TY - JOUR
T1 - Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation
AU - Kato, Naoko P.
AU - Jaarsma, Tiny
AU - Casida, Jesus M.
AU - Lee, Christopher S.
AU - Strömberg, Anna
AU - Gal, Tuvia Ben
N1 - Funding Information:
The authors wish to express our sincere gratitude to all participating patients, all health-care professionals who gave us important suggestions, and the expert panelists for the Delphi round to the development of the scale: Ms Heidi Craddock, MSN, FNP; Ms Maureen LeFevre, BSN, RN; Ms Rosie Te-Frey, MS, NP-C; Ms Margaret Flannery, MS, NP-C; and Dr Benjamin Medalion, MD, from United States of America; AMC Oppelaar, RN; N. Hulstein, RN; HZR Gerds, RN, from the Netherlands; Dr Heather Ross, MD, from Canada; Dr Jacob Lavie, MD, Dr Tal Hasin, MD, Mr Dimitry Golobov, RN, Mrs Miriam Abu-Hazira, RN, Mrs Victoria Yaari, RN, Ms Yedida Shemesh, RN, from Israel; Dr Andreas Zuckermann, MD, from Austria; and Dr Minoru Ono, MD, PhD, Dr Koichiro Kinugawa, MD, PhD, Ms Miyoko Endo, RN, MS, Ms Yukie Kagami, RN, Ms Mariko Nemoto, RN, from Japan. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported in Japan by a Grant-in-Aid for Young Scientist (B) from the Japan Society for the Promotion Science KAKENHI (JP15K20693). Dr Lee received significant related research support from the US National Institutes of Health (R01NR013492 [Lee]; R01HL130502 [Grady]). ORCID iD Naoko P. Kato https://orcid.org/0000-0002-4437-0260
Funding Information:
The authors wish to express our sincere gratitude to all participating patients, all health-care professionals who gave us important suggestions, and the expert panelists for the Delphi round to the development of the scale: Ms Heidi Craddock, MSN, FNP; Ms Maureen LeFevre, BSN, RN; Ms Rosie Te-Frey, MS, NP-C; Ms Margaret Flannery, MS, NP-C; and Dr Benjamin Medalion, MD, from United States of America; AMC Oppelaar, RN; N. Hulstein, RN; HZR Gerds, RN, from the Netherlands; Dr Heather Ross, MD, from Canada; Dr Jacob Lavie, MD, Dr Tal Hasin, MD, Mr Dimitry Golobov, RN, Mrs Miriam Abu-Hazira, RN, Mrs Victoria Yaari, RN, Ms Yedida Shemesh, RN, from Israel; Dr Andreas Zuckermann, MD, from Austria; and Dr Minoru Ono, MD, PhD, Dr Koichiro Kinugawa, MD, PhD, Ms Miyoko Endo, RN, MS, Ms Yukie Kagami, RN, Ms Mariko Nemoto, RN, from Japan. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported in Japan by a Grant-in-Aid for Young Scientist (B) from the Japan Society for the Promotion Science KAKENHI (JP15K20693). Dr Lee received significant related research support from the US National Institutes of Health (R01NR013492 [Lee]; R01HL130502 [Grady]).
Publisher Copyright:
© 2019, NATCO.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Background: Successful long-term left ventricular assist device (LVAD) therapy necessitates a high degree of self-care. We aimed to develop an instrument that measures self-care behaviors in adult patients living with an LVAD. Methods: We used the method to develop patient-reported outcomes recommended by the US Food and Drug Administration. Prior to developing the instrument, a literature review was conducted to generate items using the middle-range theory of self-care of chronic illness as a guiding framework. A 2-round Delphi method, involving 17 clinicians with expertise in heart failure and assist devices from the Netherlands, Israel, United States, Canada, and Japan, was used to generate and select items. In the first Delphi survey, the levels of importance, relevance, and clarity of items in the instrument were evaluated. The second Delphi survey was performed to gain consensus on the final selection of items. We also examined face validity. Results: A preliminary 37-item version of the Self-Care Behavior Scale was produced. The first panel judged 33 items as important and relevant, taking out 4 items due to vague wording and duplication and adding in 4 items. In the final 33-item version, 19 items address self-care maintenance behaviors, 10 items address self-care monitoring behaviors, and 4 items address self-care management behaviors. Patients (N = 25) did not have any difficulties understanding items and report any missing items. Conclusion: The 33-item Self-Care Behavior Scale for patients with heart failure having an LVAD has been developed and is ready for further psychometric testing.
AB - Background: Successful long-term left ventricular assist device (LVAD) therapy necessitates a high degree of self-care. We aimed to develop an instrument that measures self-care behaviors in adult patients living with an LVAD. Methods: We used the method to develop patient-reported outcomes recommended by the US Food and Drug Administration. Prior to developing the instrument, a literature review was conducted to generate items using the middle-range theory of self-care of chronic illness as a guiding framework. A 2-round Delphi method, involving 17 clinicians with expertise in heart failure and assist devices from the Netherlands, Israel, United States, Canada, and Japan, was used to generate and select items. In the first Delphi survey, the levels of importance, relevance, and clarity of items in the instrument were evaluated. The second Delphi survey was performed to gain consensus on the final selection of items. We also examined face validity. Results: A preliminary 37-item version of the Self-Care Behavior Scale was produced. The first panel judged 33 items as important and relevant, taking out 4 items due to vague wording and duplication and adding in 4 items. In the final 33-item version, 19 items address self-care maintenance behaviors, 10 items address self-care monitoring behaviors, and 4 items address self-care management behaviors. Patients (N = 25) did not have any difficulties understanding items and report any missing items. Conclusion: The 33-item Self-Care Behavior Scale for patients with heart failure having an LVAD has been developed and is ready for further psychometric testing.
KW - heart failure
KW - instrument
KW - mechanical circulatory support
KW - patient-reported outcomes
KW - scale development
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U2 - 10.1177/1526924819874358
DO - 10.1177/1526924819874358
M3 - Article
C2 - 31570068
AN - SCOPUS:85074037865
SN - 1526-9248
VL - 29
SP - 335
EP - 343
JO - Journal of Transplant Coordination
JF - Journal of Transplant Coordination
IS - 4
ER -