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Entry ID
337
Entry Date
September 19, 2022 10:05 am
Reference Id
CV6UcwWzN23Mshn4
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Document Status
Published
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Language
English
Year
2017
Category
Presentation Preference
Title
The Dietetic Confidence Scale: An evidence-based tool for measuring dietitians’ confidence in working with clients impacted by common mental health conditions
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Introduction/Purpose
Objective(s)/Process or Summary of Content
Valid and reliable evaluation tools are needed to measure dietitians’ professional confidence. This research aimed to develop a tool to measure dietitians’ professional confidence in working with clients impacted by common mental health conditions.
Method(s)/Systemic Approach Used
A review of practitioner confidence measures informed the development of the ‘Dietetic Confidence Scale’ (DCS). Two cross-sectional samples of Australian dietitians (n=185, 458) were recruited to test the scale. Principal Components Analysis (PCA) helped refine scale items and derive a model, which was then validated using Confirmatory Factor Analysis (CFA).
Results/Conclusions
The review identified 14 instruments from 20 studies. No tools specifically measured dietitians’ professional confidence in working wth clients impacted by common
mental health conditions. PCA results indicated a 13-item, two-factor solution accounting for 69.1% of total variance. Dietetic confidence was associated with 1) Confidence in
Nutrition Care Process (NCP, α=0.95), and 2) Confidence in Advocating for Professional Self-Care and Client-Care (ASC, α=0.81). CFA results supported the proposed scale and
model (Good Fit Index 0.95). The final scale showed good reliability (α=0.93)
mental health conditions. PCA results indicated a 13-item, two-factor solution accounting for 69.1% of total variance. Dietetic confidence was associated with 1) Confidence in
Nutrition Care Process (NCP, α=0.95), and 2) Confidence in Advocating for Professional Self-Care and Client-Care (ASC, α=0.81). CFA results supported the proposed scale and
model (Good Fit Index 0.95). The final scale showed good reliability (α=0.93)
Conclusions(s)/Recommendations
Dietitians need to develop and use evidence-based measures of practitioner confidence. The DCS is a psychometrically robust instrument with strong internal
consistency, tested with two independent samples. The DCS can be used to measure dietitians’ professional confidence about working with clients impacted by common mental health conditions, evaluate professional development that is aimed at increasing confidence, and highlight where additional support or training may be needed. Further validity and reliability testing is needed to confirm scale generalisability and use.
consistency, tested with two independent samples. The DCS can be used to measure dietitians’ professional confidence about working with clients impacted by common mental health conditions, evaluate professional development that is aimed at increasing confidence, and highlight where additional support or training may be needed. Further validity and reliability testing is needed to confirm scale generalisability and use.
Significance to Dietetics
The DCS is an evidence-based tool useful for educators, researchers and practitioners. To improve professional confidence, dietitians should focus on developing their transferable person-centred care skills using the NCP. In addition, CPD activities involving advocacy, reflective practice, mentoring and professional self-care also contribute to dietitians’ confidence in working with clients impacted by mental health conditions.
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