Development and Psychometric Testing of the Self-Care in COVID-19 (SCOVID) Scale, an Instrument for Measuring Self-Care in the COVID-19 Pandemic

Int J Environ Res Public Health. 2020 Oct 26;17(21):7834. doi: 10.3390/ijerph17217834.

Abstract

Aim: To develop the Self-Care in COVID-19 (SCOVID) scale and to test its psychometric characteristics in the general population.

Methods: We tested SCOVID scale content validity with 19 experts. For factorial and construct validity, reliability, and measurement error, we administered the 20-item SCOVID scale to a sample of 461 Italians in May/June 2020 (mean age: 48.8, SD ± 15.8).

Results: SCOVID scale item content validity ranged between 0.85-1.00, and the total scale content validity was 0.94. Confirmatory factor analysis supported SCOVID scale factorial validity (comparative fit index = 0.91; root mean square error of approximation = 0.05). Construct validity was supported by significant correlations with other instrument scores measuring self-efficacy, positivity, quality of life, anxiety, and depression. Reliability estimates were good with factor score determinacy, composite reliability, global reliability index, Cronbach's alpha, and test-retest reliability ranging between 0.71-0.91. The standard error of measurement was adequate.

Conclusions: The SCOVID scale is a new instrument measuring self-care in the COVID-19 pandemic with adequate validity and reliability. The SCOVID scale can be used in practice and research for assessing self-care in the COVID-19 pandemic to preventing COVID-19 infection and maintaining wellbeing in the general population.

Keywords: COVID-19; infectious diseases; psychometrics; reliability; self-care; validity.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections* / psychology
  • Factor Analysis, Statistical
  • Humans
  • Italy
  • Middle Aged
  • Pandemics*
  • Pneumonia, Viral* / psychology
  • Psychometrics*
  • Quality of Life
  • Reproducibility of Results
  • SARS-CoV-2
  • Self Care*
  • Surveys and Questionnaires