Validity and Reliability of the Florida Patient Acceptance Survey and Florida Shock Anxiety Scale in Turkish Patients with Implantable Cardioverter Defbrillation
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 10
Abstract
Despite its established effectiveness, living with an implantable cardioverter defbrillator (ICD) is associated with ongoing psychosocial distress. Patient device acceptance and shock-related anxiety might be essential in identifying patients at risk for adverse patient-reported outcomes following implantation of an ICD. The purpose of study was to examine the validity and reliability of the Florida Patient Acceptance Survey (FPAS) and the Florida Shock Anxiety Scale (FSAS) of ICD patients. Methods: The sample included 180 participants (146 male, mean age=60.56 ± 13.88). Patients completed the FPAS, the FSAS, the Beck Anxiety Inventory (BAI), the State Anxiety Inventory (STAI-TX1) and Trait Anxiety Inventory (STAI-TX2). Results: Confrmatory factor analysis (for FPAS) revealed that a fourfactor structure: Return to Function, Device-Related Distress, Positive Appraisal and Body Image Concerns ( χ84 2 =157.75, p=0.00, comparative ft index (CFI)=0.91, root mean-square error of approximation (RMSEA)=0.07). Confrmatory factor analysis (for FSAS) revealed that a two-factor structure with items loading such that Factor 1 could be conceptualized as a Consequence Factor and Factor 2 as a Trigger Factor χ34 2 =81.48, p=0.00, comparative ft index (CFI)=0.93, root mean-square error of approximation (RMSEA)=0.09). The FPAS was negatively correlated with FSAS, BAI, STAI-TX1 and STAI-TX2 (p<0.01). The FSAS was positively correlated with BAI, STAI-TX1 and STAI-TX2 (p<0.01). We found satisfactory evidence of internal consistency (Cronbach’s α was 0.81 for FPAS and Cronbach’s α was 0.87 for FSAS). Conclusion: FPAS and FSAS are valid and reliable instruments to assess device acceptance and shock-related anxiety in Turkish patients with ICD.
Authors and Affiliations
Oz Alkan H| Medical Nursing Department, Istanbul University, Turkey, Corresponding e-mail: havvaoz@hotmail.com, Enç N| Medical Nursing Department, Istanbul University, Turkey
Keywords
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