Development, psychometric testing, and revision of the atlanta heart failure knowledge test

Carolyn Miller Reilly, Melinda Higgins, Andrew Smith, Rebecca A. Gary, Judith Robinson, Patricia C. Clark, Frances McCarty, Sandra B. Dunbar

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    BACKGROUND AND RESEARCH OBJECTIVE:: Several heart failure (HF) knowledge tools have been developed and tested over the past decade; however, they vary in content, format, psychometric properties, and availability. This article details the development, psychometric testing, and revision of the Atlanta Heart Failure Knowledge Test (A-HFKT) as a standardized instrument for both the research and clinical settings. PARTICIPANTS AND METHODS:: Development and psychometric testing of the A-HFKT were undertaken with 116 New York Heart Association (NYHA) class II and III community-dwelling HF patients and their family members (FMs) participating in a family intervention study. Internal consistency, reliability, and content validity were examined. Construct validity was assessed by correlating education level, literacy, dietary sodium ingestion, medication adherence, and healthcare utilization with knowledge. RESULTS:: Content validity ratings on relevance and clarity ranged from 0.55 to 1.0, with 81% of the items rated from 0.88 to 1.0. Cronbach α values were .84 for patients, .75 for FMs, and .73 for combined results. Construct validity testing revealed a small but significant correlation between higher patient and FM knowledge on sodium restriction questions and lower ingested sodium, r = -0.17, P =
    Original languageEnglish
    Pages (from-to)500-509
    Number of pages9
    JournalThe Journal of Cardiovascular Nursing
    Issue number6
    Publication statusPublished - Nov 2009


    • Education
    • Heart failure
    • Knowledge


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