The Self‐Care of Heart Failure Index: A psychometric study

Koirala, Binu; Budhathoki, Chakra; Himmelfarb, Cheryl Dennison; Bhattarai, Priyanka; Davidson, Patricia M.

doi:10.1111/jocn.15119

Cited by 11 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study was also limited with the smaller sample size to incorporate more variables in the final adjusted model. The study modified some previously validated measures to account for cultural differences yet did not test the validity and reliability in this sample except for the Nepali SCHFI [45]. Nevertheless, this is an important first step in exploring the context of self-care in Nepal, including factors affecting self-care and the relationship with HRQOL.…”

Section: Discussionmentioning

confidence: 99%

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Koirala

Himmelfarb

Budhathoki

et al. 2020

Heliyon

Self Cite

View full text Add to dashboard Cite

Background: Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. Aims: The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. Methods: We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. Results: We recruited 221 patients with HF: mean age 57.5 AE 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 AE 11.56), management (45.7 AE 15.14), and confidence (40.9 AE 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher selfcare confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. Conclusion: Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Koirala

Himmelfarb

Budhathoki

et al. 2020

Heliyon

Self Cite

View full text Add to dashboard Cite

show abstract

“…The mean total score of the scale was found as 56.22±10.12 (37-84). The mean scores for the dimensions were as "health responsibility": 16.84+3.19 (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24), "physical activity": 10.89+2.35 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), "dietary habits": 13.20+2.71 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), "stress management": 7.90+1.82 (3)(4)(5)(6)(7)(8)(9)(10)(11)…”

Section: Resultsmentioning

confidence: 99%

“…This factor explained the variance in the scale by 60%. Factor 2 constituted the physical activity dimension and contained 4 items (7,8,9,10). This factor explained the variance in the scale by 61%.…”

Section: Figure 1: Cfa Path Diagram Of Chbs-21mentioning

confidence: 99%

“…Cardiovascular diseases (CVD) have a significant role in the death in Turkey and worldwide. [1][2][3][4][5][6][7] According to the data of the Turkish Statistical Institute (TURKSTAT), 39.8% of the total deaths in 2016 were a result of CVD.5 Considering the severity of CVDs and their burden created on the country's economy, it is important for healthcare professionals to manage risks regarding the care for and prevention of the disease. [8][9][10][11] Most cardiovascular diseases may be preventable, or their progression may be stopped by reducing changeable risk factors such as unhealthy diet, lack of physical activity, stress, body weight, smoking and alcohol consumption.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychometric Properties of the Turkish Version of the Cardiac Health Behavior Scale

Serin

Sarıtaş

2021

Pak Heart J

View full text Add to dashboard Cite

Objectives: This methodological study was carried out to test the validity and reliability of the Cardiac Health Behavior Scale (CHBS-21) for its use in Turkey among coronary artery patients. Methodology: The population included individuals visiting the cardiology polyclinic of a university hospital and being followed up with the diagnosis of coronary artery disease, while the sample consisted of 229 volunteering patients who satisfied the inclusion criteria. The data were gathered by using a Patient Information Form that includes the descriptive characteristics of the participants and the Turkish form of the Cardiac Health Behavior Scale. SPSS (24.0) and AMOS were used in data analysis which included exploratory and confirmatory factor analyses. Results: The Cronbach’s alpha value of the scale was 0.92. The values for the dimensions of the scale were as 0.77 for health responsibility, 0.60 for physical activity, 0.76 for dietary habits, 0.71 for stress management and 0.85 for quitting smoking. The goodness of fit index values in the Confirmatory Factor Analysis were found as: X2=287.236, df= 176 (p<0.01), X2/df=1.63, RMSEA=0.053, GFI=0.90, CFI=0.94 and IFI=0.94. The model was found to show acceptable fit. Conclusion: The Cardiac Health Behavior Scale is a valid and reliable instrument that may be used in the assessment of medical statuses and risk factors of individuals with coronary artery disease. The effective implementation of the patient education will be improved by this measurement instrument.

show abstract

“…Currently, instruments exist to evaluate self-care in people with chronic diseases in overall manner (6) and specifically for different chronic diseases, like heart failure, (7) coronary heart disease, (8) chronic obstructive pulmonary disease, (9) arterial hypertension, (10) which are validated in Colombia (11) and in DM. (12) All these instruments were designed with the theoretical bases of the Middle Range Theory (MRT) of Self-care in chronic diseases.…”

Section: Introduction Dmentioning

confidence: 99%

Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot

Guerra¹,

Arellanos²

2022

invest. educ. enferm

View full text Add to dashboard Cite

Objective. This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes. Methods. Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient. Results. Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (????2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (????2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (????2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (????2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809). Conclusions. The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population.

show abstract

The Self‐Care of Heart Failure Index: A psychometric study

Cited by 11 publications

References 26 publications

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Psychometric Properties of the Turkish Version of the Cardiac Health Behavior Scale

Design and Validation of a Self-care Evaluation Instrument to Prevent Diabetic Foot

Contact Info

Product

Resources

About