Psychometric Analysis of the Health Self-Care Neglect Scale.

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE
    • Publication Information:
      Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: [Frederick, MD : Aspen Publishers, c1986-
    • Subject Terms:
      Self Care* ; Psychometrics* ; Caregivers*/psychology; Humans ; Male ; Female ; Middle Aged ; Aged ; Heart Failure/therapy ; Heart Failure/psychology ; Reproducibility of Results ; Adult ; Chronic Disease ; Surveys and Questionnaires/standards ; Factor Analysis, Statistical
    • Abstract:
      Objectives: The Health Self-Care Neglect (HSCN) scale is a measure of self-care neglect developed for use in informal caregivers, where self-care is defined as behaviors undertaken to maintain health. There was no formal psychometric analysis of the scale, so we tested a 9-item, dichotomous-response version of the HSCN scale in a sample of 250 informal caregivers of adults with chronic heart failure.
      Methods: As the indicators of self-care neglect were considered formative (influencing the latent variable directly) rather than reflective (influenced by the latent variable), we used a procedure for the specification of formative measurement models. First, maximally correlated composites of indicators were identified for the latent variable, and optimal scoring weights were developed. Then, the reflective factor was tested with confirmatory factor analysis, and longitudinal invariance of the factorial structure was tested by introducing model constraints. Reliability was assessed with composite reliability model-based estimates. Concurrent validity was assessed by correlating the HSCN scale total score with the maintenance scale score of the Self-Care Inventory.
      Results: Strict invariance, the highest level possible, was achieved. Reliability was 0.81 at baseline. Concurrent validity was demonstrated ( r = -0.475, P < .0001).
      Conclusion: The results of this analysis indicate that the HSCN scale is reliable, stable, and valid as a measure of health self-care neglect when tested in a sample of caregivers. The HSCN scale measures the successful performance of self-care, whereas existing measures of self-care reflect intention. Understanding both intention and behavior is useful, so we recommend using the HSCN scale in addition to existing measures of self-care.
      Competing Interests: The authors have no conflicts of interest to disclose.
      (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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    • Grant Information:
      R01 NR018196 United States NR NINR NIH HHS
    • Publication Date:
      Date Created: 20230927 Date Completed: 20240813 Latest Revision: 20250104
    • Publication Date:
      20250104
    • Accession Number:
      PMC10965499
    • Accession Number:
      10.1097/JCN.0000000000001047
    • Accession Number:
      37755707