Purpose. The purpose of this study was to develop an instrument for measuring the caregiver contribution to self-care in people with heart failure (HF). This instrument, referred to as the Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI), was developed modifying the Self-Care of Heart Failure Index version 6.2 (Riegel et l., 2008) in a caregiver version. Methods. A descriptive design was used to study 291 caregivers of people with HF recruited in 16 cardiovascular centers located across Italy. The used instrument were a Socio-demographic and Clinical Questionnaire; the CC-SCHFI that is composed of three scales: the self-care maintenance (10 items) that measures the caregiver contribution to symptom monitoring and adherence behaviors; the self-care management (six items) that evaluates symptom recognition, treatment implementation and treatment evaluation by caregivers; and the self-care confidence that measures caregiver’s confidence to manage his/her contribution to self-care. Results. Caregivers were mainly female (65.7%) with a mean age of 59.16 years old (SD 14.56). In the 89% of cases caregivers were the spouses or the children of the patients. Test-retest reliability showed excellent Intraclass Correlation Coefficient (0.92 for the self-care maintenance, 0.94 for the self-care management and 0.93 for the self-care confidence scales). Comparing the CC-SCHFI scores of caregivers who had received HF education versus caregivers who had not, significant and clinical differences were found (p < 0.001). At the Confirmatory Factor Analysis the factor structure of the CC-SCHFI revealed god model fit: Self-care maintenance, Chi-square 33.47, p 0.11; Self-care management, Chi-square 11.74, p 0.16; Self-care confidence, Chi-square 5.86, p 0.31. Conclusions. The CC-SCHFI showed good psychometric properties and can be used to measure the extent to which caregivers contribute to HF self-care. Since caregivers are very important to maintain patients’ quality of life, to save HF costs and to prevent hospitalization, the CC-SCHFI allows to monitor the contribution of caregivers to self-care. Researchers can use the CC-SCHFI to identify predictors of caregivers’ contribution, clinicians can use the instrument to monitor caregivers and give them educational support in case they need it.

Vellone, E., Riegel, B., Cocchieri, A., D'Agostino, F., Rocco, G., Alvaro, R. (2012). The contribution of caregivers to self-care in heart failure: development of an instruments. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 11(Supp. 1), 8-8.

The contribution of caregivers to self-care in heart failure: development of an instruments

