Der Kansas City Cardiomyopathy Questionnaire (KCCQ) - ein neues krankheitsspezifisches Messinstrument zur Erfassung der Lebensqualität bei chronischer Herzinsuffizienz: Psychometrische Prüfung der deutschen Version
Abstract
Patients' health-related quality of life is increasingly being included as an additional endpoint when evaluating the treatment of chronic heart failure. Although generic self-report instruments measuring health-related quality of life are available, there is a lack of disease-specific instruments covering various dimensions of quality of life with high reliability, validity and sensitivity to chance. Thus, the aim of the present study was to evaluate the German version of a new heart failure-specific quality of life measure, the Kansas City Cardiomyopathy Questionnaire (KCCQ). The sample consisted of 233 consecutively recruited outpatients of a university department in Germany. Test-retest-reliability was high (intraclass correlation coefficient 0.93 for both the Functional State and the Clinical Summary total scores). Construct validity was demonstrated with strong correlations to respective subscales of the SF-36. Known groups validity was shown by both statistically and clinically significant differences between NYHA classes. The examination of sensitivity to change yielded promising results. The questionnaire was well accepted by the participating patients. The KCCQ proved to be a reliable and valid self-report instrument for measuring disease-specific quality of life in chronic heart failure.
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Coping strategies and illness perceptions have a major impact on well-being and quality of life of individuals with chronic diseases.
“There is empirical evidence that coping strategies and illness perceptions have a major impact on well-being and quality of life of individuals with chronic diseases [29].”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [29]
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“Heart failure symptoms were assessed with the Kansas City Cardiomyopathy Questionnaire (KCCQ) [55] symptom scale and a change of five points is considered clinically important.”
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“This newly developed tool was designed for patients with CHF and has demonstrated very good reliability and validity coefficients for both the original US version [15] and the German version [16].”
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“Self-efficacy The Self-efficacy sub-scale of the Kansas City Cardiomyopathy Questionnaire (KCCQ) [15] comprises two items assessing whether a patient feels knowledgeable about how to manage his disease (manage symptoms, find answers and help).”
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“This recently developed tool was specifically designed for SHF patients, and both the original US [22] and German [23] versions have demonstrated very good reliability and validity.”
InfluentialSelf-citationPsychometric properties of the Kansas City Cardiomyopathy Questionnaire (KCCQ)
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Programas de rehabilitación cardiaca y calidad de vida relacionada con la salud. Situación actual
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“Quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ) [30, 31], a diseasespecific quality of life measure which proved to be reliable, valid and sensitive to clinical change.”
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“[15] and the German versions [16] of this widely used tool were found reliable and valid.”
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“Similarly, heart-failure-specific QoL (KCCQ) was significantly lower in TTC patients and post MI patients as compared to norms (p’s 0.05) (Faller et al., 2005).”
BackgroundResultInfluentialAssessment of patient-reported outcomes measures in heart failure: a systematic review
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“Regarding reliability, floor and ceiling effects, and interpretability, KCCQ achieved quality criteria [26, 27, 31, 33, 39, 58, 62, 70, 76].”
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Self-citation
- Authors
- Faller, H., Steinbüchel, T., Schowalter, M., Spertus, J. A., Störk, S., & Angermann, C. E.
- Affiliations
- University of Würzburg (DE)
- University of Missouri–Kansas City (US)
- Venue
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
- Publisher
- Georg Thieme Verlag KG
- Published
- 2005-12
- Volume
- 55
- Issue
- 3/4
- Pages
- 200-208
- ISSN
- 0937-2032 (ISSN-L)
- 1439-1058
- OpenAlex
- W1762969828
- Cited by
- 68
- References
- 0
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 2 · 2020: 6 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 4
- FWCI
- 1.60
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- Kansas City Cardiomyopathy Questionnaire, chronic heart failure, health-related quality of life, disease-specific quality of life measures, German version, test-retest reliability, construct validity, known-groups validity, sensitivity to change, NYHA functional class, SF-36
- MeSH terms
- Aged, Chronic Disease, Female, Germany, Heart Failure, Humans, Language, Male, Middle Aged, Cardiomyopathies, Psychometrics, Quality of Life, Surveys and Questionnaires
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