Development and Validation of an Atrial Fibrillation Knowledge Assessment Tool (AFKAT)

Abubakar, Ibrahim Jatau; Wimmer, Barbara C.; Bereznicki, Lre; Dwan, Corinna; Black, J. Andrew; Bezabhe, Woldesellassie M.; Peterson, Gregory M.

doi:10.3390/ijerph17051721

Cited by 10 publications

(9 citation statements)

References 29 publications

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“…Moreover, 37% (19/52) of our participants were unaware that AFib could be symptomless. Even without symptoms, untreated AFib can result in stroke, underscoring the importance of educating those at risk about AFib-related complications (Jatau et al, 2020). Previous studies have found that individuals without palpitation symptoms and/or asymptomatic new-onset AFib have a 3.5-fold and 2.7-fold higher risk of cerebrovascular events than those with palpitations (Siontis et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…The Atrial Fibrillation Knowledge and Assessment Tool (AFKAT) was developed and validated for use in the general population and consists of 21 questions designed to assess knowledge of general AFib information, including risk factors, detection, prevention, and management (Jatau et al, 2020). For each item, one of three responses could be selected: "True," "False," or "I don't know."…”

Section: Instrumentmentioning

confidence: 99%

“…Correct responses scored '1' while an incorrect or "I don't know" response scored '0' with a maximum score of 21 (see Table 1). The AFKAT's psychometric properties (construct validity, reliability, readability, and difficulty index), were all tested in a validation study (Jatau et al, 2020).…”

Section: Instrumentmentioning

confidence: 99%

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Evaluating High-performance Female Athletes’ Knowledge and Awareness of Atrial Fibrillation

B. McRorie,

K. Doyle-Baker

2024

IJKSS

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Background: Atrial fibrillation (AFib) is a common cardiac arrhythmia with emerging evidence suggesting a high risk in athletes may exist, especially those engaged in vigorous physical activity. While substantial research has examined male athletes, limited data exists for female athletes, despite their growing presence in elite sports. AFib poses a health risk as it can progress without symptoms, potentially leading to severe complications, including heart failure and stroke. Athletes, accustomed to discomfort in their competitive pursuits, may delay seeking care even after retiring from sport, compounding the issue. Objectives: Therefore, we investigated the level of AFib-related knowledge in Canadian females, defined as high-performance athletes who had or were competing at a national or international level. Methods: Our online cross-sectional survey employed the 21-question Atrial Fibrillation Knowledge and Assessment Tool (AFKAT), with an additional question to assess awareness of an AFib diagnosis. Results: Participants were recruited through research websites and were mostly over 40 years old (45/52), Caucasian (50/52), university educated (39/53), from the sport of curling (41/52), and 62% (32/52) had competed at an international level. The mean knowledge score was 12.63 ± 5.79 out of 21 and was significantly different between international-level athletes (14.22 ± 4.38) when compared to national-level athletes (10.10 ± 6.91; p = 0.011). Conclusions: Varying levels of AFib knowledge were observed within this population, and our results importantly identified a discrepancy based on competition level, with international-level female athletes demonstrating higher AFib knowledge levels. This highlights the necessity for targeted educational interventions, to inform and increase athletes’ cardiovascular awareness of the potential risk of AFib.

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Section: Discussionmentioning

confidence: 99%

Section: Instrumentmentioning

confidence: 99%

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Evaluating High-performance Female Athletes’ Knowledge and Awareness of Atrial Fibrillation

B. McRorie,

K. Doyle-Baker

2024

IJKSS

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“…For the validation of items by focus groups or cognitive interviews, the literature discusses the possibility of involving either laypersons or people with background knowledge [ 58 , 59 ]. The focus groups in this study primarily involved people with no proven knowledge of the health care system, even though there was a high proportion of the chronically ill, who probably had greater system experience and probably also knowledge.…”

