%0 Journal Article
%T Cross-Cultural Adaptation and Psychometric Testing of the Brazilian Version of the Self-Care of Heart Failure Index Version 6.2
%A Christiane Wahast ¨¢vila
%A Barbara Riegel
%A Simoni Chiarelli Pokorski
%A Suzi Camey
%A Luana Claudia Jacoby Silveira
%A Eneida Rejane Rabelo-Silva
%J Nursing Research and Practice
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/178976
%X 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 ( ) 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. 1. Introduction Over the last few decades, treatment of heart failure (HF) has been optimized substantially through the advent of new therapies that have improved morbidity and mortality outcomes. These therapies, combined with nonpharmacological management strategies, have provided several benefits for patients, particularly in quality of life and rate of hospitalization due to decompensated HF [1, 2]. Within this context, nonpharmacological management, which encompasses a continuous process of patient education and development of self-care skills, has been widely studied and shown to be beneficial in the achievement and maintenance of clinical stability [2]. Among available self-care strategies, the multidisciplinary approach appears to be associated with the greatest benefit over time, improving quality of life, reducing readmission rates, and cutting health care costs [3, 4]. Self-care in HF is defined as a naturalistic decision-making process used to maintain physiologic stability (self-care maintenance) and respond to symptoms when they occur (self-care management) [3]. During
%U http://www.hindawi.com/journals/nrp/2013/178976/