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The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument
University of Groningen.
University of Kalmar.
Jonköping University.
University of California.
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2009 (English)In: EUROPEAN JOURNAL OF HEART FAILURE, ISSN 1388-9842, Vol. 11, no 1, 99-105 p.Article in journal (Refereed) Published
Abstract [en]

Aims Improved self-care is the goat of many heart failure (HF) management programmes. The 12-item European Heart Failure Self-Care Behaviour Scale (EHFScB scale) was developed and tested to measure patient self-care behaviours. It is now available in 14 languages. The aim of this study was to further determine reliability and validity of the EHFScB scale.

Methods and results Data from 2592 HF patients (mean age 73 years, 63% mate) from six countries were analysed. Internal consistency was determined by Cronbachs alpha. Validity was established by (1) interviews with HF experts and with HF patients; (2) item analysis; (3) confirmatory factor analysis; and (4) analysing the relationship between the EHFScB scale and scales measuring quality of life and adherence. Internal consistency of the 12-item scale was 0.77 (0.71-0.85). After factor analyses and critical evaluation of both psychometric properties and content of separate items, a nine-item version was further evaluated. The reliability estimates for the total nine-item scale (EHFScB-9) was satisfactory (0.80) and Cronbachs alpha varied between 0.68 and 0.87 in the different countries. One reliable subscale was defined (consulting behaviour) with a Cronbachs alpha of 0.85. The EHFScB-9 measures a different construct than quality of life (r = 0.18) and adherence (r = 0.37).

Conclusion The 12-item EHFScB scale was revised into the nine-item EHFScB-9, which can be used as an internally consistent and valid instrument to measure HF-related self-care behaviour.

Place, publisher, year, edition, pages
2009. Vol. 11, no 1, 99-105 p.
Keyword [en]
Heart failure, Self-care, Instrument development
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-18565DOI: 10.1093/eurjhf/hfn007OAI: diva2:220600
Available from: 2009-06-01 Created: 2009-06-01 Last updated: 2013-09-03

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Strömberg, Anna
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Nursing ScienceFaculty of Health SciencesDepartment of Cardiology
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