Heart failure & cardiomyopathies

Validity and Reliability of the Palliative Care Needs Assessment Tool in Japanese Patients with Heart Failure

ESC Heart FailPublished Prospective validation study

Authors' conclusion

The NAT: PD-HF is a reliable and valid tool for Japanese patients with HF and their caregivers.

Study context

Population
Japanese patients with chronic heart failure (HF) admitted to a university hospital, Feb–Jul 2023, with their caregivers and healthcare providersplus 95 caregivers, 17 providers
Participants
106 patients
Outcome
Validity and reliability of the Japanese NAT: PD-HF (internal consistency by Cronbach's alpha; inter-rater and test-retest reliability by Cohen's kappa; validity by questionnaire)
Methodological detailssingle-centre, consecutive enrolment, forward-backward translation, Female patients 47 (44%); median age 72 years (IQR 59-81)
  • Single-centre
  • Consecutive enrolment
  • Forward-backward translation
  • Female patients 47 (44%); median age 72 years (IQR 59-81)

Performance

As reported in the abstract

Cronbach's alpha
0.82
Minimum kappa, inter-rater reliability
0.77
Minimum kappa, test-retest reliability
0.88
Patients finding tool easy to understand
103 (97%)
Caregivers finding tool easy to understand
all
Patients feeling tool would improve quality of care
100 (94%)
Caregivers feeling tool would improve quality of care
89 (94%)
Patients able to confide all burdens and care needs
102 (96%)
Caregivers able to confide all burdens and care needs
91 (96%)

Further findings

Time to assess patients' and caregivers' needs

Median time 14 min (IQR 12-17)
14

Original publication

Validity and Reliability of the Palliative Care Needs Assessment Tool in Japanese Patients with Heart Failure. ESC Heart Fail. Published 29 May 2024. doi:10.1002/ehf2.14886

Summarised from the published abstract; every number is checked against it

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