Cross-Cultural Adaptation and Psychometric Testing of the Brazilian Version of the Self-Care of Heart Failure Index Version 6.2

Abstract

Objective. To adapt and evaluate the psychometric properties of the Brazilian version of the SCHFI v 6.2. Methods. With the approval of the original author, we conducted a complete cross-cultural adaptation of the instrument (translation, synthesis, back translation, synthesis of back translation, expert committee review, and pretesting). The adapted version was named Brazilian version of the self-care of heart failure index v 6.2. The psychometric properties assessed were face validity and content validity (by expert committee review), construct validity (convergent validity and confirmatory factor analysis), and reliability. Results. Face validity and content validity were indicative of semantic, idiomatic, experimental, and conceptual equivalence. Convergent validity was demonstrated by a significant though moderate correlation (r = −0.51) on comparison with equivalent question scores of the previously validated Brazilian European heart failure self-care behavior scale. Confirmatory factor analysis supported the original three-factor model as having the best fit, although similar results were obtained for inadequate fit indices. The reliability of the instrument, as expressed by Cronbach's alpha, was 0.40, 0.82, and 0.93 for the self-care maintenance, self-care management, and self-care confidence scales, respectively. Conclusion. The SCHFI v 6.2 was successfully adapted for use in Brazil. Nevertheless, further studies should be carried out to improve its psychometric properties.

Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

“…Literature data report as a cardioprotective self-care because it is complementary to optimal clinical and pharmacological treatments to slow the progression of heart failure and its unwanted results, such as frequent episodes of clinical decompensation that leads to rehospitalization (16) . Still, in addition to medication adherence, self-care in patients with heart failure includes diet acceptance with salt and water restriction, prevention actions and monitoring signs and symptoms by the patients themselves, then the ability to define appropriate conduct on such changes health (11) . The promotion of self-care becomes target for nurses with the use of educational methodologies for health, aiming at their improvement.…”

“…After the acceptance of the patient, the data were collected through a questionnaire developed for this study, with questions about sociodemographic, clinical and related to self-care (1st stage). Self-care was assessed by both scales validated in Brazil, European Heart Failure Self-care Behaviour Scale (EHFScBS) (10) and Self Care Scale for Patients with Heart Failure (EAC-IC) (11) . The ESCS is composed of 12 questions with Likert responses, ranging from 1 (strongly agree) to 5 (strongly disagree).…”

Avaliação Do Autocuidado Nos Portadores De Insuficiência Cardíaca

“…Tabela 3 -Análise de diferença de médias entre as variáveis selecionadas e a Self-Care Heart Failure Index, subescala manutenção do autocuidado, versão brasileira (N=57 Esses resultados são semelhantes ao estudo realizado no estado do Rio Grande do Sul, a manutenção do autocuidado (47; desvio-padrão-dp=28,3) e a confiança no autocuidado (58; dp=25,5) (8) foram semelhantes aos deste estudo (43,3; dp=2,5 e 54,3; dp=2,8, respectivamente, conforme Tabela 2). No entanto, não ocorreu o mesmo com o manejo do autocuidado, que, no estudo mencionado, teve escore médio de 57 (dp=14,3) e neste 37,5 (dp=3,1; Tabela 2).…”

Adaptação Transcultural De Instrumentos De Pesquisa Conduzida Pela Enfermagem Do Brasil: Uma Revisão Integrativa

“…Most of the articles analyzed (18) were published between the years of 2011 and 2014 [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] (Table 2) and the most frequently-found specialties were Clinical Medicine 10,13,17,25,27 and Pediatrics 9,14,17,20 . The most-used methodological framework for CCA, in 20 articles analyzed, was that with Beaton as either the main author or as a contributing author, published in different years.…”