Reproducibility and Reliability of the Quality of Life Questionnaire in Patients With Atrial Fibrillation

Moreira, Rita Simone Lopes; Bassolli, Lucas; Coutinho, Enia Lucia; Ferrer, Paloma; Bragança, Érika Olivier Vilela; Carvalho, Antônio Carlos; Paola, Angelo Amato de; Filho, Bráulio Luna

doi:10.5935/abc.20160026

Cited by 10 publications

(15 citation statements)

References 30 publications

(25 reference statements)

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“…[36] However, even with full information on psychometric properties, clinical validity requires further appraisal in large-scale AF populations, a review of which is beyond the scope of this methodological assessment. Apart from AFEQT [37], there is limited information about the minimally important change seen with these questionnaires.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes for Quality of Life Assessment in Atrial Fibrillation: A Systematic Review of Measurement Properties

et al. 2016

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BackgroundAtrial fibrillation is a large and growing burden across all types of healthcare. Both incidence and prevalence are expected to double in the next 20 years, with huge impact on hospital admissions, costs and patient quality of life. Patient wellbeing determines the management strategy for atrial fibrillation, including the use of rhythm control therapy and the clinical success of heart rate control. Hence, evaluation of quality of life is an emerging and important part of the assessment of patients with atrial fibrillation. Although a number of questionnaires to assess quality of life in atrial fibrillation are available, a comprehensive overview of their measurement properties is lacking.Methods and ResultsWe performed a systematic review of the measurement properties of atrial fibrillation-specific health-related quality of life questionnaires. Methodological quality was assessed using the Consensus based Standards for selection of health Measurement Instruments (COSMIN) checklist, with measurement properties rated for quality against optimal criteria and levels of evidence. We screened 2,216 articles, of which eight articles describing five questionnaires were eligible for inclusion: Atrial Fibrillation 6 (AF6), Atrial Fibrillation Effect on QualiTy-of-Life (AFEQT), Atrial Fibrillation Quality of Life Questionnaire (AFQLQ), Atrial Fibrillation Quality of Life (AFQoL), and Quality of Life in Atrial Fibrillation (QLAF). Good reliability (internal consistency and test-retest reliability) was demonstrated for AF6, AFEQT, AFQLQ and AFQoL. Content, construct and criterion validity were positively rated only in AFEQT. Responsiveness was positively rated only in AFEQT, but with limited evidence. Overall, AFEQT showed strong positive evidence for 2 of 9 measurement properties, compared to one for AFQoL and none for the remaining questionnaires.InterpretationGiven the low ratings for many measurement properties, no single questionnaire can be recommended, although AFEQT performed strongest. Further studies to robustly assess reliability, validity and responsiveness of AF-specific quality of life questionnaires are required. This review consolidates the current evidence for quality of life assessment in patients with atrial fibrillation and identifies priority areas for future research.

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Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes for Quality of Life Assessment in Atrial Fibrillation: A Systematic Review of Measurement Properties

et al. 2016

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“…A validated questionnaire plays a fundamental role in identifying symptoms of a disease, helping clinicians in assessing and characterizing any symptom objectively [2]. Consequently, simpli ed questionnaires for assessing the clinical manifestations and patients' physical, social, and emotional responses to the disease process should be developed in an effort to help healthcare workers to perform su cient clinical evaluations [3].…”

Section: Introductionmentioning

confidence: 99%

Arabic Translation, Cultural Adaptation, and Validation of Australian Pelvic Floor Questionnaire in a Saudi Population

