A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients

Author:

Felix Carolina Machado de Melo1,Pereira Danielle Aparecida Gomes1ORCID,Pakosh Maureen2,Silva Lilian Pinto da3,Ghisi Gabriela Lima de Melo24ORCID

Affiliation:

1. Graduate Program in Rehabilitation Sciences, Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil

2. Library & Information Services, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M5G 2A2, Canada

3. Graduate Program in Rehabilitation Sciences and Physical Functional Performance, Faculty of Physiotherapy, Universidade Federal de Juiz de Fora, Juiz de Fora 36036-900, Brazil

4. KITE Research Institute, University Health Network, Toronto, ON M4G 1R7, Canada

Abstract

Background: Peripheral arterial disease (PAD) is the third leading cause of atherosclerotic cardiovascular morbidity worldwide, with high prevalence and associated complications, and is often overlooked and undertreated. Research has shown that there is a profound lack of PAD-related knowledge and awareness; additionally, information sources are not often reliable and accessible. The objective of this scoping review was: (1) to identify and critically appraise instruments that measure patients’ disease-related knowledge/awareness about PAD, and (2) to characterize the current state of knowledge/awareness levels among these patients. Methods: This systematic review was conducted and reported in accordance with the PRISMA statement. Six databases (APA PsycInfo, CINAHL Ultimate, Embase, Emcare Nursing, Medline ALL and Web of Science Core Collection) were searched, and search strategies were developed utilizing the PICO framework. Potential studies of any methodological design were considered for inclusion through a snowball hand search. Data from the included articles were extracted by a reviewer, and the extraction accuracy was independently cross-checked by another author. Results: The initial database search yielded 9832 records, of which sixteen studies (thirteen quantitative and three qualitative) were included. Only three questionnaires had their psychometric properties assessed. Questionnaire items focused on the following topics: definition/characteristics, risk factors/causes, treatment, complications, and personal issues regarding the perception/management of the disease. Overall, knowledge/awareness about PAD was low among patients. Conclusions: This study identified major gaps in PAD education, including the lack of availability of a validated measurement tool addressing all educational topics relevant to care and low knowledge/awareness of patients about their condition.

Publisher

MDPI AG

Subject

General Medicine

Reference54 articles.

1. Comparison of Global Estimates of Prevalence and Risk Factors for Peripheral Artery Disease in 2000 and 2010: A Systematic Review and Analysis;Fowkes;Lancet,2013

2. National Clinical Guideline Centre (2012). Lower Limb Peripheral Arterial Disease: Diagnosis and Management, National Clinical Guideline Centre. NICE Clinical Guidelines.

3. 2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary;Gornik;Vasc. Med.,2017

4. Peripheral Artery Disease: A Marked Lack of Awareness in Ireland;Cronin;Eur. J. Vasc. Endovasc. Surg.,2015

5. Gaps in Public Knowledge of Peripheral Arterial Disease: The First National PAD Public Awareness Survey;Hirsch;Circulation,2007

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