What Do Patients Know About Peripheral Arterial Disease? A Knowledge Questionnaire

Authors

DOI:

https://doi.org/10.48729/pjctvs.263

Keywords:

Peripheral Arterial Disease, Knowledge, Questionnaire, Physical activity, Therapeutic adherence

Abstract

Introduction: The lack of knowledge about Peripheral Arterial Disease (PAD) is worryingly high as it triggers and main- tains behaviors of denial, indifference, and non-adherence to therapeutics. Therefore, the aim of this study was to build and assess the reliability and validity of a knowledge questionnaire about PAD (Peripheral Arterial Disease Knowledge Questionnaire - PADKQ).

Materials and methods: A longitudinal study was carried out with two evaluations that included a sample of patients with PAD and Intermittent Claudication, with no history of surgical interventions, in follow-up at the vascular surgery consulta- tion. The PADKQ was applied to 114 patients (85% men, with a mean age of 65 years, SD=7.2). Sociodemographic and clinical data were collected from clinical records, and physical activity level (International Physical Activity Questionnaire - IPAQ) and walking impairment (Walking Impairment Questionnaire - WIQ) were evaluated through questionnaires. A 2nd evaluation session took place two weeks after the 1st evaluation session where an educational intervention was performed. Internal consistency, temporal stability, content validity, and convergent validity were performed

Results: The sample related results have reflected the good reliability (kr-20=0.775) and validity properties of the PADKQ. This sample showed a high level of knowledge about PAD (10.96 points, SD=3.28, from 0 to 16 possible points), which increased significantly from moment 1 to moment 2 (t= -7.457, p<.001). Only half of the sample considered the disease to be serious and identified smoking habits as one of the risk factors. Patients with higher education were the most physically active.

Conclusion: The PADKQ proved to be a useful, brief, and easy-to-use instrument in health contexts to identify patients' level of knowledge about PAD. Education about PAD increases patients' knowledge about the disease and the greater the knowl- edge about PAD, the greater the practice of physical activity.

Downloads

Download data is not yet available.

References

Sørensen K, Van Den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 2012; 12: 80. doi:10.1186/1471-2458- 12-80.

Sørensen K. Uma Visão para a Literacia em Saúde na Europa [A Vision for Health Literacy in Europe]. In: Literacia em saúde na prática. Lisboa, 2019, pp 27–32.

Sabaté E. Adherence to long-term therapies. Evidence for action. World Health Organization: Geneva, 2003.

Direção-Geral da Saúde. Manual de Boas Práticas Literacia em Saúde: Capacitação dos Profissionais de Saúde [Manual of Good Practices Health Literacy: Training of Health Professionals]. Lisboa, 2019, pp 1–59 doi:10.13140/ RG.2.2.17763.30243.

Pedro AR, Amaral O, Escoval A. Literacia em saúde, dos dados à ação: tradução, validação e aplicação do European Health Literacy Survey em Portugal [Health literacy, from data to action: translation, validation and application of the European Health Literacy Survey in Portugal]. Rev Port Saude Publica 2016; 34: 259–275. doi:10.1016/j. rpsp.2016.07.002.

Choudhury R, Pujadas-Botey A, Wheeler L, Marlett N, Estey A. The standardised cancer booklet and beyond: Patient perspectives on patient education for breast cancer care. Health Educ J 2020; 79: 712–723. doi:10.1177/0017896920911690.

Grudniewicz A, Kealy R, Rodseth RN, Hamid J, Rudoler D, Straus SE. What is the effectiveness of printed educational materials on primary care physician knowledge, behaviour, and patient outcomes: a systematic review and meta-analyses. Implement Sci 2015; 10: 164. doi:10.1186/s13012- 015-0347-5.

Spiegel BMR, Talley J, Shekelle P, Agarwal N, Snyder B, Bolus R et al. Development and validation of a novel patient educational booklet to enhance colonoscopy preparation. Am J Gastroenterol 2011; 106: 875–883. doi:10.1038/ ajg.2011.75.

Ayeed S Bin, Hussain MA, AlHamzah M, Al-Omran M. Poor knowledge of peripheral arterial disease among the Saudi population: A cross-sectional study. Vascular 2017; 25: 86–91. doi:10.1177/1708538116649801.

Cronin CT, McCartan DP, McMonagle M, Cross KS, Dowdall JF. Peripheral artery disease: A marked lack of awareness in Ireland. Eur J Vasc Endovasc Surg 2015; 49: 556–562. doi:10.1016/j.ejvs.2014.12.017.

Eyholzer S, Perrenoud B, Dwyer AA. Patient perceptions of peripheral artery disease: A cross-sectional study of hospitalized adults. J Vasc Nurs 2019; 37: 188–193. doi:10.1016/j.jvn.2019.04.001.

Sharath SE, Kougias P, Barshes NR. The influence of pain-related beliefs on physical activity and health attitudes in patients with claudication: A pilot study. Vasc Med (United Kingdom) 2017; 22: 378–384.

doi:10.1177/1358863X17709944.

Hirsch AT, Murphy TP, Lovell MB, Twillman G, Treat-Jacobson D, Harwood EM et al. Gaps in public knowledge of peripheral arterial disease: The first national PAD public awareness survey. Circulation 2007; 116: 2086–2094. doi:10.1161/CIRCULATIONAHA.107.725101.

