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

Christopher S. Lee, Karen S. Lyons, Jill M. Gelow, James O. Mudd, Shirin O. Hiatt, Thuan Nguyen, Tiny Jaarsma

Research output: Contribution to journalArticle


Background: Heart failure (HF) self-care is an important component of disease management and the focus of many interventions. Aim: 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. Methods: Psychometric tests included item and confirmatory factor analyses, convergent and discriminant validity, and internal consistency. Results: 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. Conclusion: The EHFScB-9 was a valid and reliable measure of HF self-care among English-speaking US adults with symptomatic HF.

Original languageEnglish (US)
Pages (from-to)214-218
Number of pages5
JournalEuropean Journal of Cardiovascular Nursing
Issue number2
Publication statusPublished - Apr 2013
Externally publishedYes



  • Heart failure
  • psychometrics
  • self-care
  • self-management

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing
  • Medical–Surgical

Cite this