3 years ago

Initial validation of a healthcare needs scale for young people with congenital heart disease

Pi-Chang Lee, Ciao-Lin Ho, Be-Tau Hwang, Hung-Tao Chung, Chun-Wei Lu, Jou-Kou Wang, Wen-Jen Su, Chi-Wen Chen
Aim To validate the initial psychometric properties of a Healthcare Needs Scale for Youth with Congenital Heart Disease. Background As the number of patients with congenital heart disease surviving to adulthood increases, the transitional healthcare needs for adolescents and young adults with congenital heart disease require investigation. However, few tools comprehensively identify the healthcare needs of youth with congenital heart disease. Design A cross-sectional study was employed to examine the psychometric properties of the Healthcare Needs Scale for Youth with Congenital Heart Disease. Methods The sample consisted of 500 patients with congenital heart disease, aged 15–24 years, from paediatric cardiology departments and covered the period from March–August 2015. The patients completed the 25-item Healthcare Needs Scale for Youth with Congenital Heart Disease, the questionnaire on health needs for adolescents and the WHO Quality of Life-BREF. Reliability and construct, concurrent, predictive and known-group validity were examined. Results The Healthcare Needs Scale for Youth with Congenital Heart Disease includes three dimensions, namely health management, health policy and individual and interpersonal relationships, which consist of 25 items. It demonstrated excellent internal consistency and sound construct, concurrent, predictive and known-group validity. Conclusion The Healthcare Needs Scale for Youth with Congenital Heart Disease is a psychometrically robust measure of the healthcare needs of youth with congenital heart disease. It has the potential to provide nurses with a means to assess and identify the concerns of youth with congenital heart disease and to help them achieve a successful transition to adult care.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jan.13390

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