Interpretability of the European Heart Failure Self-care Behaviour scale

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Wagenaar, Kim P.University of Medical Centre Utrecht, Netherlands (author)

Interpretability of the European Heart Failure Self-care Behaviour scale

Article/chapterEnglish2017

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DOVE MEDICAL PRESS LTD,2017
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:liu-143001
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-143001URI
https://doi.org/10.2147/PPA.S144915DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|Foundation "Care Within Reach" (in Dutch: Stichting Zorg Binnen Bereik)Anna Strömberg har i publikationen felaktigt affilieringen ISV, men i DiVA-posten har den korrekta affilieringen IMH angetts
Objective: The European Heart Failure Self-care Behaviour scale (EHFScBs) is a valid patient-reported questionnaire to measure self-care behavior of heart failure (HF) patients. We assessed the interpretability of the EHFScBs. Methods: We used data of 1,023 HF patients. Interpretability refers to the clinical meaning of the score and its changes over time. We operationalized interpretability by evaluating distributions of EHFScBs scores across relevant HF subgroups by eyeballing, by testing the risk on hospitalizations and mortality of a plausible threshold, and by determining a clinically relevant minimal important change (MIC). The scale score ranged from 0 to 100, with a higher score meaning better self-care. A threshold of amp;gt;= 70 was defined as adequate and amp;lt; 70 as inadequate self-care. Results: The EHFScBs scores were similarly normally distributed among the subgroups with a mean between 57.8 (SD 19.4) and 72.0 (SD 18.0). The 464 HF patients with adequate self-care had significantly less all-cause hospitalizations than the 559 patients with inadequate self-care. Conclusion: The degree of self-care showed to be independent of relevant HF subgroups. A single threshold of 70 accurately discriminated between patients with adequate and inadequate self-care.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
heart failure; self-care; interpretability; patient-reported outcome; threshold and minimal important change

Added entries (persons, corporate bodies, meetings, titles ...)

Broekhuizen, Berna D. L.University of Medical Centre Utrecht, Netherlands (author)
Rutten, Frans H.University of Medical Centre Utrecht, Netherlands (author)
Strömberg, AnnaLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40 (author)
van Stel, Henk F.University of Medical Centre Utrecht, Netherlands (author)
Hoes, Arno W.University of Medical Centre Utrecht, Netherlands (author)
Jaarsma, TinyLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten(Swepub:liu)tinja77 (author)
University of Medical Centre Utrecht, NetherlandsAvdelningen för omvårdnad (creator_code:org_t)

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In:Patient Preference and Adherence: DOVE MEDICAL PRESS LTD11, s. 1841-18481177-889X

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By the author/editor: Wagenaar, Kim P.; Broekhuizen, Ber ...; Rutten, Frans H.; Strömberg, Anna; van Stel, Henk F ...; Hoes, Arno W.; show more...; Jaarsma, Tiny; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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By the university: Linköping University

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