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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.
Background:
Patients with heart failure (HF) experience difficulty performing activities of daily living. As impaired functional status is adversely associated with outcomes, it is important to accurately evaluate patient functional status. The Duke Activity Status Index (DASI) is a 12-item, self-administered questionnaire to measure functional status. However, its psychometric properties have not been determined in patients with HF. The purpose of this study was to examine the psychometric properties of the DASI in patients with HF.
Methods And Results:
We used data from 297 patients with a diagnosis of HF (age 61±11 years, 31% female) for psychometric testing. Internal consistency reliability of the DASI was high (Cronbach's alpha=0.86). Criterion-related validity was supported by significantly different DASI scores for each New York Heart Association classification. Construct validity was supported by significant correlation of DASI scores with health-related quality of life (r = -0.64), depressive symptoms (r = -0.44), and N-terminal B-type natriuretic peptide (r = -0.14).
Conclusion:
Our data support the psychometric properties of the DASI as a measure of functional status in patients with HF. This instrument can be used to evaluate functional status and enhance health care provider understanding of functional status related to daily living from the patient perspective.
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