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December 6, 2007European Journal of Cardiovascular Nursing37 citationsOpen Access

Psychometric Properties of a Swedish Version of the Kansas City Cardiomyopathy Questionnaire in a Chronic Heart Failure Population

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HPHarshida PatelIEInger EkmanJSJohn A. Spertus

Key Result

The Swedish version of the KCCQ demonstrated acceptable validity and reliability, with Cronbach's alpha ≥0.70 for most scales, and was more responsive to clinical change than the SF-36.

Study Design

Type

Observational (n=118)

Structured PICO

Is the Swedish version of the KCCQ a valid, reliable, and responsive instrument for assessing health-related quality of life in patients with chronic heart failure?

P
Population
118 hospitalized patients with decompensated chronic heart failure, assessed at baseline, 1 month, and 4 months after admission.
E
Exposure
Swedish version of the Kansas City Cardiomyopathy Questionnaire (KCCQ)
C
Comparator
SF-36
O
Outcome
Psychometric properties (validity, reliability, responsiveness) of the Swedish KCCQpatient reported

The Swedish version of the KCCQ is a valid, reliable, and responsive tool for measuring health-related quality of life in patients with chronic heart failure.

Limitations

  • Weakness in the response distributions for two questions
  • Weakness in the convergent validity in one question
  • Weakness in response distributions for two questions
  • Weakness in convergent validity for one question

Abstract

BACKGROUND: Valid assessments of health-related Quality of Life (HRQL) are increasingly important in chronic, incurable conditions, such as chronic heart failure (CHF). AIMS: To evaluate the psychometric properties of a Swedish version of the Kansas City Cardiomyopathy Questionnaire (KCCQ) in hospitalized patients with decompensated CHF. METHOD AND RESULTS: The KCCQ and SF-36 were administered to patients (n=118) with CHF at baseline and then 1 (n=51) and 4 months (n=83) after admission. The Swedish version of the KCCQ appears to have acceptable convergent and discriminant validity for all suggested health domains. Cronbach's alpha and test-retest reliability met for most of the scales the minimum of 0.70. Known-groups comparison indicated that the KCCQ discriminated between patients differing in the New York Heart Association (NYHA) classification (criterion validity). The KCCQ was also more responsive to changes in the NYHA classification as compared with the SF-36. However, KCCQ has some weakness in the response distributions for two questions and the convergent validity in one question. CONCLUSION: Overall, the KCCQ is a valid and reliable instrument in a Swedish CHF population. It yields reliable and valid scores and is quite responsive to clinical change.

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Cite This Study

Patel et al. (2007) conducted an observational in Chronic heart failure (n=118). Swedish version of the Kansas City Cardiomyopathy Questionnaire (KCCQ) vs. SF-36 was evaluated on Psychometric properties (validity, reliability, responsiveness). The Swedish version of the KCCQ demonstrated acceptable validity and reliability, with Cronbach's alpha ≥0.70 for most scales, and was more responsive to clinical change than the SF-36.

synapsesocial.com/papers/6a2399e4b57190d467d35088https://doi.org/10.1016/j.ejcnurse.2007.08.005
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