Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

Assessment of psychometric properties of the Brazilian version of the oral anticoagulation knowledge test

Authors: Marcus Fernando da Silva Praxedes, Mauro Henrique Nogueira Guimarães de Abreu, Saul Martins Paiva, Juliana Vaz de Melo Mambrini, Milena Soriano Marcolino, Maria Auxiliadora Parreiras Martins

Published in: Health and Quality of Life Outcomes | Issue 1/2016

Login to get access

Abstract

Background

The aim of this study was to evaluate the psychometric properties of the Brazilian version of the Oral Anticoagulation Knowledge (OAK) Test.

Methods

This study, conducted in an anticoagulation clinic, included 201 Brazilian participants aged over 18 years, who had been using warfarin for more than two months. The reliability of the instrument was evaluated by assessing internal consistency (Kuder-Richardson coefficient) and reproducibility (test-retest reliability). The validity was evaluated by hypothesizing that there would be a positive correlation of moderate to strong intensity between the correctness levels of the OAK Test and time within therapeutic range (TTR) values, which is a measure used to evaluate the quality of oral anticoagulation.

Results

The instrument exhibited good psychometric properties. The total a Kuder-Richardson coefficient value was 0.818 and intraclass correlation coefficient was 0.967. The validity revealed a strong positive correlation between the values of the level of knowledge, as measured by the OAK Test and the TTR values (rs = 0.780).

