Thursday, 19 November 2015

Self care in heart failure and the role of caregivers

Roger Watson, Editor

The aim of the study from Canada was to develop an instrument that measures caregiver (CG) contributions to HF patients’ self-care because there are no reliable and valid tools for measuring such contributions.

The authors used a systematic literature review and interviews with 14 caregivers to derive items and produced a 34-item scale with good content validity.  As the authors explain: 'With further psychometric testing and refinement, the CACHS questionnaire may equip clinicians to assess and quantify the overall impact of the CGs on patient self-care and target specific self-care decisions or behaviours.' They conclude: 'The CACHS questionnaire should undergo validation in larger studies involving diverse populations to assess whether it remains to demonstrate robust and stable psychometric properties.'


Harkness K, Buck HG, Arthur H, Carroll S, Cosman T,  McGillion M, Kaasalainen S, Kryworuchko J, O’Keefe-McCarthy, Sherifali D, Strachan P (2015) Caregiver Contribution to Heart Failure Self-Care (CACHS) Nursing Open doi: 10.1002/nop2.35

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