Validity of a checklist for hemodialysis patients based on the International Classification Of Functioning,
Hideyo Tsutsui1, Toshiyuki Ojima, Yoshinari Tsuruta
1Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan; Research Center of Health, Physical Fitness, and Sports, Nagoya University, Nagoya, Japan.
Insights
The "100-category checklist" for hemodialysis patients is a valid and reliable tool for assessing patient-reported problems. This checklist effectively identifies key areas of concern for individuals undergoing long-term hemodialysis treatment.
Area of Science:
- Nephrology
- Rehabilitation Medicine
- Health Outcomes Research
Background:
- A 2009 checklist for hemodialysis (HD) patients, based on the International Classification of Functioning, Disability and Health, requires validation.
- Assessing patient-reported outcomes is crucial for improving quality of life in chronic kidney disease management.
Purpose of the Study:
- To evaluate the validity and reliability of the previously developed "100-category checklist" for hemodialysis patients.
- To identify specific problem categories experienced by long-term hemodialysis patients.
Main Methods:
- 100 participants on HD for ≥5 years were interviewed using the checklist.
- Content, criterion, and construct validity were assessed.
- Reliability was determined using Cronbach's alpha.
Main Results:
- Content validity identified 54 problem categories.
- Criterion validity showed significant correlations between the checklist and the KDQOL instrument (45 categories).
- Construct validity confirmed associations between carpal tunnel syndrome, anemia, SHPT, and increased problems; Cronbach's alpha was 0.86.
Conclusions:
- The "100-category checklist" is a valid and reliable instrument for assessing patient-reported problems in hemodialysis.
- The checklist can identify significant health issues and functional limitations in long-term HD patients.
Abstract:
In 2009, we reported a "100-category checklist" for hemodialysis (HD) patients based on the International Classification of Functioning, Disability and Health. The purpose of the present study is to evaluate the validity and reliability of this checklist. The present study included 100 participants who had been on HD for at least 5 years when they were interviewed using the checklist. Subjects were asked whether they had experienced problems in each category since starting HD treatment. Categories for which more than 25% of subjects answered "yes" were extracted as problem categories. Additionally, the Kidney Disease Quality of Life (KDQOL) instrument was administered to the study subjects. Content validity was evaluated using the frequency and percentage of subjects who had a problem in each category. Criterion validity was performed based on correlation of the findings from the "100-category checklist" categories with the findings of the KDQOL. Construct validity was assessed based on the number of problem categories extracted as external criteria in carpal tunnel syndrome (CTS), anemia, and secondary hyperparathyroidism (SHPT). For reliability evaluation, we used Cronbach's coefficient alpha. Content validity showed that 54 were identified as problem categories. Criterion validity showed that 45 categories in all components correlated significantly with each subscale of the KDQOL. Construct validity showed that CTS, anemia, and SHPT contributed to an increased number of problems associated with HD. Cronbach's coefficient alpha of the "100-category checklist" was 0.86. This study confirmed the validity and reliability of the "100-category checklist".
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