Conclusion

The instrument proved to be a reliable and valid tool for evaluating the knowledge of Brazilian patients on oral anticoagulation therapy with warfarin. This instrument may be incorporated into the practice of health care for substantiating the structuring of educational activities to ensure the improvement of knowledge about the use of warfarin, thereby increasing the effectiveness and safety of treatment.
Literature
1.
go back to reference Ageno W, Gallus AS, Wittkowsky A, Crowther M, Hylek EM, Palareti G. Oral anticoagulant therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:e44S–88S.CrossRefPubMedPubMedCentral Ageno W, Gallus AS, Wittkowsky A, Crowther M, Hylek EM, Palareti G. Oral anticoagulant therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:e44S–88S.CrossRefPubMedPubMedCentral
2.
go back to reference You JJ, Singer DE, Howard PA, Lane DA, Eckman MH, Fang MC, et al. Antithrombotic therapy for atrial fibrillation: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:531S–75S.CrossRef You JJ, Singer DE, Howard PA, Lane DA, Eckman MH, Fang MC, et al. Antithrombotic therapy for atrial fibrillation: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:531S–75S.CrossRef
3.
go back to reference Whitlock RP, Sun JC, Fremes SE, Rubens FD, Teoh KH. Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:576S–600S.CrossRef Whitlock RP, Sun JC, Fremes SE, Rubens FD, Teoh KH. Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:576S–600S.CrossRef
4.
go back to reference Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ, et al. Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:152–84.CrossRef Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ, et al. Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:152–84.CrossRef
5.
go back to reference Wiedermann CJ, Stockner I. Warfarin-induced bleeding complications – clinical presentation and therapeutic options. Thromb Res. 2008;122:13–8.CrossRef Wiedermann CJ, Stockner I. Warfarin-induced bleeding complications – clinical presentation and therapeutic options. Thromb Res. 2008;122:13–8.CrossRef
6.
go back to reference Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G. American College of Chest Physicians Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2008;133:160–98.CrossRef Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G. American College of Chest Physicians Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2008;133:160–98.CrossRef
7.
go back to reference White HD, Gruber M, Feyzi J, Kaatz S, Tse HF, Husted S, Albers GW. Comparison of outcomes among patients randomized to warfarin therapy according to anticoagulant control: results from SPORTIF III and V. Arch Intern Med. 2007;167:239–45.CrossRefPubMed White HD, Gruber M, Feyzi J, Kaatz S, Tse HF, Husted S, Albers GW. Comparison of outcomes among patients randomized to warfarin therapy according to anticoagulant control: results from SPORTIF III and V. Arch Intern Med. 2007;167:239–45.CrossRefPubMed
8.
go back to reference Zeolla MM, Brodeur MR, Dominelli A, Haines ST, Allie ND. Development and validation of an instrument to determine patient knowledge: the oral anticoagulation knowledge test. Ann Pharmacother. 2006;40:633–8.CrossRefPubMed Zeolla MM, Brodeur MR, Dominelli A, Haines ST, Allie ND. Development and validation of an instrument to determine patient knowledge: the oral anticoagulation knowledge test. Ann Pharmacother. 2006;40:633–8.CrossRefPubMed
9.
go back to reference Delgado PG, Garralda MAG, Parejo MIB, Lozano FF, Martínez FM. Validación de un cuestionario para medir el conocimiento de los pacientes sobre sus medicamentos. Aten Primaria. 2009;41:661–9.CrossRef Delgado PG, Garralda MAG, Parejo MIB, Lozano FF, Martínez FM. Validación de un cuestionario para medir el conocimiento de los pacientes sobre sus medicamentos. Aten Primaria. 2009;41:661–9.CrossRef
10.
go back to reference Baker JW, Pierce KL, Ryals CA. INR goal attainment and oral anticoagulation knowledge of patients enrolled in an anticoagulation clinic in a Veterans Affairs medical center. J Manag Care Pharm. 2011;17:133–42.PubMed Baker JW, Pierce KL, Ryals CA. INR goal attainment and oral anticoagulation knowledge of patients enrolled in an anticoagulation clinic in a Veterans Affairs medical center. J Manag Care Pharm. 2011;17:133–42.PubMed
11.
go back to reference Matalaqah LM, Radaideh K, Sulaiman SASS, Hassali MA, Kader MASAK. An instrument to measure anticoagulation knowledge among Malaysian community: a translation and validation study of the Oral Anticoagulation Knowledge (OAK) Test. J Pharm Biomed Sci. 2013;3:30–7. Matalaqah LM, Radaideh K, Sulaiman SASS, Hassali MA, Kader MASAK. An instrument to measure anticoagulation knowledge among Malaysian community: a translation and validation study of the Oral Anticoagulation Knowledge (OAK) Test. J Pharm Biomed Sci. 2013;3:30–7.
14.
go back to reference Roberts P, Priest H, Traynor M. Reability and validity in research. Nurs Stand. 2006;20:41–5. Roberts P, Priest H, Traynor M. Reability and validity in research. Nurs Stand. 2006;20:41–5.
15.
go back to reference Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 1989. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 1989.
16.
go back to reference Fayers PM, Machin D. Quality of life: assessment, analysis and interpretation. Chichester: John Wiley & Sons; 2007.CrossRef Fayers PM, Machin D. Quality of life: assessment, analysis and interpretation. Chichester: John Wiley & Sons; 2007.CrossRef
17.
go back to reference Rosendaal FR, Cannegieter SC, van der Meer FJ, Briët E. A method to determine the optimal intensity of oral anticoagulant therapy. Thromb Haemost. 1993;69:236–9.PubMed Rosendaal FR, Cannegieter SC, van der Meer FJ, Briët E. A method to determine the optimal intensity of oral anticoagulant therapy. Thromb Haemost. 1993;69:236–9.PubMed
18.
go back to reference Sijtsma K. On the use, the misuse, and the very limited usefulness of Cronbach’s Alpha. Psychometrika. 2009;74:107–20.CrossRefPubMed Sijtsma K. On the use, the misuse, and the very limited usefulness of Cronbach’s Alpha. Psychometrika. 2009;74:107–20.CrossRefPubMed
19.
go back to reference Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs (NJ): Prentice Hall; 1998. Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs (NJ): Prentice Hall; 1998.
20.
go back to reference Khudair IF, Hanssens YI. Evaluation of patients’ knowledge on warfarin in outpatient anticoagulation clinics in a teaching hospital in Qatar. Saudi Med J. 2010; 31:672–7. Khudair IF, Hanssens YI. Evaluation of patients’ knowledge on warfarin in outpatient anticoagulation clinics in a teaching hospital in Qatar. Saudi Med J. 2010; 31:672–7.
21.
go back to reference Mayet AY. Association between oral anticoagulation knowledge, anticoagulation control, and demographic characteristics of patients attending an anticoagulation clinic in Saudi Arabia: a cross-sectional prospective evaluation. Trop J Pharm Res. 2015;14:1285–91.CrossRef Mayet AY. Association between oral anticoagulation knowledge, anticoagulation control, and demographic characteristics of patients attending an anticoagulation clinic in Saudi Arabia: a cross-sectional prospective evaluation. Trop J Pharm Res. 2015;14:1285–91.CrossRef
22.
go back to reference Alphonsa A, Sharma KK, Sharma G, Bhatia R. Knowledge regarding oral anticoagulation therapy among patients with stroke and those at high risk of thromboembolic events. J Stroke Cerebrovasc Dis. 2015;24:668–72.CrossRefPubMed Alphonsa A, Sharma KK, Sharma G, Bhatia R. Knowledge regarding oral anticoagulation therapy among patients with stroke and those at high risk of thromboembolic events. J Stroke Cerebrovasc Dis. 2015;24:668–72.CrossRefPubMed
23.
go back to reference Janoly-Duménil A, Bourne C, Loiseau K, Luauté J, Sancho PO, Ciancia S, et al. Oral anticoagulant treatment - evaluating the knowledge of patients admitted in physical medicine and rehabilitation units. Ann Phys Rehabil Med. 2011;54:172–80.CrossRefPubMed Janoly-Duménil A, Bourne C, Loiseau K, Luauté J, Sancho PO, Ciancia S, et al. Oral anticoagulant treatment - evaluating the knowledge of patients admitted in physical medicine and rehabilitation units. Ann Phys Rehabil Med. 2011;54:172–80.CrossRefPubMed
24.
go back to reference Gras-Champel V, Voyer A, Lematte C, Pakula P, Roussel B, Lefrère JJ, Andréjak M. Assessment of the quality of oral anticoagulation management in patients admitted to Amiens University Hospital. Therapie. 2005;60:149–57.CrossRefPubMed Gras-Champel V, Voyer A, Lematte C, Pakula P, Roussel B, Lefrère JJ, Andréjak M. Assessment of the quality of oral anticoagulation management in patients admitted to Amiens University Hospital. Therapie. 2005;60:149–57.CrossRefPubMed
25.
go back to reference Hasan SS, Shamala R, Syed IA, Basariah N, Chong DW, Mei TK, Chin OH. Factors affecting warfarin-related knowledge and INR control of patients attending physician- and pharmacist-managed anticoagulation clinics. J Pharm Pract. 2011;24:485–93.CrossRefPubMed Hasan SS, Shamala R, Syed IA, Basariah N, Chong DW, Mei TK, Chin OH. Factors affecting warfarin-related knowledge and INR control of patients attending physician- and pharmacist-managed anticoagulation clinics. J Pharm Pract. 2011;24:485–93.CrossRefPubMed
Metadata
Title
Assessment of psychometric properties of the Brazilian version of the oral anticoagulation knowledge test
Authors
Marcus Fernando da Silva Praxedes
Mauro Henrique Nogueira Guimarães de Abreu
Saul Martins Paiva
Juliana Vaz de Melo Mambrini
Milena Soriano Marcolino
Maria Auxiliadora Parreiras Martins
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0498-3

Other articles of this Issue 1/2016

Health and Quality of Life Outcomes 1/2016 Go to the issue