Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C)

Angela Durante; Maddalena De Maria; Josiane Boyne; Tiny Jaarsma; Raul Juarez-Vela; Anna Stromberg; Ercole Vellone

doi:10.1016/j.pec.2021.01.013

Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C)

Angela Durante^*, Maddalena De Maria, Josiane Boyne, Tiny Jaarsma, Raul Juarez-Vela, Anna Stromberg, Ercole Vellone

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: The European Heart Failure Self-Care Behaviour Scale (EHFScBS) is used worldwide to measure heart failure (HF) patient self-care, but a caregiver version does not exist.

Objective: To develop and test the European HF Self-Care Behaviour Scale for Caregivers (EHFScBS-C) in a population of informal caregivers of HF patients.

Methods: The EHFScBS-C was derived from the EHFScBS to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C was developed in English and then translated into Italian, Spanish and Dutch, after which it was back-translated. EHFScBS-C data were collected from 193 HF caregivers enrolled in Italy, Spain and the Netherlands.

Results: Exploratory factor analysis revealed two factors with supportive fit indices (CFI = 0.990; RMSEA = 0.048): caregivers' contributions to HF self-care related to medical issues, and caregivers' contributions related to lifestyle. Internal consistency reliability was supported as well (Cronbach's alpha 0.90 for the overall scale). Construct validity was demonstrated with significant correlations with the Caregiver Preparedness Scale.

Conclusion and Practice Implications: The EHFScBS-C has adequate validity and reliability for its use in clinical practice and research to measure the extent to which caregivers contribute to HF patient selfcare. The EHFScBS-C can be used in combination with the EHFScBS to conduct dyadic studies. (C) 2021 Elsevier B.V. All rights reserved.

Original language	English
Pages (from-to)	2106-2111
Number of pages	6
Journal	Patient Education and Counseling
Volume	104
Issue number	8
DOIs	https://doi.org/10.1016/j.pec.2021.01.013
Publication status	Published - Aug 2021

Keywords

Self-care
Caregivers
Dyad
Heart failure
Instrument development
Psychometrics
PREPAREDNESS SCALE
RELIABILITY
PATIENT
ADULTS
DETERMINANTS
PREDICTORS
MUTUALITY
VALIDITY
PATTERNS

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10.1016/j.pec.2021.01.013

Cite this

@article{5e145070fc2f434a99b0e74a90e0bd7b,

title = "Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C)",

abstract = "Background: The European Heart Failure Self-Care Behaviour Scale (EHFScBS) is used worldwide to measure heart failure (HF) patient self-care, but a caregiver version does not exist.Objective: To develop and test the European HF Self-Care Behaviour Scale for Caregivers (EHFScBS-C) in a population of informal caregivers of HF patients.Methods: The EHFScBS-C was derived from the EHFScBS to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C was developed in English and then translated into Italian, Spanish and Dutch, after which it was back-translated. EHFScBS-C data were collected from 193 HF caregivers enrolled in Italy, Spain and the Netherlands.Results: Exploratory factor analysis revealed two factors with supportive fit indices (CFI = 0.990; RMSEA = 0.048): caregivers' contributions to HF self-care related to medical issues, and caregivers' contributions related to lifestyle. Internal consistency reliability was supported as well (Cronbach's alpha 0.90 for the overall scale). Construct validity was demonstrated with significant correlations with the Caregiver Preparedness Scale.Conclusion and Practice Implications: The EHFScBS-C has adequate validity and reliability for its use in clinical practice and research to measure the extent to which caregivers contribute to HF patient selfcare. The EHFScBS-C can be used in combination with the EHFScBS to conduct dyadic studies. (C) 2021 Elsevier B.V. All rights reserved.",

keywords = "Self-care, Caregivers, Dyad, Heart failure, Instrument development, Psychometrics, PREPAREDNESS SCALE, RELIABILITY, PATIENT, ADULTS, DETERMINANTS, PREDICTORS, MUTUALITY, VALIDITY, PATTERNS",

author = "Angela Durante and {De Maria}, Maddalena and Josiane Boyne and Tiny Jaarsma and Raul Juarez-Vela and Anna Stromberg and Ercole Vellone",

note = "Funding Information: This work was supported by the Heart Failure Association of European Society of Cardiology ESC within the Heart Failure Nurse Research Training Fellowship and the Center of Excellence for Nursing Scholarship , Rome, Italy. Publisher Copyright: {\textcopyright} 2021 Elsevier B.V.",

year = "2021",

month = aug,

doi = "10.1016/j.pec.2021.01.013",

language = "English",

volume = "104",

pages = "2106--2111",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "8",

}

TY - JOUR

T1 - Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C)

