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Development and validation of a short-version checklist for patients undergoing hemodialysis based on the

Hideyo Tsutsui1,2, Takayoshi Ohkubo3, Yoshinari Tsuruta4

  • 1Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan. htsutsui@med.teikyo-u.ac.jp.

Clinical and Experimental Nephrology
|December 29, 2014
PubMed

Insights

A new short-version checklist effectively assesses problems in hemodialysis (HD) patients. This validated tool simplifies daily health monitoring for individuals undergoing HD treatment.

Area of Science:

  • Nephrology
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • A 100-category checklist based on the International Classification of Functioning, Disability and Health was previously developed for hemodialysis (HD) patients.
  • The original checklist was deemed too extensive for routine daily patient assessments.

Purpose of the Study:

  • To develop and validate a concise, short-version checklist for assessing patient-reported problems in hemodialysis.
  • To create a more practical tool for daily use compared to the original 100-category checklist.

Main Methods:

  • 100 hemodialysis outpatients were interviewed using the original checklist to identify frequently reported problems (over 50% response rate).
  • Content validity was assessed by problem frequency, criterion validity by correlation with the KDQOL™ questionnaire, and construct validity by correlation with HD complications.
  • Internal consistency was evaluated using Cronbach's alpha.

Main Results:

  • Twenty-two problem categories were identified for the short-version checklist.
  • The short checklist demonstrated significant correlations with KDQOL™ subscales (criterion validity) and HD complications (construct validity).
  • Cronbach's alpha was 0.79, indicating good internal consistency.

Conclusions:

  • The developed short-version checklist possesses adequate validity for assessing patients undergoing hemodialysis.
  • This simplified tool offers a practical and useful method for the daily assessment of hemodialysis patients' functional status and experienced problems.
Abstract

Keywords:
HemodialysisInternational Classification of Functioning, Disability and HealthShort-version checklistValidity evaluation

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