Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study
Abstract Objectives We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. Background Pre-transplant psychosocial and behavioral risk is associ...
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| Veröffentlicht in: | Heart & lung 2017-07, Vol.46 (4), p.273-279 |
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| creator | Vandenbogaart, Elizabeth, MSN, ACNP Doering, Lynn, RN, PhD Chen, Belinda, MPH Saltzman, Ann, LCS Chaker, Tamara, MSN, ACNP Creaser, Julie W., MSN, CNS Rourke, Darlene, MN, CNS Cheng, Richard W., MD Fonarow, Gregg C., MD, FACC, FAHA Deng, Mario, MD, FACC, FESC |
| description | Abstract Objectives We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. Background Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. Methods Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. Results SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76–0.96). Compared to those with SIPAT ratings of “Excellent/Good”, the “Minimally Acceptable Candidate/High Risk” group was more likely to miss clinic visits ( p = 0.004). Conclusions The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes. |
| doi_str_mv | 10.1016/j.hrtlng.2017.04.005 |
| format | Article |
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Background Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. Methods Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. Results SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76–0.96). Compared to those with SIPAT ratings of “Excellent/Good”, the “Minimally Acceptable Candidate/High Risk” group was more likely to miss clinic visits ( p = 0.004). Conclusions The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.</description><identifier>ISSN: 0147-9563</identifier><identifier>EISSN: 1527-3288</identifier><identifier>DOI: 10.1016/j.hrtlng.2017.04.005</identifier><identifier>PMID: 28527833</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Assessment tool ; Cardiovascular ; Critical Care ; Female ; Health Status Indicators ; Heart transplant evaluation ; Heart Transplantation - psychology ; Humans ; Male ; Middle Aged ; Outcomes ; Psychological Tests ; Psychosocial risk ; Pulmonary/Respiratory ; Reproducibility of Results ; Retrospective Studies ; Risk Assessment - methods ; Surveys and Questionnaires ; Transplant candidate selection</subject><ispartof>Heart & lung, 2017-07, Vol.46 (4), p.273-279</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-384869195cfabfd51a8b0b22d168066400b51d02588ec46875119ea43620147e3</citedby><cites>FETCH-LOGICAL-c483t-384869195cfabfd51a8b0b22d168066400b51d02588ec46875119ea43620147e3</cites><orcidid>0000-0001-7184-1278</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0147956317301474$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28527833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vandenbogaart, Elizabeth, MSN, ACNP</creatorcontrib><creatorcontrib>Doering, Lynn, RN, PhD</creatorcontrib><creatorcontrib>Chen, Belinda, MPH</creatorcontrib><creatorcontrib>Saltzman, Ann, LCS</creatorcontrib><creatorcontrib>Chaker, Tamara, MSN, ACNP</creatorcontrib><creatorcontrib>Creaser, Julie W., MSN, CNS</creatorcontrib><creatorcontrib>Rourke, Darlene, MN, CNS</creatorcontrib><creatorcontrib>Cheng, Richard W., MD</creatorcontrib><creatorcontrib>Fonarow, Gregg C., MD, FACC, FAHA</creatorcontrib><creatorcontrib>Deng, Mario, MD, FACC, FESC</creatorcontrib><title>Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study</title><title>Heart & lung</title><addtitle>Heart Lung</addtitle><description>Abstract Objectives We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. Background Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. Methods Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. Results SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76–0.96). Compared to those with SIPAT ratings of “Excellent/Good”, the “Minimally Acceptable Candidate/High Risk” group was more likely to miss clinic visits ( p = 0.004). Conclusions The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.