AU - Durante, Angela

AU - De Maria, Maddalena

AU - Boyne, Josiane

AU - Jaarsma, Tiny

AU - Juarez-Vela, Raul

AU - Stromberg, Anna

AU - Vellone, Ercole

N1 - Funding Information: This work was supported by the Heart Failure Association of European Society of Cardiology ESC within the Heart Failure Nurse Research Training Fellowship and the Center of Excellence for Nursing Scholarship , Rome, Italy. Publisher Copyright: © 2021 Elsevier B.V.

PY - 2021/8

Y1 - 2021/8

N2 - Background: The European Heart Failure Self-Care Behaviour Scale (EHFScBS) is used worldwide to measure heart failure (HF) patient self-care, but a caregiver version does not exist.Objective: To develop and test the European HF Self-Care Behaviour Scale for Caregivers (EHFScBS-C) in a population of informal caregivers of HF patients.Methods: The EHFScBS-C was derived from the EHFScBS to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C was developed in English and then translated into Italian, Spanish and Dutch, after which it was back-translated. EHFScBS-C data were collected from 193 HF caregivers enrolled in Italy, Spain and the Netherlands.Results: Exploratory factor analysis revealed two factors with supportive fit indices (CFI = 0.990; RMSEA = 0.048): caregivers' contributions to HF self-care related to medical issues, and caregivers' contributions related to lifestyle. Internal consistency reliability was supported as well (Cronbach's alpha 0.90 for the overall scale). Construct validity was demonstrated with significant correlations with the Caregiver Preparedness Scale.Conclusion and Practice Implications: The EHFScBS-C has adequate validity and reliability for its use in clinical practice and research to measure the extent to which caregivers contribute to HF patient selfcare. The EHFScBS-C can be used in combination with the EHFScBS to conduct dyadic studies. (C) 2021 Elsevier B.V. All rights reserved.

AB - Background: The European Heart Failure Self-Care Behaviour Scale (EHFScBS) is used worldwide to measure heart failure (HF) patient self-care, but a caregiver version does not exist.Objective: To develop and test the European HF Self-Care Behaviour Scale for Caregivers (EHFScBS-C) in a population of informal caregivers of HF patients.Methods: The EHFScBS-C was derived from the EHFScBS to measure the extent to which caregivers contribute to HF patient self-care. The EHFScBS-C was developed in English and then translated into Italian, Spanish and Dutch, after which it was back-translated. EHFScBS-C data were collected from 193 HF caregivers enrolled in Italy, Spain and the Netherlands.Results: Exploratory factor analysis revealed two factors with supportive fit indices (CFI = 0.990; RMSEA = 0.048): caregivers' contributions to HF self-care related to medical issues, and caregivers' contributions related to lifestyle. Internal consistency reliability was supported as well (Cronbach's alpha 0.90 for the overall scale). Construct validity was demonstrated with significant correlations with the Caregiver Preparedness Scale.Conclusion and Practice Implications: The EHFScBS-C has adequate validity and reliability for its use in clinical practice and research to measure the extent to which caregivers contribute to HF patient selfcare. The EHFScBS-C can be used in combination with the EHFScBS to conduct dyadic studies. (C) 2021 Elsevier B.V. All rights reserved.

KW - Self-care

KW - Caregivers

KW - Dyad

KW - Heart failure

KW - Instrument development

KW - Psychometrics

KW - PREPAREDNESS SCALE

KW - RELIABILITY

KW - PATIENT

KW - ADULTS

KW - DETERMINANTS

KW - PREDICTORS

KW - MUTUALITY

KW - VALIDITY

KW - PATTERNS

U2 - 10.1016/j.pec.2021.01.013

DO - 10.1016/j.pec.2021.01.013

M3 - Article

C2 - 33516593

SN - 0738-3991

VL - 104

SP - 2106

EP - 2111

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 8

ER -