Validity and reliability of the Brazilian Portuguese version of the Florida Patient Acceptance Survey for patients with implantable cardioverter defibrillators

Katia Regina Silva; Roberto Costa; Flávio Rebustini; Giovanna Regina Garcia de Oliveira Melo; Laísa de Arruda Silva; Sarah Caroline Martins Saucedo; Samuel Sears

doi:10.1016/j.mex.2023.102272

Validity and reliability of the Brazilian Portuguese version of the Florida Patient Acceptance Survey for patients with implantable cardioverter defibrillators

MethodsX. 2023 Jun 27:11:102272. doi: 10.1016/j.mex.2023.102272. eCollection 2023 Dec.

Authors

Katia Regina Silva¹, Roberto Costa¹, Flávio Rebustini², Giovanna Regina Garcia de Oliveira Melo¹, Laísa de Arruda Silva¹, Sarah Caroline Martins Saucedo¹, Samuel Sears³

Affiliations

¹ Unidade de Estimulacao Eletrica e Marcapasso, Instituto do Coracao (InCor) do Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brasil.
² Department of Gerontology (EACH), University of Sao Paulo, Sao Paulo, Brazil.
³ Department of Psychology and Cardiovascular Sciences, East Carolina University, Greenville, NC, United States.

Abstract

Device acceptance is a crucial factor in identifying implantable cardioverter defibrillator (ICD) patients at risk for psychosocial distress and unfavorable quality of life outcomes. The purpose of this study was to examine the evidence of the validity of internal structure (construct) and reliability of the Florida Patient Acceptance Survey (FPAS) in a sample of ICD patients, comparing the psychometric indicators of the complete (FPAS-18 item) and abbreviated (FPAS-12 item) versions. The sample included 151 participants (97 males, mean age of 55.7 ± 14.1 years) who completed the cross-culturally adapted version of the FPAS instrument for the Brazilian context. The psychometric properties of both versions of the FPAS instrument were evaluated by two distinct approaches:•Exploratory and confirmatory factor analysis: used to test the internal structure of the instrument•Cronbach's Alpha and McDonald's Omega: used to determine the reliability of the instrument The two versions of the FPAS-Br instrument showed consistent evidence of internal structure validity and reliability. However, the FPAS-Br 12-item showed a better psychometric adjustment, confirmed by the analysis of the quality indicators of the models.

Keywords: Arrhythmias; Cultural adaptation; Implantable defibrillator; Patient acceptance; Patient-reported outcomes measures; Psychometrics properties of the Florida Patient Acceptance Survey; Psychometry; Quality of life.