Resumen
El sentido de coherencia (SOC, por sus siglas en inglés) ha mostrado diversos beneficios en el estado de salud de personas con diabetes. El objetivo del estudio fue evaluar las propiedades psicométricas de la versión de 13 ítems de la escala de orientación a la vida en español. Se realizó un estudio de tipo instrumental donde participaron 220 personas diagnosticadas con diabetes tipo 2. La confiabilidad se evaluó por medio del coeficiente omega de McDonalds (0.79) y alfa de Cronbach (0.78); para evaluar la validez de constructo se realizó un análisis factorial confirmatorio. Los resultados indican que se replica la solución de tres factores (RMSEA = 0.08, CFI = 0.91, TLI = 0.90) propuesta por el autor del instrumento, aportando evidencia sobre la escala de orientación a la vida de 13 ítems como un instrumento válido y confiable para ser aplicado en población mexicana con diabetes.
Citas
Abdelgadir, M., Shebeika, W., Eltom, M., Berne, C., & Wikblad, K. (2009). Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation. The Tohoku Journal of Experimental Medicine, 217(1), 45–50. https://doi.org/10.1620/tjem.217.45
Agardh, E. E., Ahlbom, A., Andersson, T., Efendic, S., Grill, V., Hallqvist, J., Norman, A., & Ostenson, C. (2003). Work stress and low sense of coherence is associated with type 2 diabetes in middle-aged Swedish women. Diabetes Care, 26(3), 719–724. https://doi.org/10.2337/diacare.26.3.719
Ahola, A. J., Saraheimo, M., Forsblom, C., Hietala, K., Groop, P., & FinnDiane Study Group. (2010). The cross-sectional associations between sense of coherence and diabetic microvascular complications, glycaemic control, and patients’ conceptions of type 1 diabetes. Health and Quality of Life Outcomes, 8(142). https://doi.org/10.1186/1477-7525-8-142
Ahola, A. J., Mikkilä, V., Saraheimo, M., Wadén, J., MäkimaTtila, S., Forsblom, C., Freese, R., Groop, P., & FinnDiane Study Group. (2012). Sense of coherence, food selection and leisure time physical activity in type 1 diabetes. Scandinavian Journal of Public Health, 40(7), 621–628. https://doi.org/10.1177/1403494812460346
Antonovsky, A. (1987). Unraveling the mystery of health: how people manage stress and stay well. Jossey-Bass.
Ato, M., López-García, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038-1059. https://doi.org/10.6018/analesps.29.3.178511
Benítez, S. (2016). Modelos de ecuaciones estructurales exploratorios (ESEM). Alternativa a los modelos factoriales exploratorios, formalización, condiciones, soluciones y aplicaciones en investigación en psicología [Tesis]. Universitat de Barcelona. https://dialnet.unirioja.es/servlet/tesis?codigo=158559
Boeckxstaens, P., Vaes, B., De Sutter, A., Aujoulat, I., van Pottelbergh, G., Matheï, C., & Degryse, J. (2016). A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older. Annals of Family Medicine, 14(4), 337–343. https://doi.org/10.1370/afm.1950
Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press.
Campo-Arias, A., & Oviedo, H. C. (2008). Propiedades psicométricas de una escala: la consistencia interna. Revista de Salud Pública, 10(5), 831–839.
Domínguez, S. A. (2016). Importancia de reportar la validez y confiabilidad en las investigaciones empíricas. Revista Cubana de Enfermería, 32(3). https://revenfermeria.sld.cu/index.php/enf/article/view/1151
Elyasi, M., Abreu, L. G., Badri, P., Saltaji, H., Flores-Mir, C., & Amin, M. (2015). Impact of sense of coherence on oral health behaviors: a systematic review. PLoS ONE, 10(8), e0133918. https://doi.org/10.1371/journal.pone.0133918
Furr, R. M. (2011). Scale construction and psychometrics for social and personality psychology. Sage Publications Ltd.
