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通过电话使用的德语版堪萨斯城心肌病问卷(KCCQ)的可靠性。

Reliability of a German version of the Kansas City Cardiomyopathy Questionnaire (KCCQ) administered via telephone.

作者信息

Schutzmeier Martha, Rücker Viktoria, Widmann Jonas, Grau Anna, Morbach Caroline, Spertus John A, Deckert Jürgen, Störk Stefan, Heuschmann Peter U

机构信息

Institute for Clinical Epidemiology and Biometry, Julius-Maximilian University Würzburg, Würzburg, Germany.

Department Clinical Research and Epidemiology, Comprehensive Heart Failure Center Würzburg, University Hospital Würzburg, Würzburg, Germany.

出版信息

Sci Rep. 2025 Aug 4;15(1):28444. doi: 10.1038/s41598-025-14179-6.

Abstract

To date, there is no validated telephone version of the Kansas City Cardiomyopathy Questionnaire (KCCQ) available to collect data about health-related quality of life among patients with heart failure (HF). We assessed the reliability of the German KCCQ administered via telephone in comparison to the self-administered version. Patients with HF admitted to the outpatient clinic of the University Hospital Würzburg were consecutively identified and recruited. Patients completed (a) the self-administered version of the KCCQ, and (b) the telephone-based interview performed by trained raters. The sequence of both approaches was randomized. For the between-method agreement, the intraclass correlation coefficient (ICC) was calculated using a non-parametric, rank-based approach. We analysed data from sixty-one HF patients. The median KCCQ overall summary score was 84.8 (interquartile range (IQR) 71.6-76.9). The test-retest reliability between the self-administered and the telephone interview showed good agreement for the total symptom score, the clinical score and the overall summary core: ICC 0.75, 95 % confidence interval (CI) 0.72-0.79; ICC 0.80, CI 0.77-0.84; ICC 0.83, CI 0.80-0.86, respectively. The German KCCQ administered via telephone showed good test-retest reliability, indicating its applicability to collect data about health status among HF patients over the phone.

摘要

迄今为止,尚无经过验证的堪萨斯城心肌病问卷(KCCQ)电话版本可用于收集心力衰竭(HF)患者与健康相关的生活质量数据。我们评估了通过电话方式进行的德语版KCCQ与自行填写版本相比的可靠性。连续识别并招募了维尔茨堡大学医院门诊收治的HF患者。患者完成了(a)KCCQ自行填写版本,以及(b)由经过培训的评估人员进行的电话访谈。两种方式的顺序是随机的。对于方法间一致性,使用非参数、基于秩的方法计算组内相关系数(ICC)。我们分析了61例HF患者的数据。KCCQ总体总结得分的中位数为84.8(四分位间距(IQR)71.6 - 76.9)。自行填写和电话访谈之间的重测信度在总症状得分、临床得分和总体总结核心方面显示出良好的一致性:ICC分别为0.75,95%置信区间(CI)0.72 - 0.79;ICC 0.80,CI 0.77 - 0.84;ICC 0.83,CI 0.80 - 0.86。通过电话方式进行的德语版KCCQ显示出良好的重测信度,表明其适用于通过电话收集HF患者的健康状况数据。

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