Interpretability of the European Heart Failure Self-care Behaviour scale
Kim P Wagenaar,1 Berna DL Broekhuizen,1 Frans H Rutten,1 Anna Strömberg,2 Henk F van Stel,1 Arno W Hoes,1 Tiny Jaarsma2 1Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands; 2Department of Social and Welfare Studies, Linkö...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2017-10-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/interpretability-of-the-european-heart-failure-self-care-behaviour-sca-peer-reviewed-article-PPA |
| _version_ | 1819293164360433664 |
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| author | Wagenaar KP Broekhuizen BD Rutten FH Strömberg A van Stel HF Hoes AW Jaarsma T |
| author_facet | Wagenaar KP Broekhuizen BD Rutten FH Strömberg A van Stel HF Hoes AW Jaarsma T |
| author_sort | Wagenaar KP |
| collection | DOAJ |
| description | Kim P Wagenaar,1 Berna DL Broekhuizen,1 Frans H Rutten,1 Anna Strömberg,2 Henk F van Stel,1 Arno W Hoes,1 Tiny Jaarsma2 1Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands; 2Department of Social and Welfare Studies, Linköping University, Linköping, Sweden 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 ≥70 was defined as adequate and <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.Practice implications: The threshold of 70 can be used in designing studies and informing health policy makers. Keywords: heart failure, self-care, interpretability, patient-reported outcome, threshold and minimal important change |
| first_indexed | 2024-12-24T04:06:04Z |
| format | Article |
| id | doaj.art-1950b75076c34cc0bb088142db68cf56 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-24T04:06:04Z |
| publishDate | 2017-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-1950b75076c34cc0bb088142db68cf562022-12-21T17:16:10ZengDove Medical PressPatient Preference and Adherence1177-889X2017-10-01Volume 111841184935345Interpretability of the European Heart Failure Self-care Behaviour scaleWagenaar KPBroekhuizen BDRutten FHStrömberg Avan Stel HFHoes AWJaarsma TKim P Wagenaar,1 Berna DL Broekhuizen,1 Frans H Rutten,1 Anna Strömberg,2 Henk F van Stel,1 Arno W Hoes,1 Tiny Jaarsma2 1Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands; 2Department of Social and Welfare Studies, Linköping University, Linköping, Sweden 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 ≥70 was defined as adequate and <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.Practice implications: The threshold of 70 can be used in designing studies and informing health policy makers. Keywords: heart failure, self-care, interpretability, patient-reported outcome, threshold and minimal important changehttps://www.dovepress.com/interpretability-of-the-european-heart-failure-self-care-behaviour-sca-peer-reviewed-article-PPAHeart FailureSelf-careInterpretabilityPatient Reported OutcomeThreshold and Minimal Important Change |
| spellingShingle | Wagenaar KP Broekhuizen BD Rutten FH Strömberg A van Stel HF Hoes AW Jaarsma T Interpretability of the European Heart Failure Self-care Behaviour scale Patient Preference and Adherence Heart Failure Self-care Interpretability Patient Reported Outcome Threshold and Minimal Important Change |
| title | Interpretability of the European Heart Failure Self-care Behaviour scale |
| title_full | Interpretability of the European Heart Failure Self-care Behaviour scale |
| title_fullStr | Interpretability of the European Heart Failure Self-care Behaviour scale |
| title_full_unstemmed | Interpretability of the European Heart Failure Self-care Behaviour scale |
| title_short | Interpretability of the European Heart Failure Self-care Behaviour scale |
| title_sort | interpretability of the european heart failure self care behaviour scale |
| topic | Heart Failure Self-care Interpretability Patient Reported Outcome Threshold and Minimal Important Change |
| url | https://www.dovepress.com/interpretability-of-the-european-heart-failure-self-care-behaviour-sca-peer-reviewed-article-PPA |
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