PMID- 19858959
OWN - NLM
STAT- MEDLINE
DCOM- 20100126
LR  - 20240312
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Print)
IS  - 0889-4655 (Linking)
VI  - 24
IP  - 6
DP  - 2009 Nov-Dec
TI  - Development, psychometric testing, and revision of the Atlanta Heart Failure 
      Knowledge Test.
PG  - 500-9
LID - 10.1097/JCN.0b013e3181aff0b0 [doi]
AB  - BACKGROUND AND RESEARCH OBJECTIVE: Several heart failure (HF) knowledge tools 
      have been developed and tested over the past decade; however, they vary in 
      content, format, psychometric properties, and availability. This article details 
      the development, psychometric testing, and revision of the Atlanta Heart Failure 
      Knowledge Test (A-HFKT) as a standardized instrument for both the research and 
      clinical settings. PARTICIPANTS AND METHODS: Development and psychometric testing 
      of the A-HFKT were undertaken with 116 New York Heart Association (NYHA) class II 
      and III community-dwelling HF patients and their family members (FMs) 
      participating in a family intervention study. Internal consistency, reliability, 
      and content validity were examined. Construct validity was assessed by 
      correlating education level, literacy, dietary sodium ingestion, medication 
      adherence, and healthcare utilization with knowledge. RESULTS: Content validity 
      ratings on relevance and clarity ranged from 0.55 to 1.0, with 81% of the items 
      rated from 0.88 to 1.0. Cronbach alpha values were .84 for patients, .75 for FMs, 
      and .73 for combined results. Construct validity testing revealed a small but 
      significant correlation between higher patient and FM knowledge on sodium 
      restriction questions and lower ingested sodium, r = -0.17, P = .05 and r = 
      -0.19, P = .04, respectively, and between patient knowledge and number of days 
      that medications were taken correctly (diuretics: r = 0.173, P < .05, and 
      angiotensin-converting enzyme: r = 0.223, P = .01). Finally, patients seeking 
      emergency care or requiring hospitalization in the 4 months before study entry 
      were found to have significantly lower FM knowledge using both t test and 
      logistic regression modeling. CONCLUSIONS: The A-HFKT was revised using the 
      content and construct validity data and is available for use with HF patients and 
      FMs. The construct validity testing indicates that patient knowledge has a 
      significant relationship to aspects of self-care. Furthermore, family knowledge 
      may influence patient adherence with sodium restriction and healthcare 
      utilization behavior.
FAU - Reilly, Carolyn Miller
AU  - Reilly CM
AD  - Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 
      cmill02@emory.edu
FAU - Higgins, Melinda
AU  - Higgins M
FAU - Smith, Andrew
AU  - Smith A
FAU - Gary, Rebecca A
AU  - Gary RA
FAU - Robinson, Judith
AU  - Robinson J
FAU - Clark, Patricia C
AU  - Clark PC
FAU - McCarty, Frances
AU  - McCarty F
FAU - Dunbar, Sandra B
AU  - Dunbar SB
LA  - eng
GR  - R01 NR008800-04/NR/NINR NIH HHS/United States
GR  - M01 RR000039/RR/NCRR NIH HHS/United States
GR  - NRSA 5F32NR010451-02/PHS HHS/United States
GR  - R01 NR008800/NR/NINR NIH HHS/United States
GR  - UL1 TR000454/TR/NCATS NIH HHS/United States
GR  - M01-RR00039/RR/NCRR NIH HHS/United States
GR  - F32 NR010451/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Validation Study
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
SB  - IM
MH  - Adult
MH  - Aged
MH  - Educational Status
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Heart Failure/*therapy
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - New York
MH  - *Patient Compliance
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - *Self Care
MH  - *Surveys and Questionnaires
PMC - PMC2828039
MID - NIHMS175977
EDAT- 2009/10/28 06:00
MHDA- 2010/01/27 06:00
PMCR- 2010/02/24
CRDT- 2009/10/28 06:00
PHST- 2009/10/28 06:00 [entrez]
PHST- 2009/10/28 06:00 [pubmed]
PHST- 2010/01/27 06:00 [medline]
PHST- 2010/02/24 00:00 [pmc-release]
AID - 00005082-200911000-00014 [pii]
AID - 10.1097/JCN.0b013e3181aff0b0 [doi]
PST - ppublish
SO  - J Cardiovasc Nurs. 2009 Nov-Dec;24(6):500-9. doi: 10.1097/JCN.0b013e3181aff0b0.