Reliability and validity testing of the MD Anderson Symptom Inventory-Heart Failure (MDASI-HF): An evaluative instrument for symptom identification in cancer patients with concurrent heart failure
Anecita P. Fadol, PhD, FNP-BC, FAANP, FAAN
- Sigma Affiliation
- Zeta Pi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Fadol, Anecita P. by View
Popular Works for Fadol, Anecita P. by Download
The purpose of this study was to evaluate the psychometric properties of the MD Anderson Symptom Inventory- Heart Failure (MDASI-HF), an evaluative instrument for symptom assessment in cancer patients with concurrent heart failure (HF). One hundred and fifty six patients (male=88, female=68) with a diagnosis of cancer and HF receiving care in a major cancer center participated in the study. The mean age was 63.3 ± 13.2 years (range 23-97 years). The majority of the subjects (60.3%, n=94) had solid tumors, while 39.7% (n=62) had hematological cancers. All of the participants had concurrent HF, 65% (n=102) with systolic dysfunction (EF<40%), while 34.6% (n=54) had diastolic dysfunction (EF>40%). Using a descriptive, cross-sectional design, the subjects completed the 24-item symptom assessment and a six item interference MDASI-HF instrument. A cardiologist's assessment of the patient's symptoms using the New York Heart Association (NYHA) classification, and an oncologist's assessment using the Eastern Cooperative Oncology Group (ECOG) performance status were recorded simultaneously with the patient's completion of the MDASI-HF instrument. Internal consistency reliability showed a Cronbach's α = .92 (21 symptoms), α = .89 (13 core symptoms), α = .83 (8 HF symptoms), and α = .92 (interference items). Criterion validity indicated moderate correlation scores with the ECOG performance status with r = .622, .548, and .645 for the 13 core items, 8 HF items, and six interference items respectively; and the NYHA classification with r = .622 (13 core items), r = .590 (8 HF items) and r = .588 (6 interference items). All correlations were statistically significant at p = .01. Construct validity determination using factor analysis revealed the MDASI-HF measured four constructs: (1) general symptom severity factor, (2) gastrointestinal factor, (3) covert heart failure factor and (4) overt heart failure factor. Based on the findings of this study, the MDASI-HF is a valid and reliable instrument for the assessment of symptoms in cancer patients with concurrent HF. The instrument can be used to identify symptom occurrence and enhance the provider's understanding of the prevalence and severity of symptoms from the patient's perspective that will assist in managing the complex condition of cancer and concurrent heart failure.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3247533; ProQuest document ID: 304918888. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Qualitative Research|
MD Anderson Symptom Iventory-Heart Failure (MDASI-HF);
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Walker, Danielle Katherine; Hromadik, Lora; Altmiller, Gerry; Barkell, Nina P.; Toothaker, Rebecca D.In spite of healthcare's paradigm shift from a culture of blame toward a just culture, no tools exist to measure just culture in nursing education. The newly developed Just Culture Assessment Tool-Nursing Education is a ...
Reid, Carol L.; McCarthy, Alexandra; Janda, Monika; Lee, Jones (2018-06-11)The PRO - C is the first instrument to measure patient-reported outcomes in cancer according to IOM recommendations. It is flexible, with the capacity to measure outcomes irrespective of cancer type, cultural affiliation, ...
Bradley, Cynthia Sherraden (2018-03-26)Although use of theory-based debriefing methods is recommended for simulation debriefing, it is unknown how trained debriefers apply these methods with learners. The Debriefing for Meaningful Learning Inventory© was ...
Level and predictors of self-care behaviors (SCB) among educated and uneducated patients with heart failure (HF) in Pakistan Gowani, Ambreen Amirali (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: Self-care among heart failure patients is found to be affected by several factors including education as one of the most significant predictor. Prior studies on self-care, ...
Systematic evaluation of the psychometric properties of Pain Assessment Scales for use in Chinese children: Where are we? Bai, Jinbing; Jiang, Nan (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: Many children experience moderate to severe pain during hospitalization. Systematic pain assessment using reliable and valid pain scales is the foundation for adequate ...