general self-efficacy score. Results : We analyzed the interviews with focus groups based on Bandura's study, and created self-efficacy context consisting of 23 items. We excluded six questions with factor loading of less than 0.5, as well as some similar questions, resulting in 16 remaining items. The coefficient of reliability of these 16 questions was determined as 0.92. The association between the criterion-related validity and general self-efficacy showed a significantly positive correlation (r=0.54, p<0.05). Based on these results, a self-efficacy evaluation index consisting of 16 items of questions was designed. The 16 items divided into two factors, and 7 items were named "self-efficacy of the life maintenance", 9 items "self-efficacy of the living activation" and the second factor items.
