Self-Care of Chronic Illness Inventory: Scoping Review
Abstract
The increasing prevalence of chronic diseases and the complexity of comorbidities demand a systematic management approach. The Self-Care of Chronic Illness Inventory (SC-CII) is an instrument that assesses self-care behaviors through three main domains: maintenance, monitoring, and management. This study aims to conduct a scoping review of the validity, reliability, and application of the SC-CII across chronic conditions and cultural settings. The method follows the PRISMA-ScR guidelines with an article search through PubMed and Scopus databases with articles from 2022 through 2024. Of the 765 articles identified, five were used that met the criteria. Articles that did not meet the inclusion criteria were eliminated, including publications over five years old, not available in open access, not in English, and not scientific articles. Studies were also eliminated if they had incomplete data, duplication, could not be downloaded in full, did not have an abstract, or did not match the focus of the study. Articles discussing chronic stroke and articles with irrelevant discussion were also excluded from the review. The results showed that the SC-CII has high construct validity and reliability in both the original and translated versions. The three domains showed a consistent and theoretically relevant factor structure. This instrument is used effectively in populations with multiple chronic conditions such as hypertension, diabetes, heart failure, COPD, and chronic kidney disease. The SC-CII can identify contextual determinants in self-care decision making and support the development of culturally adaptive educational interventions. In conclusion, the SC-CII is a valid and reliable multidimensional instrument, and contributes significantly to evidence-based nursing practice and the person-centered care approach.
References
Arapi, A., Vellone, E., Ivziku, D., Duka, B., Taci, D., Notarnicola, I., Stievano, A., Prendi, E., Rocco, G., & De Maria, M. (2023). Psychometric Characteristics of the Self-Care of Chronic Illness Inventory in Older Adults Living in a Middle-Income Country. International Journal of Environmental Research and Public Health, 20 (6). https://doi.org/10.3390/ijerph20064714
De Maria, M., Matarese, M., Strömberg, A., Ausili, D., Vellone, E., Jaarsma, T., Osokpo, OH, Daus, MM, Riegel, B., & Barbaranelli, C. (2021). Cross-cultural assessment of the Self-Care of Chronic Illness Inventory: A psychometric evaluation. International Journal of Nursing Studies, 116. https://doi.org/10.1016/j.ijnurstu.2019.103422
Durán-Gómez, N., López-Jurado, C.F., Martín-Parrilla, M. Á., Montanero-Fernández, J., Pérez-Civantos, D., & Cáceres, M.C. (2023). Self-care nursing assessment: cross-cultural adaptation and validation of the Spanish version of the Self-care of chronic illness inventory. BMC Nursing, 22 (1), 1–14. https://doi.org/10.1186/s12912-023-01605-1
Hernández-Padilla, J.M., Dobarrio-Sanz, I., Fernández-Sola, C., del Mar Jiménez-Lasserrotte, M., Correa-Casado, M., & Ruiz-Fernández, M.D. (2024). Spanish version of the Self-Care of Chronic Illness Inventory: A validation study among community-dwelling older adults with chronic multimorbidity. Journal of Advanced Nursing, 80 (2), 807–820. https://doi.org/10.1111/jan.15868
Lee, J., Kim, E., Chung, M., & Yeom, I. (2023). Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory. Scientific Reports, 13 (1), 1–12. https://doi.org/10.1038/s41598-023-35084-w
Luciani, M., De Maria, M., Page, S.D., Barbaranelli, C., Ausili, D., & Riegel, B. (2022). Measuring self-care in the general adult population: development and psychometric testing of the Self-Care Inventory. BMC Public Health, 22 (1), 1–10. https://doi.org/10.1186/s12889-022-12913-7
Mak, S., & Thomas, A. (2022). Steps for Conducting a Scoping Review. Journal of Graduate Medical Education, 14 (5), 565–567. https://doi.org/10.4300/JGME-D-22-00621.1
Osokpo, O.H., Lewis, L.M., Ikeaba, U., Chittams, J., Barg, F.K., & Riegel, B. (2022). Self-Care of African Immigrant Adults with Chronic Illness. Clinical Nursing Research, 31 (3), 413–425. https://doi.org/10.1177/10547738211056168
Page, S.D., Lee, C., Aryal, S., Freedland, K., Stromberg, A., Vellone, E., Westland, H., Wiebe, D.J., Jaarsma, T., & Riegel, B. (2022). Development and testing of an instrument to measure contextual factors influencing self-care decisions among adults with chronic illness. Health and Quality of Life Outcomes, 20 (1), 1–20. https://doi.org/10.1186/s12955-022-01990-2
Phonphet, C., Suwanno, J., Thiamwong, L., Mayurapak, C., & Ninla-Aesong, P. (2023). Translation and Cross-cultural Adaptation of the Self-care of Hypertension Inventory for Thais With Hypertension. Journal of Cardiovascular Nursing, 38 (2), 179–191. https://doi.org/10.1097/JCN.0000000000000895
Riegel, B., Jaarsma, T., Lee, C.S., & Strömberg, A. (2019). Integrating symptoms into the middle-range theory of self-care of chronic illness. Advances in Nursing Science, 42 (3), 206–215. https://doi.org/10.1097/ANS.0000000000000237
Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35 (3), 194–204. https://doi.org/10.1097/ANS.0b013e318261b1ba.
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
