{"id":"616e11b1190b","type":"article","url":"https://hartvaat.nl/2026/11/01/nieuw-beoordelingsinstrument-evalueert-zelfzorgcompetenties-bij-lvad-patienten/","title":"Nieuw beoordelingsinstrument evalueert zelfzorgcompetenties bij LVAD-patiënten","title_en":"The Development and Initial Validation of the LVAD Care Competency Assessment Tool.","category":"hartfalen","category_label":"Hartfalen","professions":["cardioloog"],"tags":[],"journal":"Dimensions of critical care nursing : DCCN","doi":"10.1097/DCC.0000000000000796","source_url":"https://doi.org/10.1097/DCC.0000000000000796","authors":["Jessie M Casida","Kathryn M Fidlow","Chakra Budhathoki","Bridget Murphy","Gladys Alonzo","Horng-Shiuann Wu","Marykay Pavol"],"significance":3,"published":"2026-10-10","source_date":"2026-11-01","image":"https://hartvaat.nl/global/img/6e2cc0469790.webp","kennis":["https://hartvaat.nl/kennis/diagnostiek/transthoracale-echocardiografie/"],"congress":"","summary_en":"Researchers developed and initially validated the LVAD Care Competency Assessment Tool (LCCAT) to objectively evaluate self-management competencies and discharge readiness in patients with left ventricular assist devices (LVADs) and their caregivers. Initial validation demonstrates the tool's reliability in assessing complex self-care skills, with further psychometric testing planned. The LCCAT offers a standardized approach to discharge preparation, potentially improving safety and reducing variability in post-discharge care across VAD centers.","created":"2026-10-04T01:00:43Z","updated":"2026-10-04T01:00:45Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Onderzoekers hebben het LVAD Care Competency Assessment Tool (LCCAT) ontwikkeld en gevalideerd om de zelfzorgcompetenties en ontsluitingsgereedheid van patiënten met een linkerventrikelassistentieapparaat (LVAD) en hun mantelzorgers objectief te beoordelen. De eerste validatie toont aan dat het instrument betrouwbaar is in het meten van complexe zelfzorgvaardigheden, hoewel verdere psychometrische tests nog nodig zijn. Het LCCAT kan helpen om de ontslagvoorbereiding te standaardiseren en de veiligheid van patiënten thuis te verbeteren.","abstract_original":"The availability of an implantable left ventricular assist device (LVAD) has radically transformed the treatment of patients with advanced heart failure (HF). Studies have consistently shown improvements in survival and quality-of-life outcomes among advanced HF patients with LVADs in the past 30 years. However, during this period, much emphasis was placed on outcomes directly influenced by technological advancements and clinical management; the daily care of LVAD (self-management) remains complex and cognitively challenging to patients and their caregivers. Furthermore, preparation for hospital discharge varies across US VAD centers, and there is no objective measure to evaluate patients' and caregivers' self-management competencies. This article describes the development and initial validation of an LVAD Care Competency Assessment Tool (LCCAT)-Observer Form as an objective measure for evaluating patients' and caregivers' readiness for discharge in the context of self-management competencies. A plan for psychometric testing and future studies is outlined, and implications of clinical practice are discussed."}