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The Greek version of the 9-item European Heart Failure Self-care Behaviour Scale: a multidimensional or a

Ekaterini Lambrinou1, Fotini Kalogirou1, Demetris Lamnisos2

  • 1Nursing Department, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou Str., 3041 Limassol, Cyprus.

Heart & Lung : the Journal of Critical Care
|August 12, 2014
PubMed

Insights

The Greek version of the European Heart Failure Self-care Behaviour Scale (Gr9-EHFScBS) shows acceptable validity and reliability for heart failure patients, despite not fully matching its original multidimensional structure.

Area of Science:

  • Cardiology
  • Psychometrics
  • Health Sciences

Background:

  • The European Heart Failure Self-care Behaviour Scale (EHFScBS) is a widely utilized tool for assessing self-care behaviors in heart failure (HF) patients.
  • Its validity and reliability are crucial for accurate patient assessment and management.

Purpose of the Study:

  • To evaluate the dimensionality and psychometric properties of the Greek translation of the EHFScBS (Gr9-EHFScBS).
  • To assess the scale's suitability for use in a Greek-Cypriot population with heart failure.

Main Methods:

  • Translation of the EHFScBS into Greek.
  • Administration of the Gr9-EHFScBS to 128 Greek-Cypriot heart failure patients.
  • Assessment of internal consistency, construct validity, and discriminant validity using statistical analyses, including factor analysis.

Main Results:

  • Confirmatory factor analysis did not support the proposed theoretical structure of the scale.
  • Exploratory factor analysis suggested a three-factor solution, explaining 53.35% of the variance.
  • The scale demonstrated moderate internal consistency (Cronbach's alpha = 0.66) and supported discriminant validity through low correlation with another HF measure.

Conclusions:

  • The Gr9-EHFScBS, while not fully conforming to its original multidimensionality, provides acceptable validity and reliability.
  • The findings support the continued use of the Gr9-EHFScBS among Greek-speaking heart failure populations.
  • Further research may explore the optimal application of the scale in this population.
Abstract

Keywords:
European heart failure self-care behaviour scaleHeart failurePsychometric propertiesQuestionnaireSelf-care

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