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Eur J Cardiovasc Nurs. 2013 Apr;12(2):214-8. doi: 10.1177/1474515112469316. Epub 2012 Dec 21.

Validity and reliability of the European Heart Failure Self-care Behavior Scale among adults from the United States with symptomatic heart failure.

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  • 1Oregon Health & Science University School of Nursing, Portland, OR 97239-2941, USA.



Heart failure (HF) self-care is an important component of disease management and the focus of many interventions.


The aim of this study was to evaluate the validity and reliability of the nine-item European HF Self-care Behavior Scale (EHFScB-9) in a sample of 200 adults from the USA with symptomatic HF.


Psychometric tests included item and confirmatory factor analyses, convergent and discriminant validity, and internal consistency.


Item-total correlations ranged from 0.25 to 0.65. Many fit indices for the EHFScB-9 and the four-item consulting behaviors scale reached thresholds of acceptability. As expected, the EHFScB-9 was associated with other measures of HF self-care but not with quality-of-life. Coefficient α was 0.80 for the EHFScB-9 and 0.85 for the consulting behaviors subscale.


The EHFScB-9 was a valid and reliable measure of HF self-care among English-speaking US adults with symptomatic HF.

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