Validating the HeartQoL questionnaire in patients with atrial fibrillation
Autor: | Marie Skov Kristensen, Signe Stelling Risom, Lau Caspar Thygesen, Neil Oldridge, Susanne S. Pedersen, Selina Kikkenborg Berg, Graziella Zangger, Ann-Dorthe Zwisler, Charlotte N Grønset |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Time Factors SF-36 Psychometrics Epidemiology medicine.medical_treatment Catheter ablation 030204 cardiovascular system & hematology 03 medical and health sciences Electrocardiography 0302 clinical medicine Quality of life Surveys and Questionnaires Atrial Fibrillation Outcome Assessment Health Care medicine Humans 030212 general & internal medicine Retrospective Studies Fibrillation business.industry Construct validity Atrial fibrillation social sciences Middle Aged medicine.disease humanities Cross-Sectional Studies Physical therapy Catheter Ablation Quality of Life Female Self Report medicine.symptom Cardiology and Cardiovascular Medicine business human activities Atrial flutter Follow-Up Studies |
Zdroj: | Kristensen, M S, Zwisler, A-D, Berg, S K, Zangger, G, Grønset, C N, Risom, S S, Pedersen, S S, Oldridge, N & Thygesen, L C 2016, ' Validating the HeartQoL questionnaire in patients with atrial fibrillation ', European Journal of Preventive Cardiology, vol. 23, no. 14, pp. 1496-1503 . https://doi.org/10.1177/2047487316638485 |
DOI: | 10.1177/2047487316638485 |
Popis: | BACKGROUND: Atrial fibrillation (AF) is associated with impaired health-related quality-of-life (HRQL). When assessing HRQL, disease-specific and generic instruments are used, which may hinder outcome comparisons across studies. A newly developed core ischaemic heart disease-specific HRQL questionnaire, the HeartQoL, offers a single measurement instrument which may allow outcome comparisons across cardiac diseases. The aim of the study was to evaluate the psychometric properties of HeartQoL in an AF population treated with ablation by assessing its factor structure, construct validity, internal consistency, and test-retest reliability.DESIGN AND METHODS: Data were collected in two phases: (a) a cross-sectional study including 462 patients with AF/atrial flutter who completed the HeartQoL and the Short-Form 36 (SF-36), allowing for the evaluation of internal consistency, factor structure and construct validity; and (b) a longitudinal study including 55 patients completing HeartQoL twice to evaluate test-retest reliability.RESULTS: The two-factor structure of HeartQoL was largely confirmed in patients with AF. Internal consistency was high (Cronbach's alpha (α) ≥ 0.90) and test-retest reliability good (intra-class correlation ≥ 0.90). The construct validity was supported, as subscales of HeartQoL correlated strongly with similar (r ≥ 0.78) and weakly (r ≤ 0.47) with dissimilar subscales of SF-36. The HeartQoL demonstrated ability to distinguish between different clinical subgroups of patients, indicating sensitivity.CONCLUSION: The HeartQoL showed overall satisfactory psychometric properties, demonstrating it to be a valid instrument in the evaluation of HRQL in patients with AF treated with ablation. This suggests that HeartQoL may be a valuable instrument for making HRQL comparisons across the spectrum of cardiac diseases. |
Databáze: | OpenAIRE |
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