Psychometric Testing of the Self-care of Hypertension Inventory

Dickson, Victoria Vaughan; Lee, Christopher S.; Yehle, Karen S.; Abel, Willie M.; Riegel, Bárbara

doi:10.1097/jcn.0000000000000364

Cited by 55 publications

(107 citation statements)

References 27 publications

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“…The research team discussed these response options and determined that it would be easier for patients to answer the questions on self-care behaviors when asked how often they performed the behavior on a 5-point Likert-type scale. This approach was also consistent with how self-care is generally assessed in patients with HF, hypertension, 25 and coronary heart disease. 26 Face validity.…”

Section: Adjusting the Conceptual Framework And Drafting The Instrumentmentioning

confidence: 63%

Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation

et al. 2019

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Background:Successful long-term left ventricular assist device (LVAD) therapy necessitates a high degree of self-care. We aimed to develop an instrument that measures self-care behaviors in adult patients living with an LVAD.Methods:We used the method to develop patient-reported outcomes recommended by the US Food and Drug Administration. Prior to developing the instrument, a literature review was conducted to generate items using the middle-range theory of self-care of chronic illness as a guiding framework. A 2-round Delphi method, involving 17 clinicians with expertise in heart failure and assist devices from the Netherlands, Israel, United States, Canada, and Japan, was used to generate and select items. In the first Delphi survey, the levels of importance, relevance, and clarity of items in the instrument were evaluated. The second Delphi survey was performed to gain consensus on the final selection of items. We also examined face validity.Results:A preliminary 37-item version of the Self-Care Behavior Scale was produced. The first panel judged 33 items as important and relevant, taking out 4 items due to vague wording and duplication and adding in 4 items. In the final 33-item version, 19 items address self-care maintenance behaviors, 10 items address self-care monitoring behaviors, and 4 items address self-care management behaviors. Patients (N = 25) did not have any difficulties understanding items and report any missing items.Conclusion:The 33-item Self-Care Behavior Scale for patients with heart failure having an LVAD has been developed and is ready for further psychometric testing.

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Section: Adjusting the Conceptual Framework And Drafting The Instrumentmentioning

confidence: 63%

Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation

et al. 2019

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“…Categorically, these self‐care behaviors can be mapped with key elements of the Theory of Self‐care of Chronic Illness . Based on current evidence‐based guidelines and complementary reviews, self‐care maintenance, monitoring, and management of the common CVDs of hypertension, heart failure (HF), stroke, atrial fibrillation (AF), coronary artery disease, and peripheral artery disease are presented in Table .…”

Section: Self‐care Definedmentioning

confidence: 99%

Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke

Riegel¹,

Moser²,

Buck³

et al. 2017

JAHA

Self Cite

395

216

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Self‐care is defined as a naturalistic decision‐making process addressing both the prevention and management of chronic illness, with core elements of self‐care maintenance, self‐care monitoring, and self‐care management. In this scientific statement, we describe the importance of self‐care in the American Heart Association mission and vision of building healthier lives, free of cardiovascular diseases and stroke. The evidence supporting specific self‐care behaviors such as diet and exercise, barriers to self‐care, and the effectiveness of self‐care in improving outcomes is reviewed, as is the evidence supporting various individual, family‐based, and community‐based approaches to improving self‐care. Although there are many nuances to the relationships between self‐care and outcomes, there is strong evidence that self‐care is effective in achieving the goals of the treatment plan and cannot be ignored. As such, greater emphasis should be placed on self‐care in evidence‐based guidelines.

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“…The participants will answer the following questionnaires: Dietary Sodium Restriction Questionnaire (DSRQ) [25] for the assessment of sodium-restriction adherence; Self-Care of Hypertension Inventory – Brazilian Version (SC-HI) [26, 27] to measure self-care in hypertension patients; Medication Assessment Questionnaire [MAQ] [28] to evaluate adherence to drug therapy; International Physical Activity Questionnaire (IPAQ) [29] to quantify the level of physical activity; and the Epworth Sleepiness Scale (ESS) [30] to measure daytime sleepiness. All questionnaires will be administered at baseline and at the end of follow-up.…”

Section: Methodsmentioning

confidence: 99%

Effect of motivational interviewing in hypertensive patients (MIdNIgHT): study protocol for a randomized controlled trial

Silveira

Aliti

Silva

et al. 2019

Trials

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Background Only one-third of hypertensive patients achieve and maintain blood-pressure control. This is attributed to low treatment adherence and has a negative impact on clinical outcomes. Adherence is multidimensional and involves aspects both related to patient characteristics and to the chronic nature of the disease. In this context, motivational interviewing has been proposed as an approach to foster patients’ motivations to change their behavior for the benefit of their own health, thus providing more lasting behavioral changes. Design and methods Single-center, parallel, randomized controlled trial with outcome-assessor blinding. This study will select adult patients ( n = 120) diagnosed with hypertension who receive regular follow-up in a specialized outpatient clinic. Patients will be randomly allocated across two groups: the intervention group will have appointments focused on motivational interviewing, while the control group will have traditional appointments. Patients will be monitored face-to-face, once monthly for six months. The primary outcomes will be a reduction of at least 8 mmHg in systolic blood pressure and changes in mean blood pressure measured by 24-h ambulatory blood pressure monitoring. Secondary outcomes include improvement of adherence to a low-sodium diet, adherence to self-care behaviors, regular use of antihypertensive medications, increase or maintenance of physical activity, weight reduction, evaluation of changes in daytime sleepiness, and cessation of smoking. Discussion This study shows an intervention strategy that will be tested and, if effective, warrant replication in monitoring of other chronic diseases. Trial registration ClinicalTrials.gov, NCT02892929 . Registered on 24 August 2016. Electronic supplementary material The online version of this article (10.1186/s13063-019-3486-1) contains supplementary material, which is available to authorized users.

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Psychometric Testing of the Self-care of Hypertension Inventory

Abstract: These findings support the conceptual basis of self-care in patients with HTN as a process of maintenance, monitoring, and management. The SC-HI confidence scale is promising as a measure of self-efficacy in self-care.

Cited by 55 publications

References 27 publications

Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation

Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation

Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke

Effect of motivational interviewing in hypertensive patients (MIdNIgHT): study protocol for a randomized controlled trial

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