Across rheumatic diseases

Development and preliminary evaluation of a measure ofself-efficacy of Self-Management in ARThritis: Self-Management in Arthritis (SMART)

Arthritis Res TherPublished Questionnaire development and psychometric evaluation study

Authors' conclusion

The novel Self-Management in Arthritis (SMART) questionnaire incorporates 20 items to assess efficacy for five domains of self-management of arthritis. Preliminary psychometrics are promising with unidimensional subscales, strong internal consistency, and acceptable test-retest reliability.

Study context

Population
People with inflammatory arthritis enrolled in the A3BC biobank112 for test-retest
Participants
135 people
Methodological detailsrapid review, exploratory factor analysis, 2-week test-retest, Draft refined with feedback from people with inflammatory arthritis (n = 12) and medical clinicians (n = 8)
  • Rapid review
  • Exploratory factor analysis
  • 2-week test-retest
  • Draft refined with feedback from people with inflammatory arthritis (n = 12) and medical clinicians (n = 8)

Primary result

As reported in the abstract

Psychometric properties of the 20-item SMART questionnaire

Internal consistency (Cronbach alpha), five subscales

0.92-0.98

2-week test-retest reliability (subscale ICCs)

0.61-0.89

Original publication

Development and preliminary evaluation of a measure ofself-efficacy of Self-Management in ARThritis: SMART. Arthritis Res Ther. Published 16 April 2026. doi:10.1186/s13075-026-03812-y

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