The Turkish Version of the Haemodialysis Self‐Management Instrument: A Study of Validity and Reliability

Aim This study aims to adapt the ‘Hemodialysis Self‐Management Instrument (HDSMI‐18)’ to Turkish culture, and evaluate its psychometric properties. Background Self‐management plays a critical role in improving patients' adherence to treatment and quality of life; however, self‐management assessment tools specific to haemodialysis patients are limited. Design The research employed a methodological design. Methods The data were collected with a total of 200 haemodialysis patients receiving haemodialysis treatment between 15 July and 15 August 2024. Content Validity Index, Exploratory and Confirmatory Factor Analyses, Cronbach's alpha, Test–retest reliability and item‐total score correlation were used in data analysis. Results The original HDSMI‐18 consists of 18 items and four subdimensions (partnership, self‐care, problem‐solving, emotional management). However, the Turkish version of HDSMI‐18 (HDSMI) comprises 17 items and introduces an additional fifth subdimension, ‘self‐control’, alongside the four original subdimensions. The five‐factor structure of the HDSMI demonstrated acceptable internal consistency and reliability. The scale's overall Cronbach's α coefficient was determined to be 0.77, with subscale coefficients ranging from 0.63 to 0.83. Conclusion The HDSMI is a valid and reliable tool for assessing self‐management behaviours among haemodialysis patients in the Turkish population.