Gómez, J., & Hidalgo, M. D. (2005). La validez de los test, escalas y cuestionarios. La Sociología en sus Escenarios, (12), 1-14. https://revistas.udea.edu.co/index.php/ceo/article/view/1750
Hilding, A., Eriksson, A., Agardh, E. E., Grill, V., Ahlbom, A., Efendic, S., & Ostenson, C. (2006). The impact of family history of diabetes and lifestyle factors on abnormal glucose regulation in middle-aged Swedish men and women. Diabetologia, 49(11), 2589–2598. https://doi.org/10.1007/s00125-006-0402-5
Hill, R., Tinning, R., McCuaig, L., & Quennerstedt, M. (2016). Physical activity and sense of coherence in older Australians. Journal of Aging and Physical Activity, 24, 111–112.
Hooper, D., Coughlan, J., & Mullen, M. (2008). Structural equation modelling: guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53-60. https://doi.org/10.21427/D7CF7R
Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989X.3.4.424
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Katz, M. H. (2011). Multivariable analysis: a practical guide for clinicians and public health researchers (3a ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511974175
Keith, T. Z. (2019). Multiple regression and beyond: an introduction to multiple regression and structural equation modeling (2.a ed.). Routledge
Kenny, D. A., Kaniskan, B., & McCoach, D. B. (2015). The performance of RMSEA in models with small degrees of freedom. Sociological Methods & Research, 44(3), 486–507. https://doi.org/10.1177/0049124114543236
Kouvonen, A. M., Väänänen, A., Woods, S. A., Heponiemi, T., Koskinen, A., & Toppinen-Tanner, S. (2008). Sense of coherence and diabetes: a prospective occupational cohort study. BMC Public Health, 8(46). https://doi.org/10.1186/1471-2458-8-46
Liang, X., & Yang, Y. (2014). An evaluation of WLSMV and Bayesian methods for confirmatory factor analysis with categorical indicators. International Journal of Quantitative Research in Education, 2(1), 17. https://doi.org/10.1504/IJQRE.2014.060972
Linden, K., Sparud-Lundin, C., Adolfsson, A., & Berg, M. (2016). Well-being and diabetes management in early pregnant women with Type 1 diabetes mellitus. International Journal of Environmental Research and Public Health, 13(8), 836. https://doi.org/10.3390/ijerph13080836
Lindmark, U., Stegmayr, B., Nilsson, B., Lindahl, B., & Johansson, I. (2005). Food selection associated with sense of coherence in adults. Nutrition Journal, 4(9). https://doi.org/10.1186/1475-2891-4-9
Márquez-Palacios, J. H., Salazar-Estrada, J. G., & Urzúa-Morales, A. (2021). Asociación entre sentido de coherencia y control glucémico en personas con Diabetes Mellitus tipo 2. Revista Brasileira em Promoção da Saúde, 34, 1-12. https://doi.org/10.5020/18061230.2021.11905
Márquez-Palacios, J. H., Yanez-Peñúñuri, L. Y., & Salazar-Estrada, J. G. (2020). Relationship between sense of coherence and diabetes mellitus: a systematic review. Ciência & Saúde Coletiva, 25(10), 3955–3967. https://doi.org/10.1590/1413-812320202510.34312018
Mittelmark, M. B., Sagy, S., Eriksson, M., Bauer, G. F., Pelikan, J. M., Lindström, B., & Espnes, G. A. (eds.). (2017). The handbook of salutogenesis. Springer. http://www.ncbi.nlm.nih.gov/books/NBK435831/
Nilsen, V., Bakke, P. S., Rohde, G., & Gallefoss, F. (2015). Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes?. Public Health, 129(2), 155–161. https://doi.org/10.1016/j.puhe.2014.12.014
Ograczyk, A., Miniszewska, J., Pietrzak, A., & Zalewska-Janowska, A. (2017). Sense of coherence as a protective factor in chronic urticaria. Advances in Dermatology and Allergology/Postȩpy Dermatologii i Alergologii, 34(2), 168–173. https://doi.org/10.5114/ada.2017.67084
Olesen, K., Jensen, T. M., Diaz, L. J., Møller, A. C. L., Willaing, I., & Lyssenko, V. (2017). Sense of Coherence is associated with LDL-cholesterol in patients with type 1 diabetes – The PROLONG-Steno study. Journal of Clinical & Translational Endocrinology, 8, 1–5. https://doi.org/10.1016/j.jcte.2017.01.003
Peer, N., Steyn, K., Lombard, C., Lambert, E. V., Vythilingum, B., & Levitt, N. S. (2012). Rising diabetes prevalence among urban-dwelling black South Africans. PloS One, 7(9), e43336. https://doi.org/10.1371/journal.pone.0043336
Peña-Calero, B. N. (2018). Una guía amigable para el uso de Lavaan: potencia de R para el análisis factorial confirmatorio (SEM). https://doi.org/10.17605/OSF.IO/WYN3Q
Polit, D. F., & Beck, C. T. (2004). Nursing research: principles and methods. Lippincott Williams & Wilkins.
