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Development, psychometric evaluation, and initial feasibility assessment of a symptom tracker for use by patients with heart failure (HFaST).
- Source :
- Journal of Patient-Reported Outcomes; 5/2/2019, Vol. 3 Issue 1, pN.PAG-N.PAG, 1p
- Publication Year :
- 2019
-
Abstract
- Background: This study aimed to develop and provide a psychometric and feasibility pilot evaluation of the Heart Failure (HF) Symptom Tracker (HFaST), a new patient-reported tool designed to facilitate communication between patients and health care providers (HCPs) in routine clinical care. The HFaST enables patients to identify worsening HF symptoms, with a long-term goal of preventing hospitalizations or emergency room visits. Methods: The HFaST was developed drawing on evidence from the literature, qualitatively with cognitive interviews (12 patient/caregiver and 8 HCPs), and evaluated quantitatively (psychometric, feasibility assessment). The HFaST was administered for 7 consecutive days to 100 individuals diagnosed with HF during a multisite, non-interventional US pilot study. Health care providers then completed a survey assessing the feasibility and importance of the HFaST in clinical practice. Qualitative development included a literature review and cognitive interviews with patients, caregivers, and HCPs. The psychometric properties of the HFaST were evaluated using classical test theory methods. Descriptive statistics provided insight into HCPs' perceptions of the feasibility of using the HFaST in clinical practice. Results: A preliminary set of 40 items was developed for the symptom tracker and iteratively reduced to 10 items based on the qualitative phase. Test-retest reliability (weighted kappa 0.71–0.97), discriminating validity, and construct validity of the HFaST were acceptable. HCPs rated the HFaST as a good (70%) or excellent (30%) means of tracking HF symptoms. Six HFaST items were ultimately retained, covering concepts of fatigue, shortness of breath (3 items), swelling, and rapid weight gain. Conclusions: The 6-item HFaST is an easy-to-use tool designed to raise patients' awareness of HF symptoms and facilitate communication with HCPs. Future research should evaluate HFaST implementation in clinical practice and effectiveness as an intervention to potentially prevent hospitalizations and emergency room visits. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEART failure patients
CLINICAL trials
HOSPITAL care
PSYCHOMETRICS
CAREGIVERS
HEART failure treatment
DIAGNOSIS of dyspnea
COUGH diagnosis
ARRHYTHMIA diagnosis
EXPERIMENTAL design
PILOT projects
CAREGIVER attitudes
RESEARCH
GENERAL practitioners
STATISTICS
HOSPITAL emergency services
NURSES' attitudes
STATISTICAL reliability
BODY weight
RESEARCH methodology
RESEARCH methodology evaluation
PSYCHOLOGY of cardiac patients
INFLAMMATION
SELF-evaluation
STAKEHOLDER analysis
HEALTH outcome assessment
INTERVIEWING
QUANTITATIVE research
DISCRIMINANT analysis
PHYSICIANS' attitudes
ACQUISITION of data
MEDICAL care
QUALITATIVE research
PATIENTS' attitudes
MULTITRAIT multimethod techniques
DYSPNEA
WEIGHT gain
SEVERITY of illness index
QUESTIONNAIRES
COMMUNICATION
PSYCHOLOGY of caregivers
HOSPITAL nursing staff
PSYCHOSOCIAL factors
MEDICAL records
DESCRIPTIVE statistics
RESEARCH funding
PATIENT-professional relations
FATIGUE (Physiology)
HEART failure
SYMPTOMS
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 25098020
- Volume :
- 3
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Patient-Reported Outcomes
- Publication Type :
- Academic Journal
- Accession number :
- 137442937
- Full Text :
- https://doi.org/10.1186/s41687-019-0113-6