Evidence map›Paper›PMID 41251104›Full record

ArticleResearch in nursing & health2026

Development and Psychometric Testing of the Inventory of Self-Care Decision-Making Styles of Older Adults.

Maria Matarese, Marzia Lommi, Maddalena De Maria, Barbara Riegel

Abstract readValidation Study
In one paragraph

Article in Research in nursing & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maria MatareseDepartment of Medicine and Surgery, Campus Bio-Medico University, Rome, Italy.ORCID 0000-0002-7923-914X
Marzia LommiDepartment of Clinical and Molecular Medicine, School of Nursing, Faculty of Medicine and Psychology, University La Sapienza, Rome, Italy.ORCID 0000-0001-5904-1032
Maddalena De MariaDepartment of Life Science, Health and Health Professions, Link Campus University, Rome, Italy.ORCID 0000-0003-0507-0158
Barbara RiegelUniversity of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-0970-136X

Funding

This study was funded by Center of Excellence for Nursing Scholarship - CECRI (grant number 2.22.10).
6 · The paper itself

Abstract

Understanding how older adults make decisions about their self-care is essential for designing tailored interventions that promote autonomy and well-being. However, no instrument currently exists to specifically measure self-care decision-making styles in this population. The study aimed to develop and test the psychometric properties of the Self-Care Decision-Making Styles of Older Adult (DECIDE) Inventory, a new instrument designed to assess styles of self-care decision-making among older adults. A three-phase process was undertaken: (i) instrument development based on theory and previous studies; (ii) content validity evaluation with 10 experts and cognitive interviews with 10 older adults; and (iii) psychometric testing, including assessment of structural and construct validity, internal consistency, and test-retest reliability. A convenience sample of 350 older adults from various Italian regions participated in the validation phase. The study followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) reporting guidelines. Following content validation, an instrument was finalized, assessing four decision-making styles-independent, responsible, self-neglected, and guided-, with five items per scale. Confirmatory factor analyses supported the structural validity of the four-scale model. Construct validity was confirmed through hypothesis testing. Reliability indicators, including Omega coefficients, factor score determinacy, item-total correlations, and intraclass correlation coefficients, ranged from adequate to optimal across all scales. The Self-Care Decision-Making Styles of Older Adult Inventory demonstrated good validity and adequate reliability for assessing self-care decision-making styles in older adults. Further refinement and cross-cultural validation are recommended before its use in clinical practice.

Indexed as

Decision MakingPsychometricsSelf CareAgedAged, 80 and overFactor Analysis, StatisticalFemaleHumansItalyMaleMiddle AgedReproducibility of ResultsSurveys and Questionnairesdecision makinginstrument developmentolder adultspsychometricsself‐care

Identifiers

PMID41251104
PMCPMC12779213

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.