Table 1 Components of the heart failure survey

Global Health

General health question [40]

Assesses overall general health rated as: Excellent, Very Good, Good, Fair, Poor.

Self-report disease status

Assesses which cardiovascular related diseases that the patient self-reports.

Functional and Mental Status

PROMIS 29 v2.0-Health Profile [41, 42]

Assesses health and well-being (includes Anxiety, Depression, Fatigue, Pain, Physical Function, Sleep Disturbance, and Ability to Participate in Social Roles and Activities subscales).

Cronbach’s alpha for subscales: 0.85–0.96

Basic and instrumental activities of daily living and mobility activities

Assesses functional disability.

Self-Management

Chronic Illness Resources Survey [38, 39]

Assesses perceived support and community resources for self-management (includes Physician/Health Care Team, Family and Friends, Dietary, Exercise, Personal, Neighborhood/Community, Work, Media and Policy, and Organizations subscales).

Cronbach’s alpha for subscales: 0.50–0.84

Social Support

PROMIS SF v2.0– Informational Support [32]

Assesses perceived availability of information or advice.

Cronbach’s alpha = 0.94

PROMIS SF v2.0– Instrumental Support [32]

Assesses perceived availability of support for cognitive, material, or task performance.

Cronbach’s alpha = 0.91

PROMIS SF v2.0—Social Isolation [32]

Assesses perceptions of social isolation.

Cronbach’s alpha = 0.91

Accompaniment to physician visits [33, 34]

Assesses whether patient has someone accompany them to doctor visits.

Handling of health care activities [33, 34]

Assesses whether patient has someone help them with health care activities.

Health Literacy

Health Literacy Screener [35,36,37]

Assesses difficulty understanding information or performing reading tasks in health care setting.

Cronbach’s alpha = 0.80

Demographics

Race, ethnicity, marital status, education

Assesses general demographic information.