</description><subject>Assessment tool</subject><subject>Cardiovascular</subject><subject>Critical Care</subject><subject>Female</subject><subject>Health Status Indicators</subject><subject>Heart transplant evaluation</subject><subject>Heart Transplantation - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcomes</subject><subject>Psychological Tests</subject><subject>Psychosocial risk</subject><subject>Pulmonary/Respiratory</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Surveys and Questionnaires</subject><subject>Transplant candidate selection</subject><issn>0147-9563</issn><issn>1527-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFu1DAQhi0EokvhDRDykUuCHTuJwwFpVRWoVAmklrPlOJOut1k7eJyV9sqT42gLBy74Yh---Wfmkwl5y1nJGW8-7MtdTJN_KCvG25LJkrH6GdnwumoLUSn1nGwYl23R1Y24IK8Q9ywf0bQvyUWlMqWE2JBf10czLSa54GkYadoBvbv5vr2nzmOKywF8oilQgwiIdMaT3QUM1pmJRoePGaM7MDFD0XicJ5N5a_zgBpMAP9ItjZBiwBlsckeg6PzDBNTmXIgU0zKcXpMXo5kQ3jzdl-TH5-v7q6_F7bcvN1fb28JKJVIhlFRNx7vajqYfh5ob1bO-qgbeKNY0krG-5gOraqXAyka1NecdGCmaavUA4pK8P-fOMfxcAJM-OLQw5ZkhLKh5x7hgXVeLjMozavPoGGHUc3QHE0-aM73a13t9tq9X-5pJne3nsndPHZb-AMPfoj-6M_DpDEDe8-ggarQOvIXBxSxID8H9r8O_AXZy3lkzPcIJcB-W6LNDzTVWmum7dfP1A_BWrE8pfgNJEa3y</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Vandenbogaart, Elizabeth, MSN, ACNP</creator><creator>Doering, Lynn, RN, PhD</creator><creator>Chen, Belinda, MPH</creator><creator>Saltzman, Ann, LCS</creator><creator>Chaker, Tamara, MSN, ACNP</creator><creator>Creaser, Julie W., MSN, CNS</creator><creator>Rourke, Darlene, MN, CNS</creator><creator>Cheng, Richard W., MD</creator><creator>Fonarow, Gregg C., MD, FACC, FAHA</creator><creator>Deng, Mario, MD, FACC, FESC</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7184-1278</orcidid></search><sort><creationdate>20170701</creationdate><title>Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study</title><author>Vandenbogaart, Elizabeth, MSN, ACNP ; Doering, Lynn, RN, PhD ; Chen, Belinda, MPH ; Saltzman, Ann, LCS ; Chaker, Tamara, MSN, ACNP ; Creaser, Julie W., MSN, CNS ; Rourke, Darlene, MN, CNS ; Cheng, Richard W., MD ; Fonarow, Gregg C., MD, FACC, FAHA ; Deng, Mario, MD, FACC, FESC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-384869195cfabfd51a8b0b22d168066400b51d02588ec46875119ea43620147e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Assessment tool</topic><topic>Cardiovascular</topic><topic>Critical Care</topic><topic>Female</topic><topic>Health Status Indicators</topic><topic>Heart transplant evaluation</topic><topic>Heart Transplantation - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcomes</topic><topic>Psychological Tests</topic><topic>Psychosocial risk</topic><topic>Pulmonary/Respiratory</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><topic>Surveys and Questionnaires</topic><topic>Transplant candidate selection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vandenbogaart, Elizabeth, MSN, ACNP</creatorcontrib><creatorcontrib>Doering, Lynn, RN, PhD</creatorcontrib><creatorcontrib>Chen, Belinda, MPH</creatorcontrib><creatorcontrib>Saltzman, Ann, LCS</creatorcontrib><creatorcontrib>Chaker, Tamara, MSN, ACNP</creatorcontrib><creatorcontrib>Creaser, Julie W., MSN, CNS</creatorcontrib><creatorcontrib>Rourke, Darlene, MN, CNS</creatorcontrib><creatorcontrib>Cheng, Richard W., MD</creatorcontrib><creatorcontrib>Fonarow, Gregg C., MD, FACC, FAHA</creatorcontrib><creatorcontrib>Deng, Mario, MD, FACC, FESC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart & lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vandenbogaart, Elizabeth, MSN, ACNP</au><au>Doering, Lynn, RN, PhD</au><au>Chen, Belinda, MPH</au><au>Saltzman, Ann, LCS</au><au>Chaker, Tamara, MSN, ACNP</au><au>Creaser, Julie W., MSN, CNS</au><au>Rourke, Darlene, MN, CNS</au><au>Cheng, Richard W., MD</au><au>Fonarow, Gregg C., MD, FACC, FAHA</au><au>Deng, Mario, MD, FACC, FESC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study</atitle><jtitle>Heart & lung</jtitle><addtitle>Heart Lung</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>46</volume><issue>4</issue><spage>273</spage><epage>279</epage><pages>273-279</pages><issn>0147-9563</issn><eissn>1527-3288</eissn><abstract>Abstract Objectives We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. Background Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. Methods Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. Results SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76–0.96). Compared to those with SIPAT ratings of “Excellent/Good”, the “Minimally Acceptable Candidate/High Risk” group was more likely to miss clinic visits ( p = 0.004). Conclusions The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28527833</pmid><doi>10.1016/j.hrtlng.2017.04.005</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7184-1278</orcidid></addata></record> |
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| ispartof | Heart & lung, 2017-07, Vol.46 (4), p.273-279 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Assessment tool Cardiovascular Critical Care Female Health Status Indicators Heart transplant evaluation Heart Transplantation - psychology Humans Male Middle Aged Outcomes Psychological Tests Psychosocial risk Pulmonary/Respiratory Reproducibility of Results Retrospective Studies Risk Assessment - methods Surveys and Questionnaires Transplant candidate selection |
| title | Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: A retrospective single center study |
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