Investigating gender-based differential item functioning on the Kansas City Cardiomyopathy Questionnaire (KCCQ) using qualitative content analysis.

Investigating gender-based differential item functioning on the Kansas City Cardiomyopathy Questionnaire (KCCQ) using qualitative content analysis.
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DOI:
10.1007/s11136-022-03276-y
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发表时间:
2023-03
影响因子:
3.5
通讯作者:
Caldwell, Brittany
Caldwell, Brittany
中科院分区:
医学2区
文献类型:
--
作者:
Coles, Theresa M.;Lucas, Nicole;McFatrich, Molly;Henke, Debra;Ridgeway, Jennifer L.;Behnken, Emma M.;Weinfurt, Kevin;Reeve, Bryce B.;Corneli, Amy;Dunlay, Shannon M.;Spertus, John A.;Lin, Li;Pina, Ileana L.;Bocell, Fraser D.;Tarver, Michelle E.;Dohse, Heidi;Saha, Anindita;Caldwell, Brittany

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这项研究的目的是评估在解释堪萨斯城心肌病问卷(KCCQ-23)时基于性别的潜在差异,并探索是否有KCCQ-23没有捕捉到的与健康相关的生活质量(HRQOL)方面对于评估患有心力衰竭(HF)的男性和/或女性是重要的。来自两个学术医学中心的22岁 ≥ 临床医生诊断为心力衰竭且左心室射血分数 ≤ 为40%的患者参加了半结构化概念启发和认知汇报访谈。登记按患者识别的性别(一半是女性/一半是男性)分层。所有面谈都是通过电话/网络进行的,并进行了录音。访谈被转录,描述性定性内容分析被用来总结总体的和按性别的调查结果。25名被诊断为心力衰竭的成年人(56%的女性)参与了这项研究。年龄25~88岁,平均67岁。与男性相比,女性将更多的症状归因于心衰。一些参与者很难区分他们的经历是由于心力衰竭、药物的副作用还是年龄。我们发现,几乎没有证据表明参与者对KCCQ-23条目的解释基于性别的不同。总体而言,我们的研究结果表明,男性和女性对KCCQ-23条目的解释是相似的。然而,对条目的一些修改可能会提高对广泛患者的解释的清晰度。网上版载有补充材料,可在10.1007/s11136-022-03276-y查阅。
The purpose of this study is to evaluate potential gender-based differences in interpreting the Kansas City Cardiomyopathy Questionnaire (KCCQ-23) and to explore if there are aspects of health-related quality of life (HRQOL) not captured by the KCCQ-23 that are important to assess in men and/or women with heart failure (HF). Patients ≥ 22 years of age with clinician-diagnosed HF and left ventricular ejection fraction ≤ 40% were recruited from two academic medical centers to participate in semi-structured concept elicitation and cognitive debriefing interviews. Enrollment was stratified by patient-identified gender (half women/half men). All interviews were conducted over the phone/web and audio recorded. Interviews were transcribed and descriptive qualitative content analysis was used to summarize findings overall and by gender. Twenty-five adults (56% women) diagnosed with HF participated. The average age was 67 years (range: 25–88). Women attributed a wider variety of symptoms to HF than men. Some participants had difficulty differentiating whether their experiences were due to HF, side effects of their medications, or age. We found very little evidence that participants interpreted KCCQ-23 items differently based on gender. Overall, our findings indicate that interpretation of the KCCQ-23 items were similar in men and women. However, some modifications to items may improve clarity of interpretation for a wide range of patients. The online version contains supplementary material available at 10.1007/s11136-022-03276-y.
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影响因子: 3.2
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