title: [Assessment of subjective physical well-being in heart failure : Validation of the FEW16 questionnaire].
abstract: BACKGROUND
  Improvement in the quality of life (QoL) is a major goal of therapy for heart failure (HF) patients. Physical well-being as an important component of QoL has not yet been sufficiently covered by disease-specific assessment instruments. The aim of the study was to validate the questionnaire for assessing subjective physical well-being (FEW16) in HF patients with preserved ejection fraction (HFpEF) from the exercise training in diastolic heart failure (Ex-DHF‑P) trial.
  
  
  METHODS
  A total of 64 HFpEF patients (65 years, 56 % female) were randomized to usual routine treatment with (n = 44) or without training (n = 20). At baseline and 3 months, patients were clinically evaluated and assessed using appropriate questionnaires on the QoL (SF36), physical well-being (FEW16) and depression (PHQ-D).
  
  
  RESULTS
  The FEW16 showed good values for Cronbachs' alpha coefficients (0.85-0.93). The cross-validity with SF36 and PHQ-D was highly significant but more so for psychological aspects. At baseline, the FEW16 score correlated with age, the subscale resilience with age and the 6 min walking distance test. At follow-up, the total and resilience scores had improved in the training group. In contrast to the SF36, the FEW16 did not detect differences between the groups in Ex-DHF‑P.
  
  
  CONCLUSIONS
  The FEW16 questionnaire showed good internal consistency and correlation with SF36, its total score and resilience had improved after training; however, it did not reflect different changes between the study groups. The FEW16 is therefore more suited to assess general/mental well-being than the subjective physical well-being.
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Jahandar Lashki
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Zelenak
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Tahirovic
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.|Standort Berlin, Deutsches Zentrum für Herz-Kreislauf-Forschung, Berlin, Deutschland.
authors.forename: T D
authors.initials: TD
authors.lastname: Trippel
authors.affiliation: Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Kolip
authors.affiliation: HealthTwiSt GmbH, Berlin, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Busjahn
authors.affiliation: Medizinische Klinik m. S. Psychosomatik, Charité Universitätsmedizin Berlin, Berlin, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Rauchfuß
authors.affiliation: Klinik für Kardiologie und Pneumologie, Herzzentrum Göttingen, Universität Göttingen, Göttingen, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Nolte
authors.affiliation: Zentrum für Prävention und Sportmedizin, Munich Heart Alliance, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schwarz
authors.affiliation: Standort Göttingen, Deutsches Zentrum für Herz-Kreislauf-Forschung, Göttingen, Deutschland.|Klinik für Kardiologie und Pneumologie, Herzzentrum Göttingen, Universität Göttingen, Göttingen, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Wachter
authors.affiliation: Institut für Klinische Epidemiologie und Biometrie, Universität Würzburg, Würzburg, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Gelbrich
authors.affiliation: Zentrum für Prävention und Sportmedizin, Munich Heart Alliance, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Halle
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Pieske
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universität Göttingen, Göttingen, Deutschland.|Standort Göttingen, Deutsches Zentrum für Herz-Kreislauf-Forschung, Göttingen, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Herrmann-Lingen
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Edelmann
authors.affiliation: Klinik für Innere Medizin - Kardiologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland. hans-dirk.duengen@charite.de.
authors.forename: H-D
authors.initials: HD
authors.lastname: Düngen
mesh_terms: D000368:Aged; D059026:Diagnostic Self Evaluation; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D011594:Psychometrics / Q000379:methods; D011788:Quality of Life / Q000523:psychology*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
keywords: Exercise; FEW16; Heart failure with preserved ejection fraction; Quality of life; Validation