Validity and Reliability of the Persian Version of the Scale of the Assessment of Self-Care Behaviors With Arteriovenous Fistula in Patients on Hemodialysis Publisher Pubmed



Sharifnia H ; Farhadi B ; Mazhari SA ; Sousa CN ; Taebi M ; Hoseinzadeh E ; Amiri M ; Yildirim N ; Goudarzian AH ; Sobhanian P ; Rezapour M
Source: Journal of Nursing Measurement Published:2026

Abstract

Background and Purpose: This methodological study aimed to assess the psychometric properties of the Persian version of the scale for evaluating self-care behaviors with arteriovenous fistula. Methods: This cross-sectional study with a methodological design was planned and conducted in 2022. The Scale of the Assessment of Self-Care Behaviors with Arteriovenous Fistula was translated into Persian. Subsequently, the validity (content and construct) and reliability of this scale were assessed. Results: The exploratory factor analysis revealed a two-factor structure for the scale, accounting for 60.71% of the total variance. Confirmatory factor analysis results indicated that all goodness-of-fit indices supported the model fit (χ2/df = 1.925, goodness-of-fit index =.903, normed fit index =.933, incremental fit index =.950, comparative fit index =.950, and root mean square error of approximation =.047). Furthermore, this study found that both factors demonstrated satisfactory levels of convergent and divergent validity (construct reliability =.934 and.885 for factors 1 and 2, respectively). After careful evaluation, all coefficients of internal consistency were deemed acceptable (α =.872 and McDonald’s omega =.879). Conclusions: These significant findings provide compelling evidence that this scale can effectively assess patients’ self-care behaviors and facilitate the provision of necessary training in this domain. © 2025 Springer Publishing Company.