ArticleGlobal implementation research and applications2022
Cultural Adaptation and Validation of the General Self-Efficacy Scale in Ugandan Community Health Workers.
Article in Global implementation research and applications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Evaluation of a synchronous training program on common primary care medications for community health workers in Karnataka, India.BMC health services research · 2026Article
- Adaptation and validation of perceived HIV and TB stigma scales among persons with TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025Article
- Emotional intelligence and sympatho-vagal balance as determinants of stress in undergraduate medical students: A cross-sectional observational study.Journal of education and health promotion · 2025Article
- Evaluating implementation preparedness for suicide screening and referral in a Nepali emergency department: A mixed-methods study.Implementation research and practiceArticle
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Authors and funding
13 authors.
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Abstract
Self-efficacy is central to community health workers' capacity and motivation to deliver evidence-based care; thus, validated measures of self-efficacy are needed to assess the effectiveness of community health worker programs. In this study, we culturally adapted and evaluated the General Self-Efficacy Scale among community health workers in Uganda using multiple methods. We adapted the ten-item General Self-Efficacy Scale through cross-cultural discussions within our multidisciplinary research team, translation from English into Luganda and back-translation into English, and six cognitive interviews with community health workers. We administered the adapted scale in a staged, two-part cross-sectional study, including a total of 147 community health workers. Exploratory factor analysis yielded three factors, which we labeled problem-solving, persistence, and resourcefulness. This three-factor solution had good model fit (standardized root mean square residual = 0.07) and explained 53.4% of the variance. We found evidence of convergent validity, as scores for the total scale were positively correlated with years of experience (
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