PMID- 28881450 OWN - NLM STAT- MEDLINE DCOM- 20190813 LR - 20190813 IS - 1471-6712 (Electronic) IS - 0283-9318 (Linking) VI - 32 IP - 2 DP - 2018 Jun TI - Translation and field testing of the family functioning, family health and social support questionnaire in Danish outpatients with heart failure. PG - 554-566 LID - 10.1111/scs.12479 [doi] AB - BACKGROUND: Valid and reliable instruments to assess family functioning, health and social support in families with heart failure constitute a cornerstone in the detection of the families' needs, in improving their functioning and in evaluating the effects of nursing interventions. AIM: To translate the three scales of the Family Functioning, Family Health and Social Support (FAFHES) questionnaire from Finnish into Danish, to test validity and reliability of the Danish version among outpatients with heart failure and to add to previous studies by reconstructing scales using confirmatory factor analysis. METHODS: A cross-sectional design was used to study a sample of 330 patients with heart failure who completed the FAFHES. The validity (dimensionality) and reliability (internal consistency and test-retest) were assessed for each of the three scales. The scales were constructed using confirmatory factor analysis. RESULTS: Patients were primarily men (76%) with a mean age of 66.5 (SD 12.5), categorised as New York Heart Association (NYHA) classification II (80%) and NYHA III (20%) for clinical severity of symptoms. In all three modified scales, construct validity was supported by the analysis. There were strong correlations within the factors, with Cronbach's alpha ranging from 0.73 to 0.95 across the three scales, and significant, though weak, correlations between most of the factors. None of the revised scales showed good model fit according to the goodness-of-fit indices used. The test-retest showed interclass correlation coefficients ranging between 0.69 and 0.86, indicating acceptable test-retest reliability. CONCLUSION: The Danish version of the FAFHES is an instrument that can be used to measure family functioning, family health and social support from the perspective of the patient with heart failure. Further testing is recommended. CI - (c) 2017 Nordic College of Caring Science. FAU - Ostergaard, Birte AU - Ostergaard B AD - Department of Clinical Research, University of Southern Denmark, Odense, Denmark. AD - OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark. FAU - Pedersen, Karen Steenvinkel AU - Pedersen KS AD - Department of Nursing Education, University College Lillebaelt, Odense, Denmark. FAU - Lauridsen, Jorgen AU - Lauridsen J AD - COHERE, Department of Business and Economics, University of Southern Denmark, Odense, Denmark. FAU - Norgaard, Birgitte AU - Norgaard B AD - Research Unit of User Perspectives, University of Southern Denmark, Odense, Denmark. FAU - Jeune, Bernard AU - Jeune B AD - Research Unit of Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, Odense, Denmark. LA - eng GR - 2010B112/The Health Foundation/ GR - 10-04-R79-A2785-22575/The Danish Heart Foundation/ GR - date 2010.11.11/The Novo Nordisk Foundation/ GR - 2-41-4-00064-2009/Odense University Hospital/ GR - 2010.05.31/Master Carpenter Alfred Andersen and Wife's Foundation/ PT - Journal Article DEP - 20170907 PL - Sweden TA - Scand J Caring Sci JT - Scandinavian journal of caring sciences JID - 8804206 MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Denmark MH - *Family Health MH - Family Relations/*psychology MH - Female MH - Finland MH - Heart Failure/*psychology MH - Humans MH - Male MH - Middle Aged MH - Outpatients/*psychology MH - Psychometrics MH - Quality of Life/*psychology MH - Reproducibility of Results MH - *Social Support MH - Surveys and Questionnaires/*standards MH - Translations OTO - NOTNLM OT - family functioning OT - family health OT - heart failure OT - psychometrics OT - questionnaire OT - social support EDAT- 2017/09/08 06:00 MHDA- 2019/08/14 06:00 CRDT- 2017/09/08 06:00 PHST- 2017/03/20 00:00 [received] PHST- 2017/04/23 00:00 [accepted] PHST- 2017/09/08 06:00 [pubmed] PHST- 2019/08/14 06:00 [medline] PHST- 2017/09/08 06:00 [entrez] AID - 10.1111/scs.12479 [doi] PST - ppublish SO - Scand J Caring Sci. 2018 Jun;32(2):554-566. doi: 10.1111/scs.12479. Epub 2017 Sep 7.