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Title: | Knowledge gaps in patients with atrial fibrillation revealed by a new validated knowledge questionnaire | Authors: | DESTEGHE, Lien Engelhard, Lara Raymaekers, Zina Kluts, Kiki VIJGEN, Johan Dilling-Boer, Dagmara KOOPMAN, Pieter SCHURMANS, Joris DENDALE, Paul HEIDBUCHEL, Hein |
Issue Date: | 2016 | Source: | INTERNATIONAL JOURNAL OF CARDIOLOGY, 223, p. 906-914 | Abstract: | Objective: The aim of this study was to develop and validate a new questionnaire, the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ), to test the knowledge of patients with atrial fibrillation (AF) about the arrhythmia, its treatment and their ability for self-management. Methods: The JAKQ was developed based on other questionnaires, two educational checklists and patient information support websites. The JAKQ was validated based on content validity, face validity, response process, discriminatory potential and sensitivity of the questionnaire, construct validity and reliability. It was presented to both outpatients and hospitalised patients. Results: A total of 466 AF patients completed the JAKQ. The final 16-itemJAKQ consists of 8 questions about AF in general, 5 questions about oral anticoagulation (OAC) therapy and either 3 questions about vitamin K antagonists (VKA) or non-vitamin K antagonist oral anticoagulants (NOAC). The questionnaire is completed in 6.5±2.4 min. The mean score on the JAKQ is 55.8±18.6% with a wide discriminatory span of scores. The JAKQ reveals important knowledge gaps, like 28.8% of the patients not being aware of their medical condition named ‘atrial fibrillation’, 33.7% being unaware that AF can cause thromboembolismand stroke, and 78.6% of the patients taking VKA and 57.0% of the patients on NOACs not knowing what to do when missing an OAC dose. Conclusions: The JAKQ is a brief, complete and valid AF-specific knowledge questionnaire that can be used in daily practice to assess patients' insight into their condition. It could be used as a tool for individually tailored patient education. | Notes: | Desteghe, L (reprint author), Hasselt Univ, Ctr Heart, Jessa Hosp, Stadsomvaart 11, B-3500 Hasselt, Belgium. lien.desteghe@uhasselt.be | Keywords: | atrial fibrillation; knowledge; questionnaire; education | Document URI: | http://hdl.handle.net/1942/22002 | ISSN: | 0167-5273 | e-ISSN: | 1874-1754 | DOI: | 10.1016/j.ijcard.2016.08.303 | ISI #: | 000387036200236 | Rights: | © 2016 Elsevier Ireland Ltd. All rights reserved. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2017 |
Appears in Collections: | Research publications |
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