Evidence map›Paper›PMID 28481824›Full record

ArticleThe Journal of cardiovascular nursing

The Third Time's a Charm: Psychometric Testing and Update of the Atlanta Heart Failure Knowledge Test.

Brittany Butts, Melinda Higgins, Sandra Dunbar, Carolyn Reilly

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05057364 (Heart Smart), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05057364 nacompletednot on this map

Heart Smart: A Virtual Self-Management Program for Homebound People With Heart Failure

TypeinterventionalSponsorUniversity of PennsylvaniaRan2021 to 2021Enrolled5ConditionsHeart FailureArmsHeart Smart Virtual Self-Management Group
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Brittany ButtsBrittany Butts, PhD, RN Postdoctoral Trainee, Division of Cardiology, University of Alabama at Birmingham School of Medicine. Melinda Higgins, PhD Associate Research Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Sandra Dunbar, PhD, RN, FAHA, FAAN, FPCNA Charles Howard Candler Professor of Cardiovascular Nursing and Associate Dean for Academic Advancement, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Carolyn Reilly, PhD, RN, CHFN, FAHA Associate Clinical Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Melinda Higgins
Sandra Dunbar
Carolyn Reilly

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Interdisciplinary Training in Pathobiology and Rehabilitation Medicine.T32HD071866 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JAMES RIMMER, Anna E. Thalacker-Mercer · 2012 to 2026
$4.8M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Symptoms, Symptoms Interactions, and Health OutcomeP20NR007798 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2001 to 2007
$1.6M
Cost Effectiveness and Quality of Life in Heart Failure Patients with DiabetesR01NR011888 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2009 to 2011
$1.4M
A novel use of web-based software to efficiently triage pre-surgical patients basR44TR000045 · NCATS · MEDSLEUTH, INC. · PI KALAMAS, ALICIA GRUBER · 2012 to 2012
$546k
Improving Self Management and Outcomes in Heart Failure Patients with DiabetesR21NR011204 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2009 to 2010
$426k
Symptom and Economic Evaluations of Interventions in Persons with Heart FailureF32NR010451 · NINR · EMORY UNIVERSITY · PI REILLY, CAROLYN MILLER · 2007 to 2008
$105k
Symptoms and Skeletal Muscle in Persons with Heart Failure with Preserved Ejection FractionF32NR017322 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUTTS, BRITTANY · 2017 to 2018
$68k
Effects of exercise on epigenetic pathways in persons with heart failureF31NR015180 · NINR · EMORY UNIVERSITY · PI BUTTS, BRITTANY · 2015 to 2016
$56k
NCATS NIH HHS R44 TR000045NCATS NIH HHS UL1 TR000454NCRR NIH HHS L30 RR033216NICHD NIH HHS T32 HD071866NINR NIH HHS F31 NR015180NINR NIH HHS F32 NR010451NINR NIH HHS F32 NR017322NINR NIH HHS P20 NR007798NINR NIH HHS R01 NR011888NINR NIH HHS R21 NR011204NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

BACKGROUND AND

objectiveSince first being published in 2009, the Atlanta Heart Failure Knowledge Test (AHFKT) has proven a reliable and valid instrument and has been used in multiple studies. Given advances in heart failure (HF) self-care, we proposed to reevaluate the psychometric properties of the AHFKTv2 across these recent studies and update the instrument.

methodsDemographic, clinical, and baseline AHFKTv2 data from 4 intervention studies in persons with HF were combined for this analysis (N = 284). The 30 questions of the AHFKT are focused on 5 HF self-care knowledge domains: pathophysiology, nutrition, behavior, medications, and symptoms. Characteristics of the sample were analyzed using descriptive statistics; validity testing with t tests and Mann-Whitney 2-group tests and Pearson r and Spearman ρ correlations; and reliability calculations and factor analysis were performed based on tetrachoric correlations.

resultsParticipants were 22 to 84 years of age, 66% were African American, 63% were male, and 94% had New York Heart Association class II to III HF. Mean AHFKT score was 80.6% (±11%). Hypotheses that higher levels of knowledge would be associated with higher education level (t = -2.7, P < .01) and less sodium consumption (ρ = -0.22, P = .03) were validated. Factor analysis revealed 1 general knowledge factor with good reliability, Cronbach's α was .87. Item response analysis identified individual questions requiring review and revision.

conclusionComprehensive psychometric evaluation of the AHFKTv2 confirmed its internal consistency reliability and validity and provided direction for production of the AHFKTv3 available for use in research and clinical practice.

Indexed as

Health Knowledge, Attitudes, PracticeSelf CareAdultAgedAged, 80 and overFemaleHealth BehaviorHeart FailureHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSocioeconomic FactorsSurveys and QuestionnairesYoung Adult

Identifiers

PMID28481824
PMCPMC5671919

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.