Section: Discussionmentioning

confidence: 99%

Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy

Griese

Berens

Nowak

et al. 2020

IJERPH

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Due to their rapid expansion and complexity, it is increasingly difficult for patients to orient themselves in health care systems. Therefore, patients require a high degree of health literacy, or more precisely, navigation health literacy (HL-NAV). The actual extent of HL-NAV of patients and citizens is still largely unknown due to the lack of adequate measurement instruments. Thus, within the new international Health Literacy Population Survey 2019 (HLS19), one aim was to develop a suitable instrument for measuring HL-NAV in the HLS19 the HL-NAV-HLS19. The item development was conducted by an international working group within the HLS19 Consortium led by the first and last authors. Methodologically, it is based on a scoping literature review, development of a conceptual framework for HL-NAV, and first item formation, as well as an evaluation by experts, stakeholders, focus groups, pre-test interviews, and continuously feedback from the HLS19 Consortium. HL-NAV was defined as the ability to access, understand, appraise, and apply information on navigational issues, drawing on ten selected publications and the health literacy definition of the HLS-EU Consortium. Main tasks of HL-NAV at the system, organization, and interaction level were identified, to which first related items were assigned. Based on the feedback from experts, the focus group discussions, and the HLS19 Consortium, the instrument was slightly revised. Finally, twelve items proved to be feasible in the pre-test. The instrument will be used for the first time in the HLS19 survey and will provide first data on HL-NAV in general populations for the countries participating in HLS19. It is suited for cross-country comparisons and monitoring, as well as for intervention development. However, the instrument should be translated into and validated in further languages and countries for population samples.

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“…Furthermore, corrected item-total correlations were tested. Two levels of inter-item correlations were suggested as acceptable: 0.2 ( 58 , 59 ) and 0.3 ( 60 , 61 ). We used the more liberal level of ≥0.2 in this study in order not to exclude some items on which some participants got high scores while others got low scores due to the heterogeneity within social demographic and health factors among subjects.…”

Section: Methodsmentioning

confidence: 99%

Development and validation of a comprehensive health literacy tool for adults in Hong Kong

Tian

Mo²,

Dong³

et al. 2023

Front. Public Health

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IntroductionHealth literacy (HL) refers to an individual's ability to process and use health information to make health-related decisions. However, previous HL scales did not fully cover all aspects of this concept. This study aimed to develop a comprehensive Hong Kong HL scale (HLS-HK) and evaluate its psychometric properties among Chinese adults.MethodsA scale of 31-item covering Nutbeam's framework, namely functional and interactive HL (FHL and IHL), and critical HL (CHL) within three subdomains: critical appraisal of information, understanding of social determinants of health, and actions to address social determinants of health, was developed based on previous literature review and Delphi survey. Cognitive interviews were performed to examine all items' face validity in terms of three aspects: comprehensiveness, clarity, and acceptability. A cross-sectional survey was conducted to investigate the scale's psychometric properties, including its internal consistency reliability, factorial structure validity, convergent validity, and predictive validity.ResultsNine interviewees participated in the cognitive interviews in October 2021. Based on the input from respondents, two items were deleted, two items were combined, and several items' wording was revised. The other items were clear and readable. Finally, 28 items remained. A total of 433 adults completed the questionnaire survey between December 2021 and February 2022. After excluding one item with low inter-item correlations, the scale's internal consistency reliability was acceptable, with a Cronbach's alpha of 0.89. Exploratory factor analysis produced a five-factor model, as shown in the original theoretical framework. These factors accounted for 53% of the total variance. Confirmatory factor analysis confirmed that the fit indices for this model were acceptable (comparative fit index = 0.91, root mean square error of approximation = 0.06, and root mean square residual = 0.06). The scale is also significantly correlated with theoretically selected variables, including education and self-rated health.ConclusionThe HLS-HK is a valid and reliable tool for evaluating HL. Compared with existing tools, this scale extended the operationalization of FHL, IHL, and CHL and fully operationalized the CHL via three subdomains. It can be used to understand the difficulties and barriers that people may encounter when they use health-related information and services.

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Development and Validation of an Atrial Fibrillation Knowledge Assessment Tool (AFKAT)

Cited by 10 publications

References 29 publications

Evaluating High-performance Female Athletes’ Knowledge and Awareness of Atrial Fibrillation

Evaluating High-performance Female Athletes’ Knowledge and Awareness of Atrial Fibrillation

Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy

Development and validation of a comprehensive health literacy tool for adults in Hong Kong

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