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Cited by 34Health Education and ValidationHeart Failure Treatment and ManagementPsychometric Methodologies and Testing

Psychometric properties of the Chinese version of the European heart failure self-care behaviour scale

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Yu, Doris S.F., Lee, Diana T.F., Thompson, David R., Jaarsma, Tiny, Woo, Jean, Leung, Edward M.F.·2011·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2010.08.011
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Abstract

Background Effective self-care is the cornerstone of the successful management of heart failure (HF). The European Heart Failure Self-care Behaviour Scale is a brief, reliable and valid scale to measure this important construct among patients with HF. Although the EHFScBS has been translated to different languages, no Chinese version is available. Indeed, previous findings investigating the psychometric properties of EHFScBS indicated ambiguity of the conceptual structure of this scale.Aim The aim of this study was to translate the European Heart Failure Self-care Behaviour Scale (EHFScBS) into Chinese and to test its psychometric properties in the Chinese patients with HF.Methods The EHFScBS (English Version) was translated to Chinese using Brislin's forward and backward translation method. Panel review was used to examine its semantic equivalence and content validity. The EHFScBS (Chinese Version) was then tested with a convenience sample of 143 Chinese HF patients who attended a specialist clinic from January to September 2007.Results The content validity index (CVI) of the EHFScBS (Chinese version) was satisfactory (Item CVI=0.96; Scale CVI=0.89), with Cronbach's alpha 0.82. Convergent validity was supported by a moderate relationship, statistical significant with a measure for social support (r=-0.36, p<0.001). However, the findings did not support the hypothesised three-factor structure of the EHFScBS (Chinese Version). Instead, all items except one fit well a two-factor structure to measure help-seeking and regimen-complying behaviours.Conclusion The adequate psychometric properties and clear conceptual structure of EHFScBS (Chinese Version) warrant its use in Chinese patients with HF.

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Authors
Yu, D. S. F., Lee, D. T. F., Thompson, D. R., Jaarsma, T., Woo, J., & Leung, E. M. F.
Affiliations
  • Chinese University of Hong Kong (HK)
  • Australian Catholic University (AU)
  • Linköping University (SE)
  • United Christian Hospital (CN)
Corresponding author
Yu, Doris S.F.
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2011-04
Volume
48
Issue
4
Pages
458-467
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2010.08.011
OpenAlex
W2064247592
Cited by
34
References
64
Citations by year
2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 3 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 4 · 2012: 2
FWCI
9.02
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion, other-oa)
Funders
Heart Failure Society of America
Topics
  • Social Sciences › Education › Health Education and Validation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
European Heart Failure Self-care Behaviour Scale, heart failure, self-care behavior, Chinese translation, cross-cultural adaptation, psychometric properties, factor structure, help-seeking, medication adherence, social support, content validity
MeSH terms
Aged, Aged, 80 and over, China, Female, Heart Failure, Humans, Male, Middle Aged, Psychometrics, Self Care, Health Behavior

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