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March 26, 2025Frontiers in Public Health2 citationsOpen Access

Translation and psychometric evaluation of Self-Care of Hypertension Inventory Version 3.0 (SC-HI v3.0) in Iranian population

FNFatemehzahra NaddafiAJAlireza JafariEYElyas Hosseinzadeh Younesi

Key Result

The Persian version of the SC-HI v3.0 demonstrated good validity and reliability (Cronbach's alpha 0.879, ICC 0.842) for evaluating self-care in Iranian hypertensive patients.

Study Design

Type

Cross-Sectional (n=593)

Structured PICO

Is the Persian version of the Self-Care of Hypertension Inventory Version 3.0 (SC-HI v3.0) a valid and reliable tool for evaluating self-care in Iranian hypertensive patients?

P
Population
593 adults with hypertension in Gonabad, Iran, were evaluated to assess the psychometric properties of the Persian version of the SC-HI v3.0.
E
Exposure
Persian translation and psychometric evaluation of the Self-Care of Hypertension Inventory Version 3.0 (SC-HI v3.0)
O
Outcome
Psychometric properties including face validity, content validity, construct validity (via confirmatory factor analysis), and reliability (ICC and Cronbach's alpha)patient reported

The Persian translation of the SC-HI v3.0 is a valid and reliable instrument for assessing self-care behaviors in Iranian patients with hypertension.

Limitations

  • Conducted in only one city in Iran (Gonabad) which may limit external validity
  • Lack of assessment of divergent or discriminant validity
  • Potential underrepresentation of people who immediately join online health center systems

Abstract

Introduction: Self-care is a key element of hypertension control. This study was carried out with the purpose of translating and investigating the psychometric features of the Persian version of Self-care of Hypertension Inventory Version 3.0 (SC-HI v3.0) in Iranian hypertensive population. Methods: This cross-sectional study was carried out in 593 people with hypertension in 2023 in Gonabad city (Iran). The participants were included by stratified random sampling from the community health centers of Gonabad city. The translation of the scale was done according to the multi-stage guideline of the instrument developers. The validity of the SC-HI v3.0 was examined by qualitative face validity, qualitative and quantitative content validity and construct validity assessed by confirmatory factor analysis (CFA). The reliability of the SC-HI v3.0 was also evaluated by calculating intraclass correlation coefficient (ICC) and Cronbach's alpha coefficient. Data analysis was done using Amos software version 24 and SPSS software version 25. Results: In the translation process, face validity, and content validity evaluation, almost all the items of SC-HI v3.0 were partially revised without changing the main concept. In the construct validity evaluation, the results of CFA confirmed the Persian version of SC-HI v3.0 with 21 items and including three scales of maintenance with two factors (7 items), monitoring with one factor (7 items), and management with one factor (7 items). Finally, in reliability evaluation, Cronbach's alpha coefficient and ICC were 0.879 and 0.842, respectively. Conclusion: Considering the lack of a comprehensive and brief tool for measuring hypertension self-care in Iran, the Persian version of the SC-HI v3.0 with 21 items and 3 scales, can be a valid and reliable inventory for self-care evaluation in Iranian hypertensive patients.

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Cite This Study

Naddafi et al. (2025) conducted a cross-sectional in Hypertension (n=593). Self-Care of Hypertension Inventory Version 3.0 (SC-HI v3.0) Persian version was evaluated on Psychometric properties (validity and reliability) of the Persian SC-HI v3.0. The Persian version of the SC-HI v3.0 demonstrated good validity and reliability (Cronbach's alpha 0.879, ICC 0.842) for evaluating self-care in Iranian hypertensive patients.

synapsesocial.com/papers/6a6ad5b747a1bfb288f2efb9https://doi.org/10.3389/fpubh.2025.1423923
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