Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

Simonelli, Niccolò; Bolgeo, Tatiana; Iovino, Paolo; Matteo, Roberta Di; Maconi, Antonio; Vellone, Ercole

doi:10.1002/nur.22286

Cited by 3 publications

(1 citation statement)

References 80 publications

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“…The baseline data from the HEARTS IN DYADS study were used for this psychometric analysis [12]. HEARTS IN DYADS was a longitudinal study aimed at describing patient self-care and caregiver contribution to self-care in CHD.…”

Section: Sampling and Data Collectionmentioning

confidence: 99%

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

Bolgeo,

Di Matteo,

Simonelli

et al. 2024

PLoS ONE

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Background Caregivers are important contributors to the self-care of patients with coronary heart disease (CHD). Aims The aims of this study are to describe the development and psychometric properties of the caregiver contribution to self-care of coronary heart disease inventory (CC-SC-CHDI). Methods The CC-SC-CHDI was developed from the patient version of the scale, the Self-care of Coronary Heart Disease Inventory (SC-CHDI) and translated into Italian using forward and backward translation. Baseline data from the HEARTS-IN-DYADS study were used. Confirmatory factor analysis (CFA) was conducted to assess factorial validity; Cronbach’s alpha and the model-based internal consistency index were used to test internal consistency reliability, and Pearson’s correlation coefficient was used to test convergent validity, by investigating the association between the CC-SC-CHDI and the SC-CHDI scores. Results We included 131 caregivers (mean age 55 years, 81.2% females, 74% married) of patients affected by CHD (mean age 66 years, 80.2% males, 74% married). The CFA confirmed two factors in the caregiver contribution to self-care maintenance scale (“consulting behaviors” and “autonomous behaviors”), one factor for the CC to self-care monitoring scale, and two factors in the CC to self-care management scale (“consulting behaviors and problem-solving behaviors”). Reliability estimates were adequate for each scale (Cronbach’s alpha and model-based internal consistency indexes ranging from 0.73 to 0.90). Significant and positive correlations were observed between CC-SC-CHDI and SC-CHDI scales. Conclusion The CC-SC-CHDI has satisfactory validity and reliability and can be used confidently in clinical settings and research to assess caregiver contributions to CHD self-care.

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Section: Sampling and Data Collectionmentioning

confidence: 99%

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

Bolgeo,

Di Matteo,

Simonelli

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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Psychometric properties and measurement invariance of the 7-item General Anxiety Disorder scale (GAD-7) in an Italian coronary heart disease population

Bolgeo

Matteo

Simonelli

et al. 2023

Journal of Affective Disorders

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Self‐care behaviours and their determinants in people affected by coronary heart disease

Di Matteo,

Bolgeo,

Dal Molin

et al. 2024

Journal of Clinical Nursing

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ObjectiveTo describe self‐care in Italian adults with coronary heart disease and to identify sociodemographic and clinical determinants of self‐care.DesignThis is a cross‐sectional analysis of data from the Italian multicentre longitudinal study.MethodsWe used the follow instruments: Self‐Care of coronary heart disease inventory, Self‐care Self Efficacy Scale, Charlson Comorbidity Index and Sociodemographic questionnaire. Descriptive statistics including absolute numbers, percentages, means and standard deviations were used to describe the sociodemographic and clinical characteristics of the sample, and the items. A structural equation model was fitted to understand sociodemographic and clinical variables associated with self‐care, and possible effects mediated by self‐efficacy.ResultsWe enrolled 427 patients. Self‐care maintenance, monitoring, management and self‐care self‐efficacy means scores were 58.27 (SD = 20.07), 48.53 (SD = 26.97), 65.34 (SD = 22.85) and 77.16 (SD = 20.76), respectively. Except for the self‐care self‐efficacy scale, all the scores lay below the cut off 70 for adequacy. Older age, higher comorbidities, a higher number of stents placed, and the presence of a caregiver predicted poor self‐care.ConclusionSelf‐care in Italian CHD populations is poor. Several associations were found between the dimensions of self‐care and sociodemographic factors. Implications for the profession these findings are important for health care providers to plan interventions to improve self‐care behaviour.Impact The study addressed self‐care behaviours of coronary heart disease patients. Self‐care was poor in this population; several associations were found between the dimensions of self‐care and sociodemographic and clinical determinants. Our results can be used to support health professionals in planning interventions to improve specific self‐care domains. Reporting MethodSTROBE checklist was followed.

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Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

Cited by 3 publications

References 80 publications

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

Psychometric properties and measurement invariance of the 7-item General Anxiety Disorder scale (GAD-7) in an Italian coronary heart disease population

Self‐care behaviours and their determinants in people affected by coronary heart disease

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