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Questionnaires Designed to Assess Knowledge of Atrial Fibrillation: A Systematic Review
Wilson Tam1, Brigitte Woo, Toon Wei Lim
1Wilson Tam, PhD Assistant Professor, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Brigitte Woo, MClinRes PhD Candidate, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore. Toon Wei Lim, PhD Senior Consultant, Cardiac Department; Director, Coronary Care Unit, National University Heart Centre; and Assistant Professor, Department of Medicine, Yong Loo Lin School of Medicine, National University Hospital, Singapore.
Insights
Seven validated questionnaires exist to assess patient knowledge of atrial fibrillation (AF), a condition linked to stroke. Understanding AF is crucial for treatment adherence and reducing complications.
Area of Science:
- Cardiology
- Medical Education
- Health Literacy
Background:
- Atrial fibrillation (AF) significantly increases mortality and morbidity risks.
- Many AF patients at risk of stroke do not receive oral anticoagulation therapy.
- Limited patient knowledge of AF may contribute to poor medication adherence.
Purpose of the Study:
- To systematically review and identify all validated instruments for assessing atrial fibrillation knowledge.
Main Methods:
- A systematic review of CINAHL, EMBASE, MEDLINE, and PsycINFO databases was performed.
- Two reviewers conducted study selection and data extraction.
- Results were presented through narrative synthesis.
Main Results:
- Out of 407 retrieved records, 15 studies were included in the review.
- Seven distinct questionnaires validated for assessing AF knowledge were identified.
- These questionnaires varied in length (8–58 items) and underwent content validation, with some also assessed for other reliabilities.
Conclusions:
- Seven validated questionnaires are available to measure patient knowledge of atrial fibrillation.
- These instruments typically cover general AF information, symptoms, treatments, and potential complications.
Background:
Atrial fibrillation (AF) is associated with high mortality and morbidity. Approximately half of patients with AF and at risk of stroke do not receive oral anticoagulation, despite its demonstrable reduction of stroke risk. Low adherence to anticoagulation medications may be a result of limited knowledge of AF among patients; hence, a validated instrument to assess AF knowledge is warranted. Cross-sectional surveys evaluating AF knowledge revealed the availability of instruments in the literature, but no systematic review has hitherto been conducted to characterize them.
Objective:
The objective of this study is to collate all validated instruments assessing AF knowledge.
Methods:
A systematic review was conducted. CINAHL, EMBASE, MEDLINE, and PsycINFO were searched from inception to May 25, 2018. Study selection and data extraction were conducted by 2 reviewers, from which results are presented narratively.
Results:
Based on 407 records retrieved from the databases, 15 studies were included, from which 7 questionnaires assessing AF knowledge were identified. The number of items ranged from 8 to 58. All the questionnaires were content validated, and some also examined other validities and reliabilities.
Conclusion:
In the literature, 7 validated questionnaires are available for assessing AF knowledge, in which the items often cover knowledge of AF in general, symptoms, treatments, and complications.
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