Measuring self-care in chronic heart failure : a review of the psychometric properties of clinical instruments

Cameron, Jan, Worrall-Carter, Linda, Driscoll, Andrea and Stewart, Simon 2009, Measuring self-care in chronic heart failure : a review of the psychometric properties of clinical instruments, Journal of cardiovascular nursing, vol. 24, no. 6, November-December, pp. 10-22, doi: 10.1097/JCN.0b013e3181b5660f.

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Title Measuring self-care in chronic heart failure : a review of the psychometric properties of clinical instruments
Author(s) Cameron, Jan
Worrall-Carter, Linda
Driscoll, AndreaORCID iD for Driscoll, Andrea
Stewart, Simon
Journal name Journal of cardiovascular nursing
Volume number 24
Issue number 6
Season November-December
Start page 10
End page 22
Total pages 13
Publisher Lippincott Williams & Wilkins
Place of publication Gaithersburg, Md.
Publication date 2009-11
ISSN 0889-4655
Summary Background : Improved self-care skills and behaviors are an important outcome of patient education and counseling. Both researchers and health professionals need to utilize instruments that are reliable and valid at measuring this outcome to advance our understanding as to the efficacy of clinical practice directed toward improving self-care.

Objective : The aim of this study was to identify instruments that measure chronic heart failure (CHF) self-care and demonstrate their psychometric properties.

Methods :
A search of Medline, Cumulative Index to Nursing and Allied Health Literature, Medline, PsycArticles, Psychology and Behavioral Sciences Collection, and PsycINFO databases elucidated studies published between January 1980 and February 2009 that measure CHF self-care. The clinical instruments selected were disease-specific measures of CHF self-care behaviors that are promoted in best practice guidelines. Only instruments that reported estimates of reliability and validity were included in this review. Psychometric properties of the instruments were evaluated according to practice guidelines.

Results :
The literature search identified 14 instruments published in peer-reviewed journals that measured constructs that predict or correlate to self-care rather than self-care itself. Only 2 disease-specific measures of self-care were identified (Self-care Heart Failure Index [SCHFI] and European Heart Failure Self-care Behavior Scale [EHFScBS]) that have undergone rigorous psychometric testing in CHF populations. Five aspects of validity had been demonstrated with EHFScBS, and 6 aspects of validity had been demonstrated with SCHFI. Two of 3 aspects of reliability have been demonstrated in both instruments.

Conclusion : Only 2 reliable and valid tools have been developed to specifically measure CHF self-care. Further use of these instruments in the research arena may reduce gaps in our understanding of CHF self-care and further shape clinical practice directed at improving it.
Language eng
DOI 10.1097/JCN.0b013e3181b5660f
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C2.1 Other contribution to refereed journal
Copyright notice ©2009, Lippincott Williams & Wilkins
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