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Development of a measure of collective efficacy within personal networks: A complement to self-efficacy in self-management support?

Becky Band Orcid Logo, Elizabeth James, David Culliford, Borislav Dimitrov, Anne Kennedy, Anne Rogers, Ivaylo Vassilev

Patient Education and Counseling, Volume: 102, Issue: 7, Pages: 1389 - 1396

Swansea University Author: Becky Band Orcid Logo

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Abstract

ObjectiveTo develop and evaluate the Collective Efficacy of Networks (CENS) questionnaire to measure perceived collective efficacy within personal social networks.MethodsA mixed methods approach was used, guided by theory and with extensive input from adults with long-term conditions who completed t...

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Published in: Patient Education and Counseling
ISSN: 0738-3991
Published: Elsevier BV 2019
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa67034
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Abstract: ObjectiveTo develop and evaluate the Collective Efficacy of Networks (CENS) questionnaire to measure perceived collective efficacy within personal social networks.MethodsA mixed methods approach was used, guided by theory and with extensive input from adults with long-term conditions who completed the initial questionnaire (n = 78) with test-retest assessed at 2 weeks (n = 68). A second sample (n = 85) completed a postal questionnaire including CENS, theoretically linked constructs (self-efficacy, social support) and health outcomes (loneliness, mental and physical health).ResultsPrincipal components analysis demonstrated a two-factor structure with 12-items selected to represent Network responsiveness (8 items, Cronbach’s alpha = 0.896) and Access to collective efficacy (4 items, Cronbach’s alpha = .773). Good test-retest reliability was established for both subscales (ricc = .793–.853). Network responsiveness was associated with self-efficacy (r = 342, p = . < 001) and social support (r = .407, p < .001) and predicted reduced loneliness. Access to collective efficacy significantly predicted better mental health; the predictive validity of the subscales improved when combined with self-efficacy.ConclusionThe CENS is an acceptable and psychometrically robust measure of collective efficacy in personal social networks.Practice implicationsMeasuring collective efficacy with self-efficacy will provide useful information for researchers and policymakers interested in capacity for self-management and social determinants of behaviour change.
Keywords: Collective efficacy; Social networks; Personal communities; Assessment; Psychometric evaluation
College: Faculty of Medicine, Health and Life Sciences
Funders: The research was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Wessex. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
Issue: 7
Start Page: 1389
End Page: 1396