An Update on the Self-care of Heart Failure Index

• DOI: 10.1097/jcn.0b013e3181b4baa0
• Publication Date: 2013-07-04T03:12:49Z
• Authors: Barbara Riegel; Christopher S. Lee; Victoria Vaughan ...; Beverly Carlson
• Keywords: Comparability

Background: The Self-care of Heart Failure Index (SCHFI) is a measure self-care defined as naturalistic decision-making process involving the choice behaviors that maintain physiological stability (maintenance) and response to symptoms when they occur (management). In 5 years since SCHFI was published, we have added items, refined format maintenance scale scoring procedure, modified our advice about how use scores. Objective: objective this article update users on these changes. Methods: article, address 8 specific questions reliability, item difficulty, frequency administration, learning effects, social desirability, validity, judgments adequacy, clinically relevant change, comparability various versions. Results: addition items did not significantly change coefficient α, providing evidence structure instrument more powerful than individual items. No effect associated with repeated administration. Social desirability minimal. More provided validity SCHFI. A score 70 or greater can be used cut-point judge although benefit occurs at even lower levels self-care. in one-half an SD considered relevant. Because standardized scores, results obtained prior versions compared those from later Conclusion: v.6 ready by investigators. By publication format, are putting public domain; permission required