Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec 24;13(1):107.
doi: 10.3390/jcm13010107.

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

Carolina Machado de Melo Felix  1 , Danielle Aparecida Gomes Pereira  1 , Maureen Pakosh  2 , Lilian Pinto da Silva  3 , Gabriela Lima de Melo Ghisi  2   4
Affiliations

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

Carolina Machado de Melo Felix et al. J Clin Med. .

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.

Keywords: awareness; knowledge; patient education as topic; peripheral artery disease; surveys and questionnaires.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Distribution of the knowledge and awareness about signs/symptoms of PAD evaluated in studies.
Figure 3
Figure 3
Distribution of the knowledge and awareness about risk factors of PAD evaluated in studies.
Figure 4
Figure 4
Distribution of the knowledge and awareness about the pathophysiology of PAD evaluated in studies.
Figure 5
Figure 5
Distribution of the knowledge of, and awareness about, management and pharmacological therapy of PAD evaluated in studies.
Figure 6
Figure 6
Word cloud of most common terms included in the knowledge/awareness questions.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Fowkes F.G.R., Rudan D., Rudan I., Aboyans V., Denenberg J.O., McDermott M.M., Norman P.E., Sampson U.K.A., Williams L.J., Mensah G.A., et al. Comparison of Global Estimates of Prevalence and Risk Factors for Peripheral Artery Disease in 2000 and 2010: A Systematic Review and Analysis. Lancet. 2013;382:1329–1340. doi: 10.1016/S0140-6736(13)61249-0. - DOI - PubMed
    1. National Clinical Guideline Centre . Lower Limb Peripheral Arterial Disease: Diagnosis and Management. National Clinical Guideline Centre; London, UK: 2012. NICE Clinical Guidelines.
    1. Gerhard-Herman M.D., Gornik H.L., Barrett C., Barshes N.R., Corriere M.A., Drachman D.E., Fleisher L.A., Fowkes F.G.R., Hamburg N.M., Kinlay S., et al. 2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary. Vasc. Med. 2017;22:NP1–NP43. doi: 10.1016/j.jacc.2016.11.008. - DOI - PubMed
    1. Cronin C.T., McCartan D.P., McMonagle M., Cross K.S., Dowdall J.F. Peripheral Artery Disease: A Marked Lack of Awareness in Ireland. Eur. J. Vasc. Endovasc. Surg. 2015;49:556–562. doi: 10.1016/j.ejvs.2014.12.017. - DOI - PubMed
    1. Hirsch A.T., Murphy T.P., Lovell M.B., Twillman G., Treat-Jacobson D., Harwood E.M., Mohler E.R., Creager M.A., Hobson R.W., Robertson R.M., et al. Gaps in Public Knowledge of Peripheral Arterial Disease: The First National PAD Public Awareness Survey. Circulation. 2007;116:2086–2094. doi: 10.1161/CIRCULATIONAHA.107.725101. - DOI - PubMed

Publication types

LinkOut - more resources