Abstract
BackgroundThe Needs Assessment Tool: Progressive Disease-Heart Failure (NAT: PD-HF) is a tool created to assess the needs of people living with heart failure and their informal caregivers to assist delivering care in a more comprehensive way that addresses actual needs that are unmet, and to improve quality of life. In this study, we aimed to (1) Translate the tool into German and culturally adapt it. (2) Assess internal consistency, inter-rater reliability, and test–retest reliability of the German NAT: PD-HF. (3) Evaluate whether and how patients and health care personnel understand the tool and its utility. (4) Assess the tool’s face validity, applicability, relevance, and acceptability among health care personnel.MethodsSingle-center validation study. The tool was translated from English into German using a forward–backward translation. To assess internal consistency, we used Cronbach´s alpha. To assess inter-rater reliability and test–retest reliability, we used Cohen´s kappa, and to assess validity we used face validity.ResultsThe translated tool showed good internal consistency. Raters were in substantial agreement on a majority of the questions, and agreement was almost perfect for all the questions in the test–retest analysis. Face validity was rated high by health care personnel.ConclusionThe German NAT: PD-HF is a reliable, valid, and internally consistent tool that is well accepted by both patients and health care personnel. However, it is important to keep in mind that effective use of the tool requires training of health care personnel.
Highlights
Heart failure (HF) is a global pandemic currently affecting at least 26 million people worldwide
The German Needs Assessment Tool: Progressive Disease-Heart Failure (NAT): PD-HF is a reliable, valid, and internally consistent tool that is well accepted by both patients and health care personnel
It is important to keep in mind that effective use of the tool requires training of health care personnel
Summary
Heart failure (HF) is a global pandemic currently affecting at least 26 million people worldwide. Needs assessment tools are clinical decision aids, facilitating the detection of patient needs and the assignment of actions to address them according to the available care options. These tools used as a support and a starting point for delivering patient-centered care [6]. Two recent systematic reviews found six needs measurement tools that can be used with patients with HF [6, 7] Both systematic reviews found that the most comprehensive of these tools and the only one created for patients with HF is the “Needs Assessment Tool: Progressive Disease-Heart Failure” (NAT: PD-HF) [8]. We aimed to (1) Translate the tool into German and culturally adapt it. (2) Assess internal consistency, inter-rater reliability, and test– retest reliability of the German NAT: PD-HF. (3) Evaluate whether and how patients and health care personnel under‐ stand the tool and its utility. (4) Assess the tool’s face validity, applicability, relevance, and acceptability among health care personnel
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