Cross-cultural assessment of the Self-Care of Chronic Illness Inventory: A psychometric evaluation

Self-care refers to behaviors that individuals adopt prevent or maintain the stability of an illness (self-care maintenance), monitor signs and symptoms monitoring), respond exacerbation management). A generic measure self-care, Self-Care Chronic Illness Inventory, based on Theory Illness, was developed for use in with any number type chronic conditions. The current study investigated measurement equivalence Inventory from three different cultural groups. We were interested determining if Italians, Swedes, Americans interpret a conceptually similar way. This cross-sectional enrolled 1629 patients, 784 recruited Italy, 438 Sweden 407 United States. maintenance, self-care monitoring management) measured Inventory. multi-group confirmatory factor analytic approach used assess measures across countries. Configural, metric, scalar strict invariance tested through series nested models where increasingly stringent equality constraints posited. Participants mostly males (56.3%), older adults (69.8%) had at least two Results indicated out four levels partially totally supported all scales. partial level reached maintenance [?2(50) = 63.495, p 0.095; RMSEA 0.022, 0.999, 90% CI 0.000 0.038; CFI 0.981; TLI 0.977; SRMR 0.036], [?2(22) 28.770, 0.024, 0.978, 0.046; 0.996; 0.995; 0.054], management [?2(51) 91.334, 0.001; 0.048, 0.576, 0.031 0.063; 0.949; 0.937; 0.047] These findings suggest patients countries identical cognitive framework mental model when responding 1–5 Likert response scale almost way, without bias. In spite sociocultural differences, these seem share same fundamental view self-care. results will be comparable