title: [Validation of satisfaction questionnaire ACTS in outpatients with atrial fibrillation treated with oral anticoagulants in Spain. ALADIN Study].
abstract: OBJECTIVE
  To validate the satisfaction questionnaire Anti-Clot-Treatment Scale (ACTS) in outpatients with nonvalvular atrial fibrillation (NVAF) treated with oral anticoagulants attended in Internal Medicine and Neurology departments in Spain.
  
  
  METHODS
  In this cross-sectional and multicentrer study, 1,337 outpatients aged≥18 years, with NVAF, treated with oral anticoagulants≥3 months, attended in Internal Medicine and Neurology departments in Spain were analyzed. The patients completed ACTS, Self-Assessment of Treatment Questionnaire (SAT-Q) and EuroQol-5 dimensions (EQ-5D) questionnaires. ACTS is a satisfaction tool that specifically analyzes burdens (higher score, lesser burden) and benefits (higher score, higher benefit) with anticoagulant treatment. The psychometric properties of the questionnaire were evaluated according to the classical test theory.
  
  
  RESULTS
  The average time to complete the questionnaire was 8.99±6.06min and 63.70% of patients needed assistance to complete it. There was a high concordance between test and retest scores. Total reliability (Cronbach's alpha) was 0.95 in the ACTS Burdens scale and 0.82 in the ACTS Benefits scale. The factorial model was pertinent. All correlations with the SAT-Q questionnaire were positive, moderate and statistically significant. With regard to the EQ-5D-3L questionnaire, correlations were positive, low and statistically significant. Patient satisfaction was higher in the individuals being treated with new direct oral anticoagulants.
  
  
  CONCLUSIONS
  In patients with NVAF treated with oral anticoagulants, the Spanish version of ACTS questionnaire was reliable, valid and feasible.
authors.affiliation: Medicina Interna, Hospital Universitario de La Princesa, Madrid, España. Electronic address: csuarezf@salud.madrid.org.
authors.forename: Carmen
authors.initials: C
authors.lastname: Suárez
authors.affiliation: Medicina Interna, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pose
authors.affiliation: Medicina Interna, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Reina Sofía, Universidad de Córdoba, Córdoba, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Montero-Pérez-Barquero
authors.affiliation: Neurología, Hospital del Mar, Barcelona, España.
authors.forename: Jaume
authors.initials: J
authors.lastname: Roquer
authors.affiliation: Neurología, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: Jaime
authors.initials: J
authors.lastname: Gállego
authors.affiliation: Departamento Médico, Bayer Hispania, Barcelona, España.
authors.forename: Carles
authors.initials: C
authors.lastname: Ràfols
authors.affiliation: Departamento Médico, Bayer Hispania, Barcelona, España.
authors.forename: Daniel
authors.initials: D
authors.lastname: Cazorla
authors.affiliation: Neurología, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria La Princesa, Madrid, España.
authors.forename: José
authors.initials: J
authors.lastname: Vivancos
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000188:drug therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011594:Psychometrics; D015203:Reproducibility of Results; D013030:Spain; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000925:Anticoagulants
keywords: ACTS; Anticoagulación oral; EQ-5D-3L; Fibrilación auricular no valvular; Nonvalvular atrial fibrillation; Oral anticoagulation; SAT-Q; Validación; Validation