Füsun Afşar1, Serpil Kayalı2, Vildan Kesgin2, Taylan Akgün2, Habip Yılmaz3

1Clinic of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
2Clinic of Cardiology, Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye
3 Public Hospitals 1st District, İstanbul Provincial Health Department, İstanbul, Türkiye

Keywords: Selfcare; heart failure; validity; reliability


Introduction: Heart failure is a chronic and progressive disease with increasing prevalence and incidence worldwide, despite advances in science and technology, and it necessitates long-term follow-up, treatment, and care. Self-care in heart failure is one of the fundamental elements of quality of life and disability-free living. The aim of this study was to assess the validity and reliability of the Turkish version of the Self-Care of Heart Failure Index v.2 (SCHFI).

Patients and Methods: The study sample included 233 patients who presented with a diagnosis of heart failure and volunteered to participate in the research at a training and research hospital. The data were collected using a personal information form and the SCHFI. The SCHFI was translated into Turkish, and the internal consistency coefficient and the item-total points reliability coefficient were analyzed for the reliability study. To determine structure validity, Explanatory Factor Analysis and Confirmatory Factor Analysis were performed.

Results: The adaptation of the SCHFI to Turkish culture was found to have high structure validity and internal consistency in the reliability and validity studies.

Conclusion: We concluded that the Self-Care of Heart Failure Index can be used as a unidimensional scale.

Cite this article as: Afşar F, Kayalı S, Kesgin V, Akgün T, Yılmaz H. Adaptation to Turkish of the self-care of heart failure index: A validity and reliability study. Koşuyolu Heart J 2022;25(3):226-234.

Ethics Committee Approval

This study was approved by Başakşehir Çam ve Sakura City Hospital Clinical Research Ethics Committee (Decision no: 230, Date: 06.07.2022).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - FA; Analysis/Interpretation - FA; Data Collection - SK, VK; Writing - FA; Critical Revision - FA, HY; Final Approval - TA, HY; Statistical Analysis - FA; Overall Responsibility - FA.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declare that this study has received no financial support.