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

Abstract

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)

The Greek version of the 9-item European heart failure self-care behaviour scale: A multidimensional or a uni-dimensional scale?

“…Similar results were previously reported in studies which used the same approach for assessing discriminant validity of the scale. 5,8,18,19 The majority of previous studies demonstrated adequate internal consistency of the overall scale (both the 12-and 9-item) among different populations, with a Cronbach's alpha coefficient ranging from 0.68 to 0.93. 6,9,10,18e22 In the current study measures of internal consistency of the scale ranged between low and moderate.…”

Measuring self-care in patients with heart failure: A review of the psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS)

“…Regarding a single factor model, marginally acceptable fit of the EHFScBS single scale was obtained by CFA in the study evaluating Japanese version of the EHFScBS [17]. On the contrary, PCA based four component solution (Compliance to the treatment, Adherence to the activities, Adherence to the recommendations, Getting help) explaining 61% of variance was proposed by Baydemir et al [7]. The solution was further confirmed by CFA, but the reasons for the use of an exploratory approach in the first place were not clearly stated.…”

“…The twelve-item scale has been validated in several languages; Jaarsma at al. [4] used pooled data of patients from Sweden, the Netherlands and Italy, later on validation studies of English [8], Japanese [17], Italian [27], Chinese [9], Brazilian Portuguese [26], Turkish [7] and Polish [28] versions of the scale were published. Psychometric properties of the nine-item scale were first tested in a pooled convenience sample of patients from Sweden, the Netherlands, the United Kingdom, Italy, Germany and Spain [10]; afterwards validation studies of German [12], English [11], Greek [14] and Italian [13] versions were published.…”

“…Further studies examining the psychometric properties of the scale (e.g. Baydemir et al [7], Shouldham et al [8], Yu et al [9]) suggested other factor solutions. The scale was translated and used in several countries and was reported to be easy to administer and is free of charge.…”

Evaluation of self care behaviours, medication and dietary compliance of patients with heart failure

“…Our study the total score of EHFScBS was 31,20±8, which was found to be 24. 8±7.6, 33.3±7.8, 32.6±9.1, 34.0±7.99 and 43,00±5,7 in the studies of Lupon et al (2008), Jaarsma et al (2003), Kato et al (2008), Baydemir et al (2013)and Asgar-Pour et al (2016). These differences might be resulted from the differences in the patient characteristics and health conditions.…”