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Assessment of stress and self-efficacy for the NIH Toolbox for Neurological and Behavioral Function
Authors:Mary Jo Kupst  Zeeshan Butt  Catherine M. Stoney  James W. Griffith  John M. Salsman  Susan Folkman
Affiliation:1. Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA mkupst@mcw.edu;3. Department of Medical Social Sciences, Comprehensive Transplant Center and Institute for Healthcare Studies, Northwestern University, Evanston, IL 60208, USA;4. National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA;5. Department of Medical Social Sciences, Northwestern University, Evanston, IL 60208, USA;6. Department of Medical Social Sciences, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA;7. Department of Medicine, University of California San Francisco (Emeritus), San Francisco, CA 94143, USA
Abstract:Background and Objectives: The NIH Toolbox for Neurological and Behavioral Function assessment battery contains measures in the domains of cognitive function, motor function, sensory function, and emotional health. It was designed for use in epidemiological and clinical trials health-related research. Design: This paper describes the first phase of instrument development for the stress and self-efficacy subdomain of emotional health. Based on an extensive literature review and expert consultation, 127 measures were initially considered for inclusion in this subdomain, including measures of stress, self-efficacy, emotion regulation, and coping. Results: Several measures, including emotion regulation and measures of coping strategies, did not meet criteria that were a priori established for inclusion. Psychometric properties of the remaining candidate measures were evaluated using data from five independent samples (combined N = 3175). Confirmatory and exploratory factor analyses indicated the Perceived Stress Scale and the General Self-Efficacy Scale each assessed single dimensions. Conclusions: Based on their psychometric performance, these two instruments were selected for inclusion and subsequent national norming for the NIH Toolbox.
Keywords:perceived stress  self-efficacy  psychometrics  NIH Toolbox
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