Existing Tools to Measure Self-Care in Hypertension: Strengths and Limitations - A Narrative Review

Dr. Nisha Pathak PT, Dr. Yagna Unmesh Shukla

Abstract: Background & Need of Research: Hypertension remains a major global public health challenge and is a leading cause of cardiovascular morbidity and mortality. Control of Hypertension largely depends on effective self-care practices, including Blood pressure Monitoring, maintenance, and management. Evaluation of these behaviours is essential for both clinical management and research. However, currently available self-care assessment tools differ considerably in their conceptual frameworks, domains assessed, and psychometric strength, necessitating a critical review. Method: A narrative literature review was undertaken using electronic databases, including PubMed, Scopus, Google Scholar, and Web of Science. Studies reporting the development, validation, or cultural adaptation of self-care assessment tools for adults with hypertension were included. Relevant psychometric properties, such as reliability and validity, were examined and compared. Result: The review identified several self-care assessment tools for hypertension, including H-SCALE, SC-HI, Hypertension Self-Care Profile, and Hill-Bone Compliance Scale. The instruments demonstrated strengths such as assessment of multiple self-care domains and acceptable internal consistency. However, considerable variability was observed in conceptual frameworks, domains assessed, and psychometric reporting. Limitations included inconsistent evaluation of test-retest reliability and responsiveness, and the absence of a universally accepted gold-standard instrument. Conclusion: Available instruments for assessing self-care in hypertension demonstrate considerable variation in scope and psychometric strength, emphasising the importance of informed tool selection in the absence of a universally accepted gold-standard measure.

Keywords: Hypertension, Self-care, Assessment tools, Psychometric properties, Narrative review

How to Cite?: Dr. Nisha Pathak PT, Dr. Yagna Unmesh Shukla, "Existing Tools to Measure Self-Care in Hypertension: Strengths and Limitations - A Narrative Review", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 1931-1934, https://www.ijsr.net/getabstract.php?paperid=SR26429192212, DOI: https://dx.doi.org/10.21275/SR26429192212

Download Citation: APA | MLA | BibTeX | EndNote | RefMan