Kontakt 2025, 27(2):110-116 | DOI: 10.32725/kont.2025.022

Psychometric properties of the Slovak version of the nine-item European Heart Failure Self-Care Behaviour ScaleNursing - Original article

Mária Sováriová Soósová1, *, Renáta Suchanová1, Peter Kolarčik2, Ewelina B±k3, Elena Gurková4
1 Pavol Jozef ©afárik University in Koąice, Faculty of Medicine, Department of Nursing Care, Koąice, Slovak Republic
2 Pavol Jozef ©afárik University in Koąice, Faculty of Medicine, Department of Health Psychology and Research Methodology, Koąice, Slovak Republic
3 University of Bielsko-Biala, Faculty of Health Sciences, Bielsko-Biala, Poland
4 University of Preąov in Preąov, Faculty of Health Care, Department of Nursing, Preąov, Slovak Republic

Introduction: The ability to self-care is considered essential in heart failure management. One of the valid and reliable instruments that allow the measurement of heart failure self-care behaviour is the European Heart Failure Self-Care Behaviour Scale (EHFScBS-9).

Objective: To adapt and assess psychometric properties of the Slovak version of the EHFScBS-9.

Methods: In this descriptive validation study, 122 Slovak heart failure patients completed the EHFScBS-9, the Cardiac Self-Efficacy Questionnaire (CSEQ), and Personal Well-being Index (PWI). Item analysis, confirmatory factor analysis (CFA), and convergent and discriminant validity were evaluated. Cronbach's alpha was calculated to assess reliability.

Results: The results of CFA confirmed a good fit of the two- respectively three-factor structure of the Slovak EHFScBS-9. Convergent validity was confirmed by positive correlation between the Slovak EHFScBS-9 and the CSEQ. Discriminant validity was supported by poor correlation between EHFScBS-9 and PWI. Cronbach's alpha coefficient for the total EHFScBS-9 instrument of Slovak version was 0.77.

Conclusion: The Slovak version of the EHFScBS-9 instrument is valid and reliable to measure self-care behaviour in heart failure patients.

Keywords: Confirmatory factor analysis; European Heart Failure Self-Care Behaviour Scale- 9; Reliability; Validity
Grants and funding:

The study was supported by the Slovak Ministry of Education, Science, Research and Sport - under grant KEGA 001UPJ©-4/2024, and Pavol Jozef ©afárik University - under scientific grant VVGS-2024-3391.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: January 18, 2025; Revised: March 18, 2025; Accepted: April 22, 2025; Prepublished online: May 6, 2025; Published: June 23, 2025  Show citation

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Sováriová Soósová M, Suchanová R, Kolarčik P, B±k E, Gurková E. Psychometric properties of the Slovak version of the nine-item European Heart Failure Self-Care Behaviour Scale. Kontakt. 2025;27(2):110-116. doi: 10.32725/kont.2025.022.
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