Malaekah

Almedbal

Almuwallad

et al. 2020

Preprint

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Introduction and hypothesis: The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population. Methods: The translation and cultural adaptation was performed in 854 women over 18 and not pregnant who agreed to answer the Arabic version of the questionnaire. The content/face validity, internal consistency (reliability), and construct validity (factor analysis) were assessed. Statistical analysis was carried out using SPSS 24.0 statistical software.Results: The Cronbach’s alpha results were above 0.8 for the questionnaire’s overall reliability (bladder function: 0.877, bowel function: 0.834, prolapse symptoms: 0.784, sexual function: 0.762) showing adequate internal consistency reliability and high statistical significance. A statistically significant correlation was observed among the 40 items of the questionnaire. The issue of multicollinearity was not found, and the determinant of the correlation matrix was 0.001. A value of >0.5 was achieved when the Kaiser–Meyer–Olkin (KMO) and Bartlett’s tests measured 0.806 and the Bartlett’s test of sphericity was statistically significant χ2 (780)=4150.46 (P<0.001). The values of loading indicate that all 4 factors (bladder function, bowel function, prolapse symptoms, sexual function) contributed to each of their items.Conclusions: This study provides the Arabic version of the self-administered APFQ as a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor dysfunction on the quality of life (QOL) of Arabic women. It also will enable the researchers from Arab countries to use this instrument to assess pelvic floor dysfunction (PFD) prevalence in their settings.

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“…e QVFA was developed and validated for evaluation of clinical manifestations and treatment of patients with AF [18]. In 2016, Moreira et al [19] developed version 2 (QVFA-v2) excluding domains related to therapeutics and included the domains: fatigue, perception of disease, and well-being and retained the domains: palpitations, dyspnoea, chest pain, and dizziness.…”

Section: Study Protocolmentioning

confidence: 99%

“…e QVFA-v2 consists of seven domains and 30 questions. All domains have the same score, 20 points, giving a maximum score of 140, where higher scores represent a more negatively affected QoL by symptoms [19].…”

Section: Study Protocolmentioning

confidence: 99%

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Translation and Validation of the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA) to the Brazilian Context: An Instrument Focusing on Arrhythmia Symptoms

Cannavan

Walfridsson

et al. 2020

Cardiology Research and Practice

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Introduction. The wide variety of symptoms in patients with cardiac arrhythmias can affect daily living activities. The evaluation of symptoms with patient-reported outcome measures (PROMs), with validated instruments, can provide information that contributes to clinical decisions and treatment. In Brazil, however, there is no available scale that evaluates symptoms in different types of arrhythmias. Purpose. This study aimed to translate the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia symptom scale (ASTA-symptom scale) and then validate the questionnaire in terms of Brazilian culture. Method. The methodological process of cultural adaptation used was based on international literature guidelines consisting of forward translation, synthesis, back translation, review by an expert committee, and pretest. Psychometric analyses were conducted with 140 patients. These included measuring internal consistency (Cronbach’s alpha), construct validity with item-total correlations, and convergent construct validity with correlations with the quality of life questionnaire for patients with atrial fibrillation-version 2 (QVFA-v2). Usability and understandability were evaluated through the usability evaluation of instruments. Results. The translation and adaptation processes were performed by obtaining the Brazilian Portuguese version of the original Swedish instrument. This version presented the internal consistency of items, evaluated through Cronbach’s α (0.79). Construct validity was demonstrated by item-total correlations for the nine items, all except one reached the level of >0.30 (0.24). Convergent validity showed a high correlation with QVFA-v2 (0.89). As for the evaluation of usability and understanding, after two small suggested changes, no additional alterations were necessary. Conclusion. The psychometric properties of the Brazilian version of ASTA-symptom scale evaluated in this study were satisfactory, and the scale was proved to be a valid and reliable tool to assess the symptom burden in patients with different forms of tachyarrhythmia. The ASTA-Br-symptom scale questionnaire can be an important addition to PROMs for patients with arrhythmias and could help healthcare professionals in decision-making.

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Reproducibility and Reliability of the Quality of Life Questionnaire in Patients With Atrial Fibrillation

Cited by 10 publications

References 30 publications

Patient-Reported Outcomes for Quality of Life Assessment in Atrial Fibrillation: A Systematic Review of Measurement Properties

Patient-Reported Outcomes for Quality of Life Assessment in Atrial Fibrillation: A Systematic Review of Measurement Properties

Arabic Translation, Cultural Adaptation, and Validation of Australian Pelvic Floor Questionnaire in a Saudi Population

Translation and Validation of the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA) to the Brazilian Context: An Instrument Focusing on Arrhythmia Symptoms

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