Psychometric testing of the Duke Activity Status Index in patients with heart failure

Xiuzhen Fan1, Kyoung Suk Lee2, Susan K Frazier3

  • 1Shandong University, China.

Insights

The Duke Activity Status Index (DASI) accurately measures functional status in heart failure (HF) patients. This validated tool helps healthcare providers understand patient daily living capabilities.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Psychometrics

Background:

  • Heart failure (HF) patients often have impaired functional status, impacting daily living and outcomes.
  • Accurate assessment of functional status is crucial for managing HF patients.
  • The Duke Activity Status Index (DASI) is a self-administered questionnaire for functional status, but its validity in HF was unproven.

Purpose of the Study:

  • To evaluate the psychometric properties of the DASI in patients diagnosed with heart failure.

Main Methods:

  • Psychometric testing was performed using data from 297 heart failure patients.
  • Internal consistency reliability was assessed using Cronbach's alpha.
  • Criterion-related and construct validity were examined through correlations with NYHA classification, quality of life, depressive symptoms, and NT-proBNP levels.

Main Results:

  • The DASI demonstrated high internal consistency reliability (Cronbach's alpha=0.86).
  • DASI scores significantly differed across New York Heart Association functional classes, supporting criterion-related validity.
  • DASI scores correlated significantly with health-related quality of life, depressive symptoms, and NT-proBNP, supporting construct validity.

Conclusions:

  • The DASI is a psychometrically sound instrument for measuring functional status in heart failure patients.
  • The DASI can be utilized to assess functional status and improve healthcare provider comprehension of patient daily living limitations.
Abstract

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