Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results

Bacground: Atrial fibrillation (AF) patients are 5 times more likely to have stroke than non-AF patients. Stroke prevention (SP) using anticoagulation therapy was recommended in AF patients. Knowledge about AF and SP (KAFSP) is one of the essential factors that can improve patients’ adherence. Yet n...

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Main Authors: Sahimi, Mohamed, Tariq, Abdul Razak, Rosnani, Hashim, Mohd Ali, Z.
Format: Article
Language:English
Published: Sage 2016
Subjects:
Online Access:http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/1/Knowledge%20of%20Atrial%20Fibrillation1.pdf
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spelling ump-252052019-07-02T04:04:57Z http://umpir.ump.edu.my/id/eprint/25205/ Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results Sahimi, Mohamed Tariq, Abdul Razak Rosnani, Hashim Mohd Ali, Z. RS Pharmacy and materia medica Bacground: Atrial fibrillation (AF) patients are 5 times more likely to have stroke than non-AF patients. Stroke prevention (SP) using anticoagulation therapy was recommended in AF patients. Knowledge about AF and SP (KAFSP) is one of the essential factors that can improve patients’ adherence. Yet no established studies were found to determine patients’ KAFSP among AF patients. Objectives: To develop and validate the questionnaire used to measure KAFSP. Methods: A cross-sectional survey was conducted in 4 hospitals in Malaysia. The psychometric of the KAFSP Questionnaire (KAFSP-Q) were performed using content validity index (CVI), internal consistency, test-retest, exploratory factor analysis (EFA), and sensitivity test. Results: A total of 304 patients completed a face-to-face interview to answer the KAFSP-Q. Content and face validity was assessed by 6 experts who are knowledgeable in this field and 15 AF patients, respectively. The KAFSP-Q had good CVI and were well understood by AF patients. The KAFSP-Q also had good reliability and stability with Cronbach’s α of .83 and intraclass correlation coefficient values in test-retest for stability of .9. The EFA results indicated that there were 6 factors with factor loadings above .30. The low correlations between subscales ranged between .01 and .48, which indicated that good discriminant and construct validity were achieved. The scale was able to differentiate between patients’ knowledge levels before and after counseling given. Conclusions: The KAFSP-Q is reliable and valid to measure patients’ KAFSP. Further validation studies are recommended to validate the KAFSP-Q in different contexts and in other languages. Sage 2016 Article PeerReviewed pdf en http://umpir.ump.edu.my/id/eprint/25205/1/Knowledge%20of%20Atrial%20Fibrillation1.pdf Sahimi, Mohamed and Tariq, Abdul Razak and Rosnani, Hashim and Mohd Ali, Z. (2016) Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results. Journal of Pharmacy Technology, 33 (1). pp. 31-39. ISSN 1549-4810 https://doi.org/10.1177%2F8755122516681820 https://doi.org/10.1177%2F8755122516681820
repository_type Digital Repository
institution_category Local University
institution Universiti Malaysia Pahang
building UMP Institutional Repository
collection Online Access
language English
topic RS Pharmacy and materia medica
spellingShingle RS Pharmacy and materia medica
Sahimi, Mohamed
Tariq, Abdul Razak
Rosnani, Hashim
Mohd Ali, Z.
Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
description Bacground: Atrial fibrillation (AF) patients are 5 times more likely to have stroke than non-AF patients. Stroke prevention (SP) using anticoagulation therapy was recommended in AF patients. Knowledge about AF and SP (KAFSP) is one of the essential factors that can improve patients’ adherence. Yet no established studies were found to determine patients’ KAFSP among AF patients. Objectives: To develop and validate the questionnaire used to measure KAFSP. Methods: A cross-sectional survey was conducted in 4 hospitals in Malaysia. The psychometric of the KAFSP Questionnaire (KAFSP-Q) were performed using content validity index (CVI), internal consistency, test-retest, exploratory factor analysis (EFA), and sensitivity test. Results: A total of 304 patients completed a face-to-face interview to answer the KAFSP-Q. Content and face validity was assessed by 6 experts who are knowledgeable in this field and 15 AF patients, respectively. The KAFSP-Q had good CVI and were well understood by AF patients. The KAFSP-Q also had good reliability and stability with Cronbach’s α of .83 and intraclass correlation coefficient values in test-retest for stability of .9. The EFA results indicated that there were 6 factors with factor loadings above .30. The low correlations between subscales ranged between .01 and .48, which indicated that good discriminant and construct validity were achieved. The scale was able to differentiate between patients’ knowledge levels before and after counseling given. Conclusions: The KAFSP-Q is reliable and valid to measure patients’ KAFSP. Further validation studies are recommended to validate the KAFSP-Q in different contexts and in other languages.
format Article
author Sahimi, Mohamed
Tariq, Abdul Razak
Rosnani, Hashim
Mohd Ali, Z.
author_facet Sahimi, Mohamed
Tariq, Abdul Razak
Rosnani, Hashim
Mohd Ali, Z.
author_sort Sahimi, Mohamed
title Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
title_short Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
title_full Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
title_fullStr Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
title_full_unstemmed Knowledge of Atrial Fibrillation and Stroke Prevention: Development of Questionnaire and Validation of Results
title_sort knowledge of atrial fibrillation and stroke prevention: development of questionnaire and validation of results
publisher Sage
publishDate 2016
url http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/
http://umpir.ump.edu.my/id/eprint/25205/1/Knowledge%20of%20Atrial%20Fibrillation1.pdf
first_indexed 2023-09-18T22:38:34Z
last_indexed 2023-09-18T22:38:34Z
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