دورية أكاديمية

Development of a quality of life measure for left ventricular assist device recipients using a mixed methods approach.

التفاصيل البيبلوغرافية
العنوان: Development of a quality of life measure for left ventricular assist device recipients using a mixed methods approach.
المؤلفون: Slade AL; Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK., McMullan C; Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research Blood and Transplant Research Unit in Precision and Cellular Therapeutics, University of Birmingham, Birmingham, UK., Haque MS; Institute of Applied Health Research, University of Birmingham, Birmingham, UK., Griffith S; Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK., Marley L; University Hospital Birmingham NHS Foundation Trust, Birmingham, UK., Quinn D; University Hospital Birmingham NHS Foundation Trust, Birmingham, UK., O'Hara ME; University Hospital Birmingham NHS Foundation Trust, Birmingham, UK., Horton M; Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK., Calvert MJ; Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research Blood and Transplant Research Unit in Precision and Cellular Therapeutics, University of Birmingham, Birmingham, UK.; Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; Birmingham Health Partners Centre for Regulatory Science and Innovation, University of Birmingham, Birmingham, UK.; National Institute for Health and Care Research (NIHR) Applied Research Collaboration West Midlands, Birmingham, UK., Lim HS; University Hospital Birmingham NHS Foundation Trust, Birmingham, UK., Lane DA; Department of Cardiovascular and Metabolic Medicine and Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
المصدر: ESC heart failure [ESC Heart Fail] 2024 Jun 14. Date of Electronic Publication: 2024 Jun 14.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Ltd on behalf of the European Society of Cardiology Country of Publication: England NLM ID: 101669191 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2055-5822 (Electronic) Linking ISSN: 20555822 NLM ISO Abbreviation: ESC Heart Fail Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : John Wiley & Sons Ltd on behalf of the European Society of Cardiology, [2014]-
مستخلص: Background: Left ventricular assist device (LVAD) recipients report symptom improvement but find adjusting to life with the LVAD challenging. These challenges are unique, and existing patient-reported outcome measures (PROMs) do not reflect their experiences. This study aimed to develop a culturally relevant quality of life PROM for use with LVAD recipients in future research, design evolutions and clinical practice.
Methods: A three-stage mixed-methods approach was used to develop a PROM: stage 1 included group concept mapping (GCM); stage 2 semi-structured qualitative interviews were conducted with 11 LVAD recipients and 10 clinicians, and a questionnaire was developed using a conceptual framework; and stage 3 used exploratory psychometric analysis of the PROM data using Rasch measurement theory. This paper presents stages 2 and 3.
Results: The conceptual framework consisted of four key concepts, including general health, life with the LVAD, equipment and clothing and emotional impact. Statements from interviews and GCM were used to create items for the LVAD quality of life (LVAD-QoL). Cognitive interviews tested face validity and participant comprehension. Forty-nine participants were recruited from three UK transplant centres. PROM data were collected and analysed using Rasch analysis. Four items displayed misfit; dependency between item sets was the biggest issue (57/485 pairwise differences). After restructuring and dealing with item misfit, the LVAD-QoL conformed to the Rasch model, supporting the psychometric properties and quality of the LVAD-QoL.
Conclusions: Using a mixed-methods approach ensured the development of a robust and psychometrically sound tool for research, design evolution and clinical practice with LVAD recipients.
(© 2024 The Author(s). ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)
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معلومات مُعتمدة: PG/18/58/33944 United Kingdom BHF_ British Heart Foundation
فهرسة مساهمة: Keywords: Rasch analysis; health‐related quality of life; heart failure; left ventricular assist device; patient‐reported outcomes
تواريخ الأحداث: Date Created: 20240614 Latest Revision: 20240614
رمز التحديث: 20240614
DOI: 10.1002/ehf2.14850
PMID: 38873750
قاعدة البيانات: MEDLINE
الوصف
تدمد:2055-5822
DOI:10.1002/ehf2.14850