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Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese
University of Federal Rio Grande do Sul, Brazil .
University of Federal Rio Grande do Sul, Brazil .
University of Federal Ciencias Saude Porto Alegre, Brazil .
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
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2012 (English)In: Revista Latino-Americana de Enfermagem, ISSN 0104-1169, Vol. 20, no 5, 988-996 p.Article in journal (Refereed) Published
Abstract [en]


To adapt and validate a Brazilian Portuguese version of the European Heart Failure Self-Care Behavior Scale.


The cross-cultural adaptation (translation, synthesis, back-translation, expert committee review, and pretesting) and validation (assessment of face validity, content validity, and internal consistency reliability) were carried out in accordance with the literature. The European Heart Failure Self-Care Behavior Scale assesses key components of self-care: recognition of the signs and symptoms of decompensated heart failure (HF) and decision-making when these signs and symptoms arise. It comprises 12 items (range 12-60, where lower scores indicate better self-care).


The sample comprised 124 HF patients with a mean age of 62.3 ± 12 years. The Cronbach's Alpha internal consistency was 0.70 and the intraclass correlation coefficient for reproducibility was 0.87.


Face and content validity, internal consistency and reproducibility have lended validity and reliability for the use of the instrument in Brazil.

Place, publisher, year, edition, pages
Revista Latinoamericana de Enfermagem , 2012. Vol. 20, no 5, 988-996 p.
Keyword [en]
Heart Failure; Self-care, Nursing Education; Validation Studies
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-87237DOI: 10.1590/S0104-11692012000500022ISI: 000311564600022OAI: diva2:587261
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2013-01-28

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