Development and Validation of the Greek version of Self-Care Heart Failure Index (Gr-SCHFI) in Patients with Heart Failure
Main Article Content
Abstract
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.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Riegel B, Lee CS, Dickson VV. Self care in patients with chronic heart failure. Nat Rev Cardiol. 2011;8(11):644-654. doi:10.1038/nrcardio.2011.95
3. Riegel B, Carlson B, Moser D. K, Sebern M, Hicks F. D, & Roland V. (2004). Psychometric testing of the self-care of heart failure index. Journal of cardiac failure, 10(4), 350–360. https://doi.org/10.1016/j.cardfail.2003.12.001
4. Vellone E, Jaarsma T, Strömberg A, Fida R, Årestedt K, Rocco G, Cocchieri A, & Alvaro R. (2014). The European Heart Failure Self-care Behaviour Scale: new insights into factorial structure, reliability, precision and scoring procedure. Patient education and counseling, 94(1), 97–102. https://doi.org/10.1016/j.pec.2013.09.014
5. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. doi:10.1093/eurheartj/ehab368
6. Jonkman NH, Westland H, Groenwold RHH, et al. What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? An Individual Patient Data Meta-analysis. J Card Fail. 2016;22(11):861-871. doi:10.1016/j.cardfail.2016.06.422
7. Jaarsma T, Årestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): A reliable and valid international instrument. Eur J Heart Fail. 2009;11(1):99-105. doi:10.1093/eurjhf/hfn007
8. DeFilippis, Ersilia; Reza, Nosheen, Donald, Elena; Givertz, Michael; Lindenfeld, Joann; Jessup M. Considerations for Heart Failure Care During the COVID-19 Pandemic. JACC Hear Fail. 2020;8(8):681-691. doi:https://doi.org/10.1016/j.jchf.2020.05.006
9. Hall, Michael; Vaduganathan, Muthiah; Shahzeb, Muhammad; Papadimitriou, Lambros; Long, Robert; Hernadez, Gabriel; Moore, Charles; Lennep, Brandon; Mcmullan, Michael; Butler J. Reductions in Heart Failure Hospitalizations During the COVID-19 Pandemic. J Card Fail. 2020;26(January):462-463.
10. Rosano G, Jankowska EA, Ray R, et al. COVID-19 vaccination in patients with heart failure: a position paper of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23(11):1806-1818. doi:10.1002/ejhf.2356
11. Hill L, Lambrinou E, Moser DK, Beattie JM. The COVID-19 pandemic: challenges in providing supportive care to those with cardiovascular disease in a time of plague. Curr Opin Support Palliat Care. 2021;15(2):147-153. doi:10.1097/SPC.0000000000000552
12. Lambrinou E, Kalogirou F, Lamnisos D, et al. The Greek version of the 9-item European heart failure self-care behaviour scale: A multidimensional or a uni-dimensional scale? Hear Lung. 2014;43(6):494-499. doi:10.1016/j.hrtlng.2014.07.001
13. Riegel B, Lee CS, Dickson VV, Carlson B. An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009;24(6):485-497. doi:10.1097/JCN.0b013e3181b4baa0
14. Riegel B, Jaarsma T. Self-care in long term conditions: Old news or new thinking? Int J Nurs Stud. 2019;90:A1. doi:10.1016/j.ijnurstu.2019.01.008
15. Lee C. S, Bidwell J. T, Paturzo M, Alvaro R, Cocchieri A, Jaarsm T, Strömberg A, Riegel B, & Vellone E. (2018). Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart & lung : the journal of critical care, 47(1), 40–46. https://doi.org/10.1016/j.hrtlng.2017.09.004
16. Riegel B, Barbaranelli C, Carlson B, et al. Psychometric Testing of the Revised Self-Care of Heart Failure Index. J Cardiovasc Nurs. 2019;34(2):183-192. doi:10.1097/JCN.0000000000000543
17. Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life the remarkable universality of half a standard deviation. Med Care. 2003;41(5):582-592. doi:10.1097/00005650-200305000-00004
18. Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European Heart Failure Self-Care Behaviour Scale. Eur J Heart Fail. 2003;5(3):363-370.
doi:10.1016/S1388-9842(02)00253-2
19. 19.Brislin R. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1, 185-216. doi:10.1177/135910457000100301
20. Raykov T. (1997). Estimation of composite reliability for congeneric measures. Applied Psychological Measurement. https://doi.org/10.1177/01466216970212006
21. R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/.
22. Wickham H, Averick M, Bryan J, Chang W, McGowan L, François R, Yutani H. (2019) Welcome to the tidyverse. J Open Source Softw. 4:1686. https://doi.org/10.21105/ joss.01686.
23. Rosseel Y. (2012). lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
24. Hair J. F, Matthews L. M, Matthews R. L, & Sarstedt M. (2017). PLS-SEM or CB-SEM: Updated Guidelines on Which Method to Use. International Journal of Multivariate Data Analysis, 1, 107-123. https://doi.org/10.1504/IJMDA.2017.10008574
25. Lambrinou E, Middleton N. Measures of self-care in heart failure: How methodological queries are translated into clinical ones? Hear Lung J Acute Crit Care. 2015;44(1):83-85. doi:10.1016/j.hrtlng.2014.10.004
26. Fan X, Lv F. Psychosocial factors associated with self-efficacy for managing chronic disease in patients with chronic heart failure. Eur J Cardiovasc Nurs. 2016;15(4):255-261. doi:10.1177/1474515114566157
27. Paradis V, Cossette S, Frasure-Smith N, Heppell S, Guertin MC. The efficacy of a motivational nursing intervention based on the stages of change on self-care in heart failure patients. J Cardiovasc Nurs. 2010;25(2):130-141. doi:10.1097/JCN.0b013e3181c52497
28. Vellone E, Pancani L, Greco A, Steca P, Riegel B. Self-care confidence may be more important than cognition to influence self-care behaviors in adults with heart failure: Testing a mediation model. Int J Nurs Stud. 2016;60:191-199. doi:10.1016/j.ijnurstu.2016.04.016
29. Kyriakou M, Samara A, Philippou K, Lakatamitou I, Lambrinou E. A qualitative meta-synthesis of patients with heart failure perceived needs. Rev Cardiovasc Med. 2021;22(3):853-864. doi:10.31083/J.RCM2203091
30. Barbaranelli, Claudio; Lee, Christopher; Vellone, E; Riegel B. Dimensionality and Reliability of the Self-Care of Heart Failure Index Scales: Further Evidence from Confirmatory Factor Analysis. Mol Cell Biochem. 2012;23(1):1-7. doi:10.1002/nur.21623.Dimensionality
31. Vellone E, Riegel B, Cocchieri A, Barbaranelli C, D'Agostino F, Antonetti G, Glaser D, & Alvaro R. (2013). Psychometric testing of the Self-Care of Heart Failure Index Version 6.2. Research in nursing & health, 36(5), 500–511. https://doi.org/10.1002/nur.2155432.