Richardson, A., Adner, N., & Nordström, G. (2001). Persons with insulin-dependent diabetes mellitus: acceptance and coping
ability. Journal of Advanced Nursing, 33(6), 758–763. https://doi.org/10.1046/j.1365-2648.2001.01717.x
Rohani, C., Abedi, H., Sundberg, K., & Langius-Eklöf, A. (2015). Sense of coherence as a mediator of health-related quality of life dimensions in patients with breast cancer: a longitudinal study with prospective design. Health and Quality of Life
Outcomes, 13(195). https://doi.org/10.1186/s12955-015-0392-4
Ruiz-Bolivar, C. (2015). Instrumentos y técnicas de investigación educativa: un enfoque cuantitativo y cualitativo para la recolección y análisis de datos. DANAGA Training and Consulting.
Saravia, J. C., Iberico, C., & Yearwood, K. (2014). Validation of sense of coherence (SOC) 13-item scale in a Peruvian sample. Journal of Behavior, Health & Social Issues, 6(2), 35–44. https://doi.org/10.5460/jbhsi.v6.2.43847
Schmidt, D. R. C., & Dantas, R. A. S. (2011). Analysis of validity and reliability of the adapted Portuguese version of Antonovsky’s Sense of Coherence Questionnaire among nursing professionals. Revista Latino-Americana De Enfermagem, 19(1), 42–49. https://doi.org/10.1590/s0104-11692011000100007
Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting Structural Equation Modeling and Confirmatory Factor Analysis Results: A Review. The Journal of Educational Research, 99(6), 323–338. https://doi.org/10.3200/JOER.99.6.323-338
Suraj, S., & Singh, A. (2011). Study of sense of coherence health promoting behavior in north Indian students. The Indian Journal of Medical Research, 134(5), 645–652. https://doi.org/10.4103/0971-5916.90989
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. W. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
Terwee, C. B., Mokkink, L. B., Knol, D. L., Ostelo, R. W. J. G., Bouter, L. M., & de Vet, H. C. W. (2012). Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 21, 651-657. https://doi.org/10.1007/s11136-011-9960-1
Velázquez, H., Cárdenas, V., Chávez, A., Oliva, V., Hernández, P., & Pulido, M. A. (2014). Comparación de dos formas de una escala de sentido de coherencia. Revista Intercontinental de Psicología y Educación, 16(2), 51–70. https://psicologiayeducacion.uic.mx/index.php/1/article/view/157
Viladrich, C., Angulo-Brunet, A., & Doval, E. (2017). Un viaje alrededor de alfa y omega para estimar la fiabilidad de consistencia interna. Anales de Psicología / Annals of Psychology, 33(3). https://doi.org/10.6018/analesps.33.3.268401
Wainwright, N. W. J., Surtees, P. G., Welch, A. A., Luben, R. N., Khaw, K., & Bingham, S. A. (2007). Healthy lifestyle choices: Could sense of coherence aid health promotion?. Journal of Epidemiology and Community Health, 61(10), 871–876. https://doi.org/10.1136/jech.2006.056275
Wainwright, N. W. J., Surtees, P. G., Welch, A. A., Luben, R. N., Khaw, K., & Bingham, S. A. (2008). Sense of coherence, lifestyle choices and mortality. Journal of Epidemiology and Community Health, 62(9), 829–831. https://doi.org/10.1136/jech.2007.066464