PMID- 26497759 OWN - NLM STAT- MEDLINE DCOM- 20160913 LR - 20151130 IS - 1532-8414 (Electronic) IS - 1071-9164 (Linking) VI - 21 IP - 12 DP - 2015 Dec TI - Psychometric Evaluation of Two Appetite Questionnaires in Patients With Heart Failure. PG - 954-8 LID - S1071-9164(15)01130-6 [pii] LID - 10.1016/j.cardfail.2015.10.006 [doi] AB - BACKGROUND: Decreased appetite in heart failure (HF) may lead to undernutrition which could negatively influence prognosis. Appetite is a complex clinical issue that is often best measured with the use of self-report instruments. However, there is a lack of self-rated appetite instruments. The Council on Nutrition Appetite Questionnaire (CNAQ) and the Simplified Nutritional Appetite Questionnaire (SNAQ) are validated instruments developed primarily for elderly people. Yet, the psychometric properties have not been evaluated in HF populations. The aim of the present study was to evaluate the psychometric properties of CNAQ and SNAQ in patients with HF. METHODS AND RESULTS: A total of 186 outpatients with reduced ejection fraction and New York Heart Association (NYHA) functional classifications II-IV were included (median age 72 y; 70% men). Data were collected with the use of a questionnaire that included the CNAQ and SNAQ. The psychometric evaluation included data quality, factor structure, construct validity, known-group validity, and internal consistency. Unidimensionality was supported by means of parallel analysis and confirmatory factor analyses (CFAs). The CFA results indicated sufficient model fit. Both construct validity and known-group validity were supported. Internal consistency reliability was acceptable, with ordinal coefficient alpha estimates of 0.82 for CNAQ and 0.77 for SNAQ. CONCLUSIONS: CNAQ and SNAQ demonstrated sound psychometric properties and can be used to measure appetite in patients with HF. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Andreae, Christina AU - Andreae C AD - Department of Medical and Health Sciences, Division of Nursing Science, Linkoping University, Linkoping; Centre for Clinical Research, Sormland, Uppsala University, Sweden. christina.andreae@dll.se FAU - Stromberg, Anna AU - Stromberg A AD - Department of Medical and Health Sciences, Division of Nursing Science, Linkoping University, Linkoping, Sweden; Department of Cardiology, Faculty of Medicine and Health Sciences, Linkoping, Sweden. FAU - Sawatzky, Richard AU - Sawatzky R AD - Trinity Western University, School of Nursing, Langley, British Columbia, Canada; Providence Health Care Research Institute, Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada. FAU - Arestedt, Kristofer AU - Arestedt K AD - Department of Medical and Health Sciences, Division of Nursing Science, Linkoping University, Linkoping, Sweden. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151020 PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 SB - IM EIN - J Card Fail. 2016 Mar;22(3):245 MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Appetite/*physiology MH - Cohort Studies MH - Factor Analysis, Statistical MH - Female MH - Heart Failure/*mortality/physiopathology/*psychology MH - Humans MH - Male MH - Middle Aged MH - Monitoring, Physiologic MH - Outpatients/statistics & numerical data MH - Prognosis MH - Psychometrics/*methods MH - Reproducibility of Results MH - Risk Assessment MH - Severity of Illness Index MH - Sex Factors MH - *Surveys and Questionnaires MH - Survival Rate OTO - NOTNLM OT - Appetite OT - heart failure OT - outpatient OT - psychometrics EDAT- 2015/10/27 06:00 MHDA- 2016/09/14 06:00 CRDT- 2015/10/27 06:00 PHST- 2015/08/01 00:00 [received] PHST- 2015/10/09 00:00 [revised] PHST- 2015/10/14 00:00 [accepted] PHST- 2015/10/27 06:00 [entrez] PHST- 2015/10/27 06:00 [pubmed] PHST- 2016/09/14 06:00 [medline] AID - S1071-9164(15)01130-6 [pii] AID - 10.1016/j.cardfail.2015.10.006 [doi] PST - ppublish SO - J Card Fail. 2015 Dec;21(12):954-8. doi: 10.1016/j.cardfail.2015.10.006. Epub 2015 Oct 20.