Mañana, JUEVES, 24 DE ABRIL, el sistema se apagará debido a tareas habituales de mantenimiento a partir de las 9 de la mañana. Lamentamos las molestias.
Patient satisfaction with remote monitoring of cardiac implantable electronic devices: the VALIOSA questionnaire
Entity
UAM. Departamento de Psicología Social y MetodologíaPublisher
BMCDate
2020-04-25Citation
10.1186/s12913-020-05216-3
BMC Health Services Research 20 (2020): 354
ISSN
1472-6963DOI
10.1186/s12913-020-05216-3Funded by
This research has been conducted with an unrestricted grant from Medtronic Ibérica, S.A. to the Universidad Autónoma de MadridEditor's Version
https://doi.org/10.1186/s12913-020-05216-3Subjects
Patient satisfaction; Patient reported outcomes; Remote monitoring; Cardiac implantable electronic devices; Patient health questionnaire; PsicologíaRights
© 2020 The Author(s)Abstract
Remote monitoring of cardiac implantable electronic devices (CIEDs) has demonstrated substantial benefits. Treatment guidelines have therefore endorsed its use and is being increasingly adopted in the clinical setting, but the level of satisfaction they convey remains still unknown. We developed and validated a questionnaire to measure patient satisfaction with remote monitoring using Medtronic CareLink® Network and assessed its internal reliability and dimensional validity. After a thorough literature review, cognitive debriefing of 18 patients, and an expert panel discussion, a 30-item instrument was proposed and grouped into 5 dimensions (items): 1- Information on cardiac condition (3), 2- Device convenience (3), 3- Transmission process (6), 4- Satisfaction with medical monitoring (8), and 5- General opinions (10). Correlation with the visual analog scale (VAS), overall health related quality of life (HRQoL) measured by the EuroQoL-5D accompanied by the VAS as well as with the Medical Outcomes Study (MOS) SF-36 were assessed. Psychometric properties, exploratory factor analysis and a second order confirmatory factor analysis (a hierarchical CFA with a general common factor explaining the relations between the first order common factors, See Figure 1) were estimated. Models were assessed based on item loading size, sign and statistical significance, and goodness-of-fit statistics. A total of 186 patients (77% male) with a mean age of 66.03 (SD = 13.94) years were assessed. 48% had implantable cardioverter-defibrillators, 24% had pacemakers, and 29% had cardiac resynchronization therapy devices. An overall Cronbach’s α = 0.893 was achieved, with acceptable reliabilities for isolated dimensions. Correlations with corresponding VAS scales were meaningful and significant (p < 0.01). The second order factor solution yielded good goodness-of-fit indexes (χ2/df = 1.44, CFI = 0.96, TLI = 0.95, RMSEA = 0.05). Satisfaction with remote monitoring was not related to HRQoL (r < 0.05), except for the correlation between the SF-36 mental component and the information on cardiac condition dimension (r = 0.263, p < 0.001). The 30-item questionnaire showed good reliability and validity to assess satisfaction with remote monitoring in patients with CIEDs.
Files in this item
Google Scholar:Ruiz Díaz, Miguel Ángel
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Egea García, Marta
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Muñoz Aguilera, Roberto
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Viñolas Prat, Xavier
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Silvestre García, Jorge
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Alvarez Orozco, María
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Martínez Ferrer, José
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