Developing an instrument to measure heart failure disease management program intensity and complexity

Barbara Riegel, Christopher Lee, Julie Sochalski

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background-Comparing disease management programs and their effects is difficult because of wide variability in program intensity and complexity. The purpose of this effort was to develop an instrument that can be used to describe the intensity and complexity of heart failure (HF) disease management programs. Methods and Results-Specific composition criteria were taken from the American Heart Association (AHA) taxonomy of disease management and hierarchically scored to allow users to describe the intensity and complexity of the domains and subdomains of HF disease management programs. The HF Disease Management Scoring Instrument (HF-DMSI) incorporates 6 of the 8 domains from the taxonomy: recipient, intervention content, delivery personnel, method of communication, intensity/complexity, and environment. The 3 intervention content subdomains (education/counseling, medication management, and peer support) are described separately. In this first test of the HF-DMSI, overall intensity (measured as duration) and complexity were rated using an ordinal scoring system. Possible scores reflect a clinical rationale and differ by category, with zero given only if the element could potentially be missing (eg, surveillance by remote monitoring). Content validity was evident as the instrument matches the existing AHA taxonomy. After revision and refinement, 2 authors obtained an inter-rater reliability intraclass correlation coefficient score of 0.918 (confidence interval, 0.880 to 0.944, P

Original languageEnglish (US)
Pages (from-to)324-330
Number of pages7
JournalCirculation: Cardiovascular Quality and Outcomes
Volume3
Issue number3
DOIs
StatePublished - 2010

Fingerprint

Disease Management
Heart Diseases
Heart Failure
American Heart Association
Counseling
Communication
Confidence Intervals
Education

Keywords

  • Chronic disease
  • Disease management
  • Heart failure
  • Instrument

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Developing an instrument to measure heart failure disease management program intensity and complexity. / Riegel, Barbara; Lee, Christopher; Sochalski, Julie.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 3, No. 3, 2010, p. 324-330.

Research output: Contribution to journalArticle

@article{936a181a445341deb39c87ec23e8d9de,
title = "Developing an instrument to measure heart failure disease management program intensity and complexity",
abstract = "Background-Comparing disease management programs and their effects is difficult because of wide variability in program intensity and complexity. The purpose of this effort was to develop an instrument that can be used to describe the intensity and complexity of heart failure (HF) disease management programs. Methods and Results-Specific composition criteria were taken from the American Heart Association (AHA) taxonomy of disease management and hierarchically scored to allow users to describe the intensity and complexity of the domains and subdomains of HF disease management programs. The HF Disease Management Scoring Instrument (HF-DMSI) incorporates 6 of the 8 domains from the taxonomy: recipient, intervention content, delivery personnel, method of communication, intensity/complexity, and environment. The 3 intervention content subdomains (education/counseling, medication management, and peer support) are described separately. In this first test of the HF-DMSI, overall intensity (measured as duration) and complexity were rated using an ordinal scoring system. Possible scores reflect a clinical rationale and differ by category, with zero given only if the element could potentially be missing (eg, surveillance by remote monitoring). Content validity was evident as the instrument matches the existing AHA taxonomy. After revision and refinement, 2 authors obtained an inter-rater reliability intraclass correlation coefficient score of 0.918 (confidence interval, 0.880 to 0.944, P",
keywords = "Chronic disease, Disease management, Heart failure, Instrument",
author = "Barbara Riegel and Christopher Lee and Julie Sochalski",
year = "2010",
doi = "10.1161/CIRCOUTCOMES.109.877324",
language = "English (US)",
volume = "3",
pages = "324--330",
journal = "Circulation: Cardiovascular Quality and Outcomes",
issn = "1941-7713",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Developing an instrument to measure heart failure disease management program intensity and complexity

AU - Riegel, Barbara

AU - Lee, Christopher

AU - Sochalski, Julie

PY - 2010

Y1 - 2010

N2 - Background-Comparing disease management programs and their effects is difficult because of wide variability in program intensity and complexity. The purpose of this effort was to develop an instrument that can be used to describe the intensity and complexity of heart failure (HF) disease management programs. Methods and Results-Specific composition criteria were taken from the American Heart Association (AHA) taxonomy of disease management and hierarchically scored to allow users to describe the intensity and complexity of the domains and subdomains of HF disease management programs. The HF Disease Management Scoring Instrument (HF-DMSI) incorporates 6 of the 8 domains from the taxonomy: recipient, intervention content, delivery personnel, method of communication, intensity/complexity, and environment. The 3 intervention content subdomains (education/counseling, medication management, and peer support) are described separately. In this first test of the HF-DMSI, overall intensity (measured as duration) and complexity were rated using an ordinal scoring system. Possible scores reflect a clinical rationale and differ by category, with zero given only if the element could potentially be missing (eg, surveillance by remote monitoring). Content validity was evident as the instrument matches the existing AHA taxonomy. After revision and refinement, 2 authors obtained an inter-rater reliability intraclass correlation coefficient score of 0.918 (confidence interval, 0.880 to 0.944, P

AB - Background-Comparing disease management programs and their effects is difficult because of wide variability in program intensity and complexity. The purpose of this effort was to develop an instrument that can be used to describe the intensity and complexity of heart failure (HF) disease management programs. Methods and Results-Specific composition criteria were taken from the American Heart Association (AHA) taxonomy of disease management and hierarchically scored to allow users to describe the intensity and complexity of the domains and subdomains of HF disease management programs. The HF Disease Management Scoring Instrument (HF-DMSI) incorporates 6 of the 8 domains from the taxonomy: recipient, intervention content, delivery personnel, method of communication, intensity/complexity, and environment. The 3 intervention content subdomains (education/counseling, medication management, and peer support) are described separately. In this first test of the HF-DMSI, overall intensity (measured as duration) and complexity were rated using an ordinal scoring system. Possible scores reflect a clinical rationale and differ by category, with zero given only if the element could potentially be missing (eg, surveillance by remote monitoring). Content validity was evident as the instrument matches the existing AHA taxonomy. After revision and refinement, 2 authors obtained an inter-rater reliability intraclass correlation coefficient score of 0.918 (confidence interval, 0.880 to 0.944, P

KW - Chronic disease

KW - Disease management

KW - Heart failure

KW - Instrument

UR - http://www.scopus.com/inward/record.url?scp=77953387425&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953387425&partnerID=8YFLogxK

U2 - 10.1161/CIRCOUTCOMES.109.877324

DO - 10.1161/CIRCOUTCOMES.109.877324

M3 - Article

C2 - 20484202

AN - SCOPUS:77953387425

VL - 3

SP - 324

EP - 330

JO - Circulation: Cardiovascular Quality and Outcomes

JF - Circulation: Cardiovascular Quality and Outcomes

SN - 1941-7713

IS - 3

ER -