title: Validity and reliability of the Japanese version of the European Heart Failure Self-Care Behavior Scale.
abstract: BACKGROUND
  It is important to assess the self-care behavior of patients with heart failure. However, in Japan, there is no valid and reliable scale for this purpose. The European Heart Failure Self-Care Behavior Scale (EHFScBS) is used to measure the self-care behavior of heart failure patients. The purpose of this study was to translate the EHFScBS into Japanese and evaluate its validity and reliability.
  
  
  RESULTS
  A convenience sample of 116 outpatients with heart failure completed the Japanese version of the EHFScBS. Confirmatory factor analysis demonstrated the one-dimensionality of the scale. The Japanese version of the EHFScBS was significantly correlated with another scale, which was considered to evaluate the concept linked with the self-care behavior theoretically. These confirm its construct validity. Cronbach's alpha was 0.71, suggesting that internal consistency was satisfactory. Test-retest reliability was evaluated. The intraclass correlation coefficient of the scale was 0.69 and weighted kappa for individual items was 0.33-0.87, suggesting that test-retest reliability is adequate.
  
  
  CONCLUSIONS
  The Japanese version of the EHFScBS was showed acceptable validity and reliability. It can be used to evaluate self-care behavior of Japanese patients with heart failure.
authors.affiliation: Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. naokat-tky@umin.ac.jp
authors.forename: Naoko
authors.initials: N
authors.lastname: Kato
authors.forename: Naomi
authors.initials: N
authors.lastname: Ito
authors.forename: Koichiro
authors.initials: K
authors.lastname: Kinugawa
authors.forename: Keiko
authors.initials: K
authors.lastname: Kazuma
mesh_terms: D001294:Attitude to Health / Q000208:ethnology; D005163:Factor Analysis, Statistical; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006333:Heart Failure / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology*; D006785:Hospitals, University; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods / Q000592:standards; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010045:Outpatients / Q000523:psychology; D011594:Psychometrics; D012648:Self Care / Q000379:methods / Q000523:psychology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires / Q000592:standards*; D014177:Translations