VELLONE, ERCOLE;ALVARO, ROSARIA
2012-01-01

Abstract

Purpose. The purpose of this study was to develop an instrument for measuring the caregiver contribution to self-care in people with heart failure (HF). This instrument, referred to as the Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI), was developed modifying the Self-Care of Heart Failure Index version 6.2 (Riegel et l., 2008) in a caregiver version. Methods. A descriptive design was used to study 291 caregivers of people with HF recruited in 16 cardiovascular centers located across Italy. The used instrument were a Socio-demographic and Clinical Questionnaire; the CC-SCHFI that is composed of three scales: the self-care maintenance (10 items) that measures the caregiver contribution to symptom monitoring and adherence behaviors; the self-care management (six items) that evaluates symptom recognition, treatment implementation and treatment evaluation by caregivers; and the self-care confidence that measures caregiver’s confidence to manage his/her contribution to self-care. Results. Caregivers were mainly female (65.7%) with a mean age of 59.16 years old (SD 14.56). In the 89% of cases caregivers were the spouses or the children of the patients. Test-retest reliability showed excellent Intraclass Correlation Coefficient (0.92 for the self-care maintenance, 0.94 for the self-care management and 0.93 for the self-care confidence scales). Comparing the CC-SCHFI scores of caregivers who had received HF education versus caregivers who had not, significant and clinical differences were found (p < 0.001). At the Confirmatory Factor Analysis the factor structure of the CC-SCHFI revealed god model fit: Self-care maintenance, Chi-square 33.47, p 0.11; Self-care management, Chi-square 11.74, p 0.16; Self-care confidence, Chi-square 5.86, p 0.31. Conclusions. The CC-SCHFI showed good psychometric properties and can be used to measure the extent to which caregivers contribute to HF self-care. Since caregivers are very important to maintain patients’ quality of life, to save HF costs and to prevent hospitalization, the CC-SCHFI allows to monitor the contribution of caregivers to self-care. Researchers can use the CC-SCHFI to identify predictors of caregivers’ contribution, clinicians can use the instrument to monitor caregivers and give them educational support in case they need it.
Campo DC Valore Lingua
dc.authority.academicField2000 Settore MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE it
dc.authority.ancejournal EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING -
dc.authority.isicrui Sanit? e Servizi Sanitari it
dc.authority.isicrui Apparati Cardiovascolare e Repiratorio it
dc.authority.people VELLONE, ERCOLE it
dc.authority.people Riegel, B -
dc.authority.people Cocchieri, A -
dc.authority.people D'Agostino, F -
dc.authority.people Rocco, G -
dc.authority.people ALVARO, ROSARIA it
dc.cilea.antefix yes it
dc.cilea.autoapproval Questa scheda non e' stata ancora verificata e potrebbe quindi contenere imprecisioni. Scheda pubblicata automaticamente il Mon Mar 19 10:58:16 CET 2012 -
dc.collection.id.s e291c0df-b2a9-cddb-e053-3a05fe0aa144 *
dc.collection.name 01 - Articolo su rivista *
dc.contributor.appartenenza Dipartimento di Biomedicina e Prevenzione *
dc.contributor.appartenenza.mi 7082 *
dc.contributor.area AREA MIN. 06 - Scienze mediche *
dc.contributor.area AREA MIN. 06 - Scienze mediche *
dc.date.accepted 2012 -
dc.date.accessioned 2012-03-19T09:58:16Z -
dc.date.available 2012-03-19T09:58:16Z -
dc.date.created 2012 -
dc.date.issued 2012 -
dc.description.abstracteng Purpose. The purpose of this study was to develop an instrument for measuring the caregiver contribution to self-care in people with heart failure (HF). This instrument, referred to as the Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI), was developed modifying the Self-Care of Heart Failure Index version 6.2 (Riegel et l., 2008) in a caregiver version. Methods. A descriptive design was used to study 291 caregivers of people with HF recruited in 16 cardiovascular centers located across Italy. The used instrument were a Socio-demographic and Clinical Questionnaire; the CC-SCHFI that is composed of three scales: the self-care maintenance (10 items) that measures the caregiver contribution to symptom monitoring and adherence behaviors; the self-care management (six items) that evaluates symptom recognition, treatment implementation and treatment evaluation by caregivers; and the self-care confidence that measures caregiver’s confidence to manage his/her contribution to self-care. Results. Caregivers were mainly female (65.7%) with a mean age of 59.16 years old (SD 14.56). In the 89% of cases caregivers were the spouses or the children of the patients. Test-retest reliability showed excellent Intraclass Correlation Coefficient (0.92 for the self-care maintenance, 0.94 for the self-care management and 0.93 for the self-care confidence scales). Comparing the CC-SCHFI scores of caregivers who had received HF education versus caregivers who had not, significant and clinical differences were found (p < 0.001). At the Confirmatory Factor Analysis the factor structure of the CC-SCHFI revealed god model fit: Self-care maintenance, Chi-square 33.47, p 0.11; Self-care management, Chi-square 11.74, p 0.16; Self-care confidence, Chi-square 5.86, p 0.31. Conclusions. The CC-SCHFI showed good psychometric properties and can be used to measure the extent to which caregivers contribute to HF self-care. Since caregivers are very important to maintain patients’ quality of life, to save HF costs and to prevent hospitalization, the CC-SCHFI allows to monitor the contribution of caregivers to self-care. Researchers can use the CC-SCHFI to identify predictors of caregivers’ contribution, clinicians can use the instrument to monitor caregivers and give them educational support in case they need it. -
dc.description.allpeople Vellone, E; Riegel, B; Cocchieri, A; D'Agostino, F; Rocco, G; Alvaro, R -
dc.description.allpeopleoriginal Vellone, E; Riegel, B; Cocchieri, A; D'Agostino, F; Rocco, G; Alvaro R it
dc.description.fulltext open en
dc.description.numberofauthors 6 -
dc.identifier.citation Vellone, E., Riegel, B., Cocchieri, A., D'Agostino, F., Rocco, G., Alvaro, R. (2012). The contribution of caregivers to self-care in heart failure: development of an instruments. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 11(Supp. 1), 8-8. it
dc.identifier.uri http://hdl.handle.net/2108/58229 -
dc.language.iso eng it
dc.language.original N/A it
dc.publisher.country GB it
dc.publisher.name Elsevier Science Limited it
dc.relation.allauthorsorig N/A it
dc.relation.firstpage 8 it
dc.relation.issue Supp. 1 it
dc.relation.lastpage 8 it
dc.relation.volume 11 it
dc.subject.keywordseng Caregivers, Heart failure, Self-care, Instrument development -
dc.subject.singlekeyword Caregivers *
dc.subject.singlekeyword Heart failure *
dc.subject.singlekeyword Self-care *
dc.subject.singlekeyword Instrument development *
dc.title The contribution of caregivers to self-care in heart failure: development of an instruments it
dc.title.original N/A it
dc.type Articolo su rivista -
dc.type.circulation Rilevanza internazionale it
dc.type.contribution Abstract it
dc.type.driver info:eu-repo/semantics/article -
dc.type.full Pubblicazioni::01 - Articolo su rivista it
dc.type.impactfactor si it
dc.type.miur 266 en
dc.type.publicationstatus Pubblicato it
dc.type.referee Sì, ma tipo non specificato it
iris.orcid.lastModifiedDate 2023/07/26 18:16:54 *
iris.orcid.lastModifiedMillisecond 1690388214346 *
iris.sitodocente.maxattempts 1 -
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