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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22002

Title: Knowledge gaps in patients with atrial fibrillation revealed by a new validated knowledge questionnaire
Authors: Desteghe, Lien
Engelhard, Lara
Raymaekers, Zina
Kluts, Kiki
Vijgen, Johan
Dilling-Boer, Dagmara
Koopman, Pieter
Schurmans, Joris
Dendale, Paul
Heidbuchel, Hein
Issue Date: 2016
Citation: INTERNATIONAL JOURNAL OF CARDIOLOGY, 223, p. 906-914
Abstract: Objective: The aim of this study was to develop and validate a new questionnaire, the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ), to test the knowledge of patients with atrial fibrillation (AF) about the arrhythmia, its treatment and their ability for self-management. Methods: The JAKQ was developed based on other questionnaires, two educational checklists and patient information support websites. The JAKQ was validated based on content validity, face validity, response process, discriminatory potential and sensitivity of the questionnaire, construct validity and reliability. It was presented to both outpatients and hospitalised patients. Results: A total of 466 AF patients completed the JAKQ. The final 16-itemJAKQ consists of 8 questions about AF in general, 5 questions about oral anticoagulation (OAC) therapy and either 3 questions about vitamin K antagonists (VKA) or non-vitamin K antagonist oral anticoagulants (NOAC). The questionnaire is completed in 6.5±2.4 min. The mean score on the JAKQ is 55.8±18.6% with a wide discriminatory span of scores. The JAKQ reveals important knowledge gaps, like 28.8% of the patients not being aware of their medical condition named ‘atrial fibrillation’, 33.7% being unaware that AF can cause thromboembolismand stroke, and 78.6% of the patients taking VKA and 57.0% of the patients on NOACs not knowing what to do when missing an OAC dose. Conclusions: The JAKQ is a brief, complete and valid AF-specific knowledge questionnaire that can be used in daily practice to assess patients' insight into their condition. It could be used as a tool for individually tailored patient education.
Notes: Desteghe, L (reprint author), Hasselt Univ, Ctr Heart, Jessa Hosp, Stadsomvaart 11, B-3500 Hasselt, Belgium. lien.desteghe@uhasselt.be
URI: http://hdl.handle.net/1942/22002
DOI: 10.1016/j.ijcard.2016.08.303
ISI #: 000387036200236
ISSN: 0167-5273
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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