Patient satisfaction with remote monitoring of cardiac implantable electronic devices : the V questionnaire
Ruiz Díaz, Miguel A. (Universidad Autónoma de Madrid. Departamento de Psicología Social y Metodología)
Egea García, Marta (Medtronic Ibérica, S.A. Health Economics & Outcomes Research Department)
Muñoz Aguilera, Roberto (Hospital Universitario Infanta Leonor)
Viñolas, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Silvestre García, Jorge (Hospital Universitario La Paz (Madrid))
Álvarez Orozco, María (Medtronic Ibérica, S.A. Health Economics & Outcomes Research Department)
Martínez Ferrer, José (Arabako Unibertsitate Ospitalea (Vitoria, País Basc))
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	Remote monitoring of cardiac implantable electronic devices (CIEDs) has demonstrated substantial benefits. Treatment guidelines have therefore endorsed its use and is being increasingly adopted in the clinical setting, but the level of satisfaction they convey remains still unknown. We developed and validated a questionnaire to measure patient satisfaction with remote monitoring using Medtronic CareLink® Network and assessed its internal reliability and dimensional validity. After a thorough literature review, cognitive debriefing of 18 patients, and an expert panel discussion, a 30-item instrument was proposed and grouped into 5 dimensions (items): 1- Information on cardiac condition (3), 2- Device convenience (3), 3- Transmission process (6), 4- Satisfaction with medical monitoring (8), and 5- General opinions (10). Correlation with the visual analog scale (VAS), overall health related quality of life (HRQoL) measured by the EuroQoL-5D accompanied by the VAS as well as with the Medical Outcomes Study (MOS) SF-36 were assessed. Psychometric properties, exploratory factor analysis and a second order confirmatory factor analysis (a hierarchical CFA with a general common factor explaining the relations between the first order common factors, See Figure 1) were estimated. Models were assessed based on item loading size, sign and statistical significance, and goodness-of-fit statistics. A total of 186 patients (77% male) with a mean age of 66. 03 (SD = 13. 94) years were assessed. 48% had implantable cardioverter-defibrillators, 24% had pacemakers, and 29% had cardiac resynchronization therapy devices. An overall Cronbach's α = 0. 893 was achieved, with acceptable reliabilities for isolated dimensions. Correlations with corresponding VAS scales were meaningful and significant (p < 0. 01). The second order factor solution yielded good goodness-of-fit indexes (χ 2 /df = 1. 44, CFI = 0. 96, TLI = 0. 95, RMSEA = 0. 05). Satisfaction with remote monitoring was not related to HRQoL (r < 0. 05), except for the correlation between the SF-36 mental component and the information on cardiac condition dimension (r = 0. 263, p < 0. 001). The 30-item questionnaire showed good reliability and validity to assess satisfaction with remote monitoring in patients with CIEDs.
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Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	BMC health services research, Vol. 20 (april 2020) , ISSN 1472-6963

DOI: 10.1186/s12913-020-05216-3
PMID: 32334573

9 p, 766.8 KB

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