Development and Validation of the Greek version of Self-Care Heart Failure Index (Gr-SCHFI) in Patients with Heart Failure

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Ekaterini Lambrinou, PhD, Associate Professor Maria Thodi, RN Anastasia Samara, MSc Katerina Philippou, MSc Lefkios Paikousis, MSc Panayiota Sentouxi, MSc Gerasimos Filippatos, MD, FESC, FHFA, FHFSA (h) Vasiliki Bistola, MD John Parissis, MD Martha Kyriakou, PhD


Background: Self-care of patients with heart failure (HF) is essential for the effective self-management of their disease, especially during the pandemic era. Self-care assessment instruments give the opportunity to Health Professionals to early recognize possible self-care needs and management of patients with HF.

Aim: The translation and validation of the Greek version of the instrument “Self-Care of Heart Failure Index’’ (Gr-SCHFI), as well as the investigation of the psychometric properties of the instrument in a Greek-speaking population with HF.

Methods: It’s a methodological study of an instrument validation. The psychometric properties of the Greek version of Gr-SCHFI were evaluated through reliability factors (Cronbach’s a and Composite Reliability), reliability of repeat test-retest and validity measures (content validity and concurrent validity). Brislin's (1970) methodology was used to translate the instrument to Greek language.

Results: The study involved 176 patients, of whom 138 (78%) were men with an average of 69 years old. Most participants were in the NYHA III category [76 (57%)]. Confirmatory factor analysis showed very good measurements in the criteria: RMSEA = 0.07, CFI = 0.97, GFI = 0.98, AGFI = 0.98, NFI = 0.95, TLI = 0.97. The Cronbach's alpha index and the Composite reliability index had satisfactory internal coherence indicators (Cronbach's alpha 0.80-0.92, and Composite reliability 0.88-0.96, respectively).

Conclusions: The Gr-SCHFI scale is a reliable and valid self-care assessment instrument for patients with HF. Self-care is necessary in HF where the evaluation and assessment of the self-care of the specific population is very important along the trajectory of the disease.

Keywords: Heart failure, Self-care, Self-management, Psychometric properties, Self-Care of Heart Failure Index

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How to Cite
LAMBRINOU, Ekaterini et al. Development and Validation of the Greek version of Self-Care Heart Failure Index (Gr-SCHFI) in Patients with Heart Failure. Medical Research Archives, [S.l.], v. 10, n. 11, nov. 2022. ISSN 2375-1924. Available at: <>. Date accessed: 17 june 2024. doi:
Research Articles


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