PMID- 36479550 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221210 IS - 2689-2820 (Electronic) IS - 2689-2820 (Linking) VI - 3 IP - 1 DP - 2022 TI - Validity and Reliability of the Integrated Palliative Care Outcome Scale in Asian Heart Failure Patients. PG - 287-295 LID - 10.1089/pmr.2022.0029 [doi] AB - BACKGROUND: The Integrated Palliative Care Outcome Scale (IPOS) was developed in the United Kingdom for health assessment in advanced illness. OBJECTIVES: To evaluate the validity and reliability of a culturally adapted IPOS (both patient and staff versions) for heart failure (HF). DESIGN/SETTING: We recruited HF patients and staff from a tertiary hospital in Singapore. We collected patient IPOS, New York Heart Association (NYHA) status, Edmonton Symptom Assessment System (ESAS) and Minnesota Living with Heart Failure (MLHF) scores at baseline, and patient IPOS at follow-up. Each baseline patient IPOS was matched with a staff IPOS. MEASUREMENTS: Pearson correlation coefficient (r) between ESAS, MLHF, and patient IPOS was calculated to assess construct validity. The two-sample T-test assessed difference in patient and staff IPOS scores across NYHA status and care settings for known-group validity. Internal consistency of patient and staff IPOS was assessed using Cronbach's alpha (alpha). Intraclass correlation coefficient (ICC) was used to assess test-retest reliability of patient IPOS and inter-rater reliability between patient and staff IPOS. RESULTS: Ninety-one patients and 12 staff participated. There was strong convergent validity of total patient IPOS with MLHF (r = 0.78) and ESAS (r = 0.81). There were statistically significant differences in total IPOS across care settings (patient-IPOS: 8.05, staff-IPOS 13.61) and NYHA (patient-IPOS: 7.52, staff-IPOS 12.71).There was high internal consistency of total patient (alpha = 0.83) and staff IPOS (alpha = 0.88) and high test-retest reliability of patient IPOS (ICC 0.81). Inter-rater reliability (ICC) ranged between 0.82 and 0.91. CONCLUSION: The IPOS was valid and reliable for HF patients in Singapore. CI - (c) Shirlyn Hui-Shan Neo et al., 2022; Published by Mary Ann Liebert, Inc. FAU - Neo, Shirlyn Hui-Shan AU - Neo SH AUID- ORCID: 0000-0003-2811-1661 AD - Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore. AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore. FAU - Tan, Jasmine Yun-Ting AU - Tan JY AD - Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore. FAU - Sim, David Kheng-Leng AU - Sim DK AD - Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore. FAU - Ng, Elaine Swee-Ling AU - Ng ES AD - Nursing Specialty Care Unit, National Heart Centre Singapore, Singapore, Singapore. FAU - Loh, Julian Kenrick Xingyuan AU - Loh JKX AD - Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore. FAU - Yang, Grace Meijuan AU - Yang GM AUID- ORCID: 0000-0002-0915-6007 AD - Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore. AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore. FAU - Murtagh, Fliss E M AU - Murtagh FEM AD - Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, United Kingdom. FAU - Cheung, Yin Bun AU - Cheung YB AD - Program in Health Services & Systems Research and Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore. AD - Centre for Child, Adolescent and Maternal Health Research, Tampere University, Tampere, Finland. LA - eng PT - Journal Article DEP - 20221121 PL - United States TA - Palliat Med Rep JT - Palliative medicine reports JID - 101770666 PMC - PMC9712046 OTO - NOTNLM OT - health care staff OT - heart failure OT - integrated-palliative-care-outcome-scale OT - patients OT - reliability OT - validity COIS- No competing financial interests exist. EDAT- 2022/12/09 06:00 MHDA- 2022/12/09 06:01 PMCR- 2022/11/21 CRDT- 2022/12/08 14:08 PHST- 2022/10/26 00:00 [accepted] PHST- 2022/12/08 14:08 [entrez] PHST- 2022/12/09 06:00 [pubmed] PHST- 2022/12/09 06:01 [medline] PHST- 2022/11/21 00:00 [pmc-release] AID - 10.1089/pmr.2022.0029 [pii] AID - 10.1089/pmr.2022.0029 [doi] PST - epublish SO - Palliat Med Rep. 2022 Nov 21;3(1):287-295. doi: 10.1089/pmr.2022.0029. eCollection 2022.