PMID- 37149565
OWN - NLM
STAT- MEDLINE
DCOM- 20230508
LR  - 20230512
IS  - 1471-2261 (Electronic)
IS  - 1471-2261 (Linking)
VI  - 23
IP  - 1
DP  - 2023 May 6
TI  - Adapting and usability testing of the Kansas city cardiomyopathy questionnaire 
      (KCCQ) in a heart failure clinic in Tanzania: the Swahili KCCQ.
PG  - 242
LID - 10.1186/s12872-023-03265-0 [doi]
LID - 242
AB  - BACKGROUND: The integration of patient-reported outcome measures (PROMS) into 
      health care delivery systems is being increasingly recognized as an important 
      component of quality, person-centered care, especially for chronic illnesses like 
      congestive heart failure (CHF). However, while PROMS are increasingly being used 
      to follow up CHF patients in high income countries, their use in sub-Saharan 
      Africa is still limited. We adapted the Kansas City Cardiomyopathy Questionnaire 
      (KCCQ-23), an internationally validated, CHF-specific PROM and tested its use in 
      measuring outcomes in an outpatient CHF clinic at a cardiac referral hospital in 
      Tanzania. METHODS: Adaptation of the KCCQ-23 included translation into Swahili by 
      linguistic experts, in-depth cognitive debriefing in native Swahili-speaking CHF 
      patients, and input from Tanzanian Cardiologists, PROMS experts, and the tool 
      developer. Using a cross-sectional design, we tested the usability and observed 
      the results of the translated KCCQ-23 in a convenience sample of 60 CHF patients 
      attending outpatient clinic at the Jakaya Kikwete Cardiac Institute (JKCI) in Dar 
      es Salaam. RESULTS: The survey was successfully completed by 59 (98.3%) of 60 
      enrolled participants. The mean (SD) age of participants was 54.9 (14.8) years 
      (range 22-83), 30.5% were women and 72.2% had class 3 or 4 New York Heart 
      Association (NYHA) symptoms at enrollment. The overall KCCQ-23 score was low, 
      with a mean (SD) score of 21.7 (20.4) indicating generally very poor to poor 
      patient reported outcomes in this population. The mean (SD) scores for the 
      specific KCCQ-23 domains were 15.25 (24.2) for social limitation, 23.8 (27.4) for 
      physical limitation, 27.1 (24.1) for quality of life and 40.7 (17.0) for 
      self-efficacy. No socio-demographic or clinical characteristics were associated 
      with their overall KCCQ-23 scores. Comparing the short version (KCCQ-12) with the 
      full KCCQ-23 revealed excellent correlation between the two (r = 0.95; 
      p < 0.0001). CONCLUSIONS: We successfully translated a validated tool, the 
      Swahili KCCQ, for use in improving the care of patients with CHF in Tanzania and 
      a broader population of Swahili-speaking patients. Both the Swahili KCCQ-12 and 
      KCCQ-23 can be used, with similar outcomes. Work to expand the use of the tool in 
      the clinic and other settings is planned.
CI  - (c) 2023. The Author(s).
FAU - Chillo, Pilly
AU  - Chillo P
AD  - Department of Internal Medicine, Muhimbili University of Health and Allied 
      Sciences, Dar es Salaam, Tanzania. pchillo@muhas.ac.tz.
AD  - Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania. pchillo@muhas.ac.tz.
FAU - Mlay, Jackson
AU  - Mlay J
AD  - Department of Internal Medicine, Muhimbili University of Health and Allied 
      Sciences, Dar es Salaam, Tanzania.
FAU - Akanyirige, Precious W
AU  - Akanyirige PW
AD  - Feinberg School of Medicine, Northwestern University, Evanston, USA.
FAU - Majani, Naizihijwa
AU  - Majani N
AD  - Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
FAU - Janabi, Mohamed
AU  - Janabi M
AD  - Department of Internal Medicine, Muhimbili University of Health and Allied 
      Sciences, Dar es Salaam, Tanzania.
AD  - Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
FAU - Kaaya, Sylvia
AU  - Kaaya S
AD  - Department of Psychiatry and Mental Health, Muhimbili University of Health and 
      Allied Sciences, Dar es Salaam, Tanzania.
FAU - Hawkins, Claudia
AU  - Hawkins C
AD  - Feinberg School of Medicine, Northwestern University, Evanston, USA.
FAU - Hirschhorn, Lisa R
AU  - Hirschhorn LR
AD  - Feinberg School of Medicine, Northwestern University, Evanston, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230506
PL  - England
TA  - BMC Cardiovasc Disord
JT  - BMC cardiovascular disorders
JID - 100968539
SB  - IM
MH  - Humans
MH  - Female
MH  - Young Adult
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - Aged, 80 and over
MH  - Male
MH  - Quality of Life
MH  - Tanzania/epidemiology
MH  - User-Centered Design
MH  - Cross-Sectional Studies
MH  - Kansas
MH  - User-Computer Interface
MH  - *Heart Failure/diagnosis/therapy/complications
MH  - *Heart Diseases/complications
MH  - *Cardiomyopathies/complications
MH  - Ambulatory Care Facilities
MH  - Surveys and Questionnaires
MH  - Health Status
PMC - PMC10163850
OTO - NOTNLM
OT  - Heart failure
OT  - KCCQ
OT  - Patient-centered care
OT  - Patient-reported outcomes
OT  - Quality of life
OT  - Sub-Saharan Africa
OT  - Swahili
OT  - Tanzania
COIS- The authors declare that they have no competing interests.
EDAT- 2023/05/07 00:42
MHDA- 2023/05/08 10:17
PMCR- 2023/05/06
CRDT- 2023/05/06 23:13
PHST- 2022/10/22 00:00 [received]
PHST- 2023/04/26 00:00 [accepted]
PHST- 2023/05/08 10:17 [medline]
PHST- 2023/05/07 00:42 [pubmed]
PHST- 2023/05/06 23:13 [entrez]
PHST- 2023/05/06 00:00 [pmc-release]
AID - 10.1186/s12872-023-03265-0 [pii]
AID - 3265 [pii]
AID - 10.1186/s12872-023-03265-0 [doi]
PST - epublish
SO  - BMC Cardiovasc Disord. 2023 May 6;23(1):242. doi: 10.1186/s12872-023-03265-0.