Lovell M, Harris K, Forbes T, Twillman G, Abramson B, Criqui MH et al. Peripheral arterial disease: Lack of awareness in Canada. Can J Cardiol 2009; 25: 39–45. doi:10.1016/ S0828-282X(09)70021-2.

Bridgwood BM, Nickinson ATO, Houghton JSM, Pepper CJ, Sayers RD. Knowledge of peripheral artery disease: What do the public, healthcare practitioners, and trainees know? Vasc Med (United Kingdom) 2020; 25: 263–273. doi:10.1177/1358863X19893003.

Martínez LG, Fernández-Samos Gutiérrez R, Gallego AG, García AP, Vega MS, Calvo AZ. Design, validation and clinical application of a knowledge questionnaire (ConocEAP) in patients with peripheral arterial disease. Angiologia 2017; 69: 4–11. doi:10.1016/j.angio.2016.08.006.

Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159–174.

Nicolaï SPA, Kruidenier LM, Rouwet E V., Graffius K, Prins MH, Teijink JAW. The walking impairment questionnaire: An effective tool to assess the effect of treatment in patients with intermittent claudication. J Vasc Surg 2009; 50: 89–94. doi:10.1016/j.jvs.2008.12.073.

International physical Activity Questionaire. 2005. https://sites.google.com/site/theipaq/ (accessed 20 May2021).

Hurtig-Wennlf A, Hagstrmer M, Olsson LA. The International Physical Activity Questionnaire modified for the elderly: Aspects of validity and feasibility. Public Health Nutr 2010; 13: 1847–1854. doi:10.1017/S1368980010000157.

Leventhal H, Phillips LA, Burns E. The Common-Sense Mod- el of Self-Regulation (CSM): a dynamic framework for understanding illness self-management. J Behav Med 2016; 39: 935–946. doi:10.1007/s10865-016-9782-2.

Nunnally JC, Bernstein IH. Psychometric Theory. 3rd ed. McGraw-Hill: New York, 1994.

Streiner DL, Norman GR, Cairney J. Health Measurement Scales: A practical guide to their development and use. 5th ed. Oxford University Press: USA, 2015.

Coughlin PA, Gulati V, Mavor AID, Gough MJ, Homer-Vanniasinkam S. Risk factor awareness in patients with peripheral arterial disease. J Cardiovasc Surg (Torino) 2007; 48: 735–40.

AlHamzah M, Eikelboom R, Hussain MA, Syed MH, Salata K, Wheatcroft M et al. Knowledge gap of peripheral artery disease starts in medical school. J Vasc Surg 2019; 70: 241- 245.e2. doi:10.1016/j.jvs.2018.12.042.

Aboyans V, Lacroix P, Laskar M. Letter to the editor - The level of knowledge of risk factors for peripheral arterial disease also depends on subjects’ individual clinical situations. Can J Cardiol 2009; 25: 545. doi:10.1016/s0828- 282x(09)70154-0.

Bush RL, Kallen MA, Liles DR, Bates JT, Petersen LA. Knowl-edge and Awareness of Peripheral Vascular Disease Are Poor Among Women at Risk for Cardiovascular Disease. J Surg Res 2008; 145: 313–319. doi:10.1016/j.jss.2007.03.022.

National Institute for Health and Care Excelence. Peripheral arterial disease: diagnosis and management (clinical guideline). NICE. 2020.

Ministério da saúde, Direção-Geral da Saúde. Plano de ação para a literacia em saúde 2019-2021 [Health literacy action plan]. 2018.

Sherwin HN, McKeown M, Evans MF, Bhattacharyya OK. The waiting room ‘wait’: From annoyance to opportunity. Can Fam Physician 2013; 59: 479–81.

Berkhout C, Zgorska-Meynard-Moussa S, Willefert-Bouche A, Favre J, Peremans L, Royen P Van. Audiovisual aids in primary healthcare settings’ waiting rooms. A systematic review. Eur J Gen Pract 2018; 24: 202–210. doi:10.1080/138 14788.2018.1491964.

Wynia MK, Osborn CY. Health literacy and communication quality in health care organizations. J Health Commun 2010; 15: 102–115. doi:10.1080/10810730.2010.499981.

Talevski J, Shee AW, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLoS One 2020; 15: 1–18. doi:10.1371/journal. pone.0231350.

Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pic- tures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Educ Couns 2006; 61: 173–190. doi:10.1016/j. pec.2005.05.004.

Grenard JL, Munjas BA, Adams JL, Suttorp M, Maglione M, McGlynn EA et al. Depression and medication adherence in the treatment of chronic diseases in the United States: A meta-analysis. J Gen Intern Med 2011; 26: 1175–1182. doi:10.1007/s11606-011-1704-y.

Downloads

Published

14-01-2023

How to Cite

1.
Pedras S, Oliveira R, Veiga C, Silva I. What Do Patients Know About Peripheral Arterial Disease? A Knowledge Questionnaire. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jan. 14 [cited 2024 Nov. 23];29(4):31-4. Available from: https://pjctvs.com/index.php/journal/article/view/263

Issue

Section

Original Articles

Categories