Development and initial psychometric evaluation of the Patient Perspective of Arrhythmia Questionnaire
Open accessAbstract
There are no disease-specific questionnaires to measure patient sensitive outcomes in arrhythmia patients. We report the development and preliminary psychometric testing of the Patient Perception of Arrhythmia Questionnaire (PPAQ). The PPAQ was developed using formative research, exploratory factor analysis, expert review, pilot study, and regression. The PPAQ measures frequency and duration of episodes, symptoms, impact on daily activities, and restricted activity days. After preliminary content validation, the sensitivity of the PPAQ was tested in 103 arrhythmia patients. The measures showed good sensitivity and reliability. Preliminary construct validation was supported by significant differences (p < .001) among groups of arrhythmia patients consistent with clinical patterns. Preliminary evidence from patients with supraventricular arrhythmias suggests that the questionnaire has acceptable psychometrics and could be useful in future studies of arrhythmia patients.
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Patients with supraventricular tachycardia may commonly experience symptoms such as dyspnoea, fatigue, palpitations, and pre-syncope/syncope, which vary in frequency, duration, and intensity.
“Patients with SVT may commonly experience symptoms such as dyspnoea, fatigue, palpitations, and pre-syncope/syncope, which vary in frequency, duration, and intensity.1,2,16,420,421”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [421]
The uncertain trajectory of supraventricular tachycardia can provoke significant anxiety and fear in anticipation of the next symptomatic episode, leading to avoidance of situations or triggers of symptom onset.
“This uncertain trajectory can provoke significant anxiety and fear in anticipation of when the next symptomatic episode will occur, leading to avoidance of situations or triggers of symptom-onset. 16,420 -423”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [421]
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- Authors
- Wood, K. A., Stewart, A. L., Drew, B. J., Scheinman, M. M., & Frolicher, E. S.
- Affiliations
- Duke University (US)
- University of California, San Francisco (US)
- Corresponding author
- Wood, Kathryn A.
- Venue
- Research in Nursing & Health
- Publisher
- Wiley
- Published
- 2009-08-21
- Volume
- 32
- Issue
- 5
- Pages
- 504-516
- ISSN
- 0160-6891 (ISSN-L)
- 1098-240X
- PMC
- PMC2953868
- OpenAlex
- W1970273256
- Cited by
- 31
- References
- 19
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 5.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research in Nursing & Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (T32NR007088)
- Topics
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- cardiac arrhythmias, patient-reported outcomes, questionnaire development, psychometric validation, supraventricular arrhythmias, symptom burden, restricted activity days, construct validity, content validity
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Factor Analysis, Statistical, Female, Humans, Male, Medical History Taking, Middle Aged, Psychometrics, Quality of Life, Surveys and Questionnaires, Tachycardia, Supraventricular, Reproducibility of Results, Treatment Outcome
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