Psychometric testing of the self-care of heart failure index version 6.2
Article first published online: 7 JUL 2013
© 2013 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 36, Issue 5, pages 500–511, October 2013
How to Cite
Vellone, E., Riegel, B., Cocchieri, A., Barbaranelli, C., D'Agostino, F., Antonetti, G., Glaser, D. and Alvaro, R. (2013), Psychometric testing of the self-care of heart failure index version 6.2. Res. Nurs. Health, 36: 500–511. doi: 10.1002/nur.21554
This work was funded by the Italian Center of Excellence for Nursing Scholarship.
- Issue published online: 17 SEP 2013
- Article first published online: 7 JUL 2013
- Manuscript Accepted: 10 JUN 2013
- Italian Center of Excellence for Nursing Scholarship
- psychometric testing;
- instrument validity and reliability;
- heart failure;
The Self-Care of Heart Failure Index Version 6.2 (SCHFI v.6.2) is widely used, but its psychometric profile is still questioned. In a sample of 659 heart failure patients from Italy, we performed confirmatory factor analysis (CFA) to test the original construct of the SCHFI v.6.2 scales (Self-Care Maintenance, Self-Care Management, and Self-Care Confidence), with limited success. We then used exploratory factor analysis to determine the presence of separate scale dimensions, followed by CFA in a separate sub-sample. Construct validity of individual scales showed excellent fit indices: CFI = .92, RMSEA = .05 for the Self-Care Maintenance Scale; CFI = .95, RMSEA = .07 for the Self-Care Management Scale; CFI = .99, RMSEA = .02 for the Self-Care Confidence scale. Contrasting groups validity, internal consistency, and test-retest reliability were supported as well. This evidence provides a new understanding of the structure of the SCHFI v.6.2 and supports its use in clinical practice and research. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 500–511, 2013