• Stefan Köberich, Naoko P Kato, Christiane Kugler, Anna Strömberg, and Tiny Jaarsma.
• Medical Center-University of Freiburg, Nursing Direction, Breisacher Str., 79085 Freiburg, Germany.
• Eur J Cardiovasc Nurs. 2021 Jun 29; 20 (5): 501-512.

AimsThe European Heart Failure Self-care Behaviour Scale (EHFScBS) is frequently used to assess self-care behaviours in patients with heart failure. This scale has been translated into several languages. The COnsensus-based Standards for the selection of health status Measurement INstrument (COSMIN) Risk of Bias checklist for a systematic review has recently been published. The aim of the study was to assess the methodological quality of studies reporting on psychometric evaluations of the EHFScBS using the COSMIN methodology.Methods And ResultsTo identify relevant studies, a systematic literature search was performed using PubMed and CINAHL databases in December 2019 and the search was updated in June 2020. The COSMIN Risk of Bias checklist was used to assess the methodological quality. In total, 21 relevant studies were rated. The overall methodological quality of content validity was rated as inadequate in 17 studies and a main reason of the inadequate rating was a lack of patient involvement. Structural validity was adequately addressed in 12 studies, internal consistency in seven, and eight of 11 studies reporting on construct validity and had good methodological quality.ConclusionAlthough the use of the EHFScBS has grown rapidly and the validity and reliability are reported to be good, the methodological quality of studies reporting on psychometric properties of the scale is not optimal. Further studies are necessary to strengthen the evidence on validity and reliability of the EHFScBS.© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.

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