Validity and Reliability of the Japanese Version of the European Heart Failure Self-Care Behavior Scale

Kato, Naoko; Ito, Naomi; Kinugawa, Koichiro; Kishi, Kazuma

doi:10.1016/j.ejcnurse.2007.12.005

Cited by 49 publications

(64 citation statements)

References 25 publications

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“…The Cronbach's alpha coefficient has been found to be 0.69 in the study of Shuldham et al (32) on British patients with HF and 0.92 in the study of Yu et al (35) conducted in the People's Republic of China. On the other hand, it was 0.70 in an Brasilian study and 0.67 in an Japanese study (33,36). Internal consistency of the Turkish version of EHFScBS appears to be similar to that found in the studies from other countries (34,37).…”

Section: Discussionsupporting

confidence: 71%

Validity of the Turkish version of the European Heart Failure Self-Care Behavior Scale

Baydemır

Özdamar²,

Ünalır³

2013

Anadolu Kardiyol Derg

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Objective: The specific purpose of this study was to investigate the validity of the Turkish version of the European Heart Failure Self-care Behavior Scale by applying to 494 Turkish Heart Failure Patients. Methods: The study was conducted as a cross-sectional sample survey, between October 2012 and January 2013. The 494 patients who applied with a diagnosis of heart failure were included in the study after determining the clinical diagnosis and type of treatment. Cronbach's alpha coefficient was used to evaluate the validity and reliability of the scale. Exploratory and confirmatory factor analyses were applied for the determination of the sub-factors of the scale in Turkish adaptation; content, item and factor adaption. Structural Equation Modeling was used for the purpose of creation and supervision of the structural models of the scale. Results: Cronbach's alpha coefficient of internal consistency of Turkish version of the Scale was found to be 0.69. According to the results of the factor analysis, it was determined that the data is in a form suitable for factor analysis and the data have the assumption of multivariate normal distribution. The goodness of fit measures used for the validity of Structural Equation Modeling were obtained to be RMSEA=0.047 (CI=0.00-0.079), AGFI=0.83, GFI=0.91 respectively. Conclusion: The scale is divided into 4 sub-factors according to the Structural Equation Modeling. The European Heart Failure Self-care Behavior Scale is a scale that easily applied to measure the behavior of self-care in heart failure patients. In addition, the scale reaches the conclusion as soon as possible and does not require additional training for researchers. Further, patients can apply themselves the scale easily. (Anadolu Kardiyol Derg 2013; 13: 573-9)

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Section: Discussionsupporting

confidence: 71%

Validity of the Turkish version of the European Heart Failure Self-Care Behavior Scale

Baydemır

Özdamar²,

Ünalır³

2013

Anadolu Kardiyol Derg

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“…Data from both the 9-item and 12-item scale are included in the current analysis since the individual items were unchanged. Validity and reliability of both the 9-item version and the 12-item version have been tested in at least 10 other populations with different linguistic characteristics [19][20][21][22][23].…”

Section: Methodsmentioning

confidence: 99%

Comparison of self-care behaviors of heart failure patients in 15 countries worldwide

Jaarsma

Strömberg

Gal

et al. 2013

Patient Education and Counseling

Self Cite

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190

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited.

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“…We asked patients about their adherence with 5 self-care behaviors after referring to prior studies: 12,16) "I take my medications as prescribed," "I eat a low salt diet," "I weigh myself every day," "I exercise regularly" and "If my feet/legs become more swollen than usual, I contact my doctor or nurse". Patients answered these questions with a 5 point scale from 1 ("I completely agree") to 5 ("I do not agree at all").…”

Section: Methodsmentioning

confidence: 99%

Insufficient Self-Care Is an Independent Risk Factor for Adverse Clinical Outcomes in Japanese Patients With Heart Failure

et al. 2013

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SummarySelf-care is a cornerstone for the successful management of heart failure (HF). The purpose of this study was to examine the impacts of HF self-care on prognosis in Japanese patients with HF. A total of 283 HF outpatients (age 64 ± 14, 70% male, 52% HFrEF) were enrolled. We asked patients to answer about their adhevence to 5 self-care behaviors (medication, eating a low-sodium diet, regular exercise, daily weight check, and treatment seeking behavior). On the basis of the results, we classifi ed patients into a good self-care group and a poor self-care group. The primary outcome was HF hospitalization and/or cardiac death. In total, 65% of patients were classifi ed into the poor self-care group. During a median follow-up of 2 years, cardiac events occurred more frequently in the poor self-care group (22% versus 9.6%, P = 0.013). Poor self-care was an independent risk factor for cardiac events in Cox regression analysis adjusted for clinical parameters (hazard ratio = 2.86, P = 0.005). Poor self-care was also associated with an increased number of HF hospitalizations as well as an extended length of hospital stay for HF. Poor knowledge about HF was an independent determinant for poor self-care in multivariate logistic regression analysis (odds ratio = 0.92, P = 0.019). Insuffi cient self-care is an independent risk factor for cardiac events in Japanese patients with HF. (Int Heart J 2013; 54: 382-389) Key words: Compliance, Mortality, Morbidity, Patient education M ortality from coronary heart disease has been consistently declining over the past several decades. In concert with this decline and aging of the population, the number of patients who are at risk for heart failure (HF) is increasing to the point where now there are > 1.2 million ambulatory care patients in Japan.1) The course of HF is marked by frequent exacerbations that result in hospitalization, which are costly and contribute to poor quality of life for patients with HF.2) There are multiple modifi able factors known to precipitate hospitalization for HF exacerbation, which includes non-adherence to medications, diet, and failure to seek timely medical care for escalating symptoms.3) For this reason, approximately half of admissions are considered to be potentially preventable with adequate self-care. 3,4) Effective self-care is an essential and adjunctive strategy to evidence-based medical treatment in delaying the progression of HF. Data from a meta-analysis have demonstrated that HF disease management programs aimed at promoting selfcare reduced rehospitalization rates and mortality. 5) HF patients require self-care behaviors to maintain their physiological stability (self-care maintenance) and to respond to symptoms when they occur (self-care management).6) HF self-care maintenance behavior includes taking medications, eating a low-sodium diet, routine exercise, and symptom monitoring. 6)With respect to the relationship between such HF selfcare behaviors and subsequent clinical outcomes, several studies have shown that poor adherence...

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Validity and Reliability of the Japanese Version of the European Heart Failure Self-Care Behavior Scale

Abstract: The Japanese version of the EHFScBS was showed acceptable validity and reliability. It can be used to evaluate self-care behavior of Japanese patients with heart failure.

Cited by 49 publications

References 25 publications

Validity of the Turkish version of the European Heart Failure Self-Care Behavior Scale

Validity of the Turkish version of the European Heart Failure Self-Care Behavior Scale

Comparison of self-care behaviors of heart failure patients in 15 countries worldwide

Insufficient Self-Care Is an Independent Risk Factor for Adverse Clinical Outcomes in Japanese Patients With Heart Failure

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