The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument - PubMed (original) (raw)
The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument
Tiny Jaarsma et al. Eur J Heart Fail. 2009 Jan.
Free article
Abstract
Aims: Improved self-care is the goal of many heart failure (HF) management programmes. The 12-item European Heart Failure Self-Care Behaviour Scale (EHFScB scale) was developed and tested to measure patient self-care behaviours. It is now available in 14 languages. The aim of this study was to further determine reliability and validity of the EHFScB scale.
Methods and results: Data from 2592 HF patients (mean age 73 years, 63% male) from six countries were analysed. Internal consistency was determined by Cronbach's alpha. Validity was established by (1) interviews with HF experts and with HF patients; (2) item analysis; (3) confirmatory factor analysis; and (4) analysing the relationship between the EHFScB scale and scales measuring quality of life and adherence. Internal consistency of the 12-item scale was 0.77 (0.71-0.85). After factor analyses and critical evaluation of both psychometric properties and content of separate items, a nine-item version was further evaluated. The reliability estimates for the total nine-item scale (EHFScB-9) was satisfactory (0.80) and Cronbach's alpha varied between 0.68 and 0.87 in the different countries. One reliable subscale was defined (consulting behaviour) with a Cronbach's alpha of 0.85. The EHFScB-9 measures a different construct than quality of life (r = 0.18) and adherence (r = 0.37).
Conclusion: The 12-item EHFScB scale was revised into the nine-item EHFScB-9, which can be used as an internally consistent and valid instrument to measure HF-related self-care behaviour.
Similar articles
- Translation and validation of the Italian version of the European Heart Failure Self-care Behaviour Scale.
Pulignano G, Del Sindaco D, Minardi G, Tarantini L, Cioffi G, Bernardi L, Di Biagio D, Leonetti S, Giovannini E. Pulignano G, et al. J Cardiovasc Med (Hagerstown). 2010 Jul;11(7):493-8. doi: 10.2459/JCM.0b013e328335fbf5. J Cardiovasc Med (Hagerstown). 2010. PMID: 20407384 - Psychometric properties of the Chinese version of the European Heart Failure Self-care Behaviour Scale.
Yu DS, Lee DT, Thompson DR, Jaarsma T, Woo J, Leung EM. Yu DS, et al. Int J Nurs Stud. 2011 Apr;48(4):458-67. doi: 10.1016/j.ijnurstu.2010.08.011. Int J Nurs Stud. 2011. PMID: 20970800 - Psychometric Testing of the Hebrew Version of the European Heart Failure Self-Care Behaviour Scale.
Ben Gal T, Kato NP, Yaari V, Avraham B, Klompstra L, Strömberg A, Jaarsma T. Ben Gal T, et al. Heart Lung Circ. 2020 Jul;29(7):e121-e130. doi: 10.1016/j.hlc.2019.10.019. Epub 2019 Nov 25. Heart Lung Circ. 2020. PMID: 31862228 - Measuring self-care in chronic heart failure: a review of the psychometric properties of clinical instruments.
Cameron J, Worrall-Carter L, Driscoll A, Stewart S. Cameron J, et al. J Cardiovasc Nurs. 2009 Nov-Dec;24(6):E10-22. doi: 10.1097/JCN.0b013e3181b5660f. J Cardiovasc Nurs. 2009. PMID: 19786882 Review. - Measuring self-care in patients with heart failure: A review of the psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS).
Sedlar N, Socan G, Farkas J, Mårtensson J, Strömberg A, Jaarsma T, Lainscak M. Sedlar N, et al. Patient Educ Couns. 2017 Jul;100(7):1304-1313. doi: 10.1016/j.pec.2017.02.005. Epub 2017 Feb 6. Patient Educ Couns. 2017. PMID: 28209470 Review.
Cited by
- Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol.
Matsuda M, Saito N, Miyawaki I. Matsuda M, et al. Contemp Clin Trials Commun. 2022 Oct 10;30:101017. doi: 10.1016/j.conctc.2022.101017. eCollection 2022 Dec. Contemp Clin Trials Commun. 2022. PMID: 36276263 Free PMC article. - Six-Month Pilot Testing of a Digital Health Tool to Support Effective Self-Care in People With Heart Failure: Mixed Methods Study.
Keogh A, Brennan C, Johnston W, Dickson J, Leslie SJ, Burke D, Megyesi P, Caulfield B. Keogh A, et al. JMIR Form Res. 2024 Mar 1;8:e52442. doi: 10.2196/52442. JMIR Form Res. 2024. PMID: 38427410 Free PMC article. - Primary care patients' perspectives on the use of non-pharmacological home remedies in Geneva: a cross-sectional study.
Winkler NE, Sebo P, Haller DM, Maisonneuve H. Winkler NE, et al. BMC Complement Med Ther. 2022 May 5;22(1):126. doi: 10.1186/s12906-022-03564-7. BMC Complement Med Ther. 2022. PMID: 35513859 Free PMC article. - Effectiveness of the European Society of Cardiology/Heart Failure Association website 'heartfailurematters.org' and an e-health adjusted care pathway in patients with stable heart failure: results of the 'e-Vita HF' randomized controlled trial.
Wagenaar KP, Broekhuizen BDL, Jaarsma T, Kok I, Mosterd A, Willems FF, Linssen GCM, Agema WRP, Anneveldt S, Lucas CMHB, Mannaerts HFJ, Wajon EMCJ, Dickstein K, Cramer MJ, Landman MAJ, Hoes AW, Rutten FH. Wagenaar KP, et al. Eur J Heart Fail. 2019 Feb;21(2):238-246. doi: 10.1002/ejhf.1354. Epub 2018 Nov 28. Eur J Heart Fail. 2019. PMID: 30485612 Free PMC article. Clinical Trial. - From randomised controlled trial to real world implementation of a novel home-based heart failure tool: pooled and comparative analyses of two clinical controlled trials.
Hovland-Tånneryd A, Melin M, Hägglund E, Hagerman I, Persson HE. Hovland-Tånneryd A, et al. Open Heart. 2019 May 28;6(1):e000954. doi: 10.1136/openhrt-2018-000954. eCollection 2019. Open Heart. 2019. PMID: 31217992 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous