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Analysis System for Self-Efficacy Training (ASSET): Assessing treatment fidelity of self-management interventions

journal contribution
posted on 2023-05-17, 09:05 authored by Zinken, KA, Cradock, S, Skinner, TC
Objective: The paper presents the development of a coding tool for self-efficacy orientated interventions in diabetes self-management programmes (Analysis System for Self-Efficacy Training, ASSET) and explores its construct validity and clinical utility. Methods: Based on four sources of self-efficacy (i.e., mastery experience, role modelling, verbal persuasion and physiological and affective states), published self-efficacy based interventions for diabetes care were analysed in order to identify specific verbal behavioural techniques. Video-recorded facilitating behaviours were evaluated using ASSET. Results: The reliability between four coders was high (K = 0.71). ASSET enabled assessment of both self-efficacy based techniques and participants' response to those techniques. Individual patterns of delivery and shifts over time across facilitators were found. In the presented intervention we observed that self-efficacy utterances were followed by longer patient verbal responses than non-self-efficacy utterances. Conclusion: These detailed analyses with ASSET provide rich data and give the researcher an insight into the underlying mechanism of the intervention process. Practice implications: By providing a detailed description of self-efficacy strategies ASSET can be used by health care professionals to guide reflective practice and support training programmes. © 2008 Elsevier Ireland Ltd. All rights reserved.


Publication title

Patient Education and Counseling: An Interdisciplinary Journal for Patient Education Researchers and Managers








Tasmanian School of Medicine


Elsevier Sci Ireland Ltd

Place of publication

Customer Relations Manager, Bay 15, Shannon Industrial Estate Co, Clare, Ireland

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The definitive version is available at

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  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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