PMID- 33141495 OWN - NLM STAT- MEDLINE DCOM- 20210301 LR - 20210301 IS - 1098-240X (Electronic) IS - 0160-6891 (Linking) VI - 43 IP - 6 DP - 2020 Dec TI - The Self-Care of Heart Failure Index version 7.2: Further psychometric testing. PG - 640-650 LID - 10.1002/nur.22083 [doi] AB - Clinicians and researchers need valid and reliable instruments to evaluate heart failure (HF) self-care. The Self-Care of Heart Failure Index (SCHFI) is a theoretically driven instrument developed for this purpose. The SCHFI measures self-care with three scales: self-care maintenance, measuring behaviors to maintain HF stability; symptom perception, measuring monitoring behaviors; and self-care management, assessing the response to symptoms. After the theory underpinning the SCHFI was updated, the instrument was updated to version 7.2 but it was only tested in the United States. In this study we tested the psychometric characteristics (structural and construct validity, internal consistency, and test-retest reliability) of the SCHFI v.7.2 in an Italian population of HF patients. We used a cross-sectional design to study 280 HF patients with additional data collected after 2 weeks for test-retest reliability. Adults with HF (mean age 75.6 (+/-10.8); 70.8% in New York Heart Association [NYHA] classes II and III) were enrolled from six centers across Italy. Confirmatory factor analysis showed supportive structural validity in the three SCHFI v.7.2 scales (CFI from 0.94 to 0.95; RMSEA from 0.05 to 0.07). Internal consistency reliability estimated with Cronbach's alpha and composite reliability ranged between .73 and .88; test-retest reliability ranged between 0.73 and 0.92. Construct validity was supported with significant correlations between the SCHFI v.7.2 scale scores and quality of life, brain natriuretic peptide levels and NYHA class. This study further supports the psychometric characteristics of the SCHFI v.7.2, illustrating that it can be used in clinical practice and research also in an Italian population. CI - (c) 2020 Wiley Periodicals LLC. FAU - Vellone, Ercole AU - Vellone E AUID- ORCID: 0000-0003-4673-7473 AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - De Maria, Maddalena AU - De Maria M AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Iovino, Paolo AU - Iovino P AUID- ORCID: 0000-0001-5952-881X AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. AD - School of Nursing, Australian Catholic University, Melbourne, Australia. FAU - Barbaranelli, Claudio AU - Barbaranelli C AD - Department of Psychology, Sapienza University of Rome, Rome, Italy. FAU - Zeffiro, Valentina AU - Zeffiro V AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Pucciarelli, Gianluca AU - Pucciarelli G AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Durante, Angela AU - Durante A AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Alvaro, Rosaria AU - Alvaro R AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Riegel, Barbara AU - Riegel B AUID- ORCID: 0000-0002-0970-136X AD - School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20201103 PL - United States TA - Res Nurs Health JT - Research in nursing & health JID - 7806136 SB - IM MH - Aged MH - Cross-Sectional Studies MH - Factor Analysis, Statistical MH - Female MH - Heart Failure/*therapy MH - Humans MH - Italy MH - Male MH - *Psychometrics MH - Reproducibility of Results MH - *Self Care OTO - NOTNLM OT - heart failure OT - psychometrics OT - reliability OT - self-care OT - validity EDAT- 2020/11/04 06:00 MHDA- 2021/03/02 06:00 CRDT- 2020/11/03 12:51 PHST- 2020/05/03 00:00 [received] PHST- 2020/08/25 00:00 [revised] PHST- 2020/10/15 00:00 [accepted] PHST- 2020/11/04 06:00 [pubmed] PHST- 2021/03/02 06:00 [medline] PHST- 2020/11/03 12:51 [entrez] AID - 10.1002/nur.22083 [doi] PST - ppublish SO - Res Nurs Health. 2020 Dec;43(6):640-650. doi: 10.1002/nur.22083. Epub 2020 Nov 3.