{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:55:25Z","timestamp":1790888125767,"version":"4.1.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>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\u2019 and caregivers\u2019 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\u2019 and caregivers\u2019 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.<\/jats:p>","DOI":"10.1097\/dcc.0000000000000796","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:01:01Z","timestamp":1790884861000},"page":"322-326","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Development and Initial Validation of the LVAD Care Competency Assessment Tool"],"prefix":"10.1097","volume":"45","author":[{"given":"Jessie M.","family":"Casida","sequence":"first","affiliation":[{"name":"Mennonite College of Nursing, Illinois State University, Normal, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Fidlow","sequence":"additional","affiliation":[{"name":"Huntersville, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chakra","family":"Budhathoki","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Murphy","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gladys","family":"Alonzo","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7859-1742","authenticated-orcid":false,"given":"Horng-Shiuann","family":"Wu","sequence":"additional","affiliation":[{"name":"Michigan State University College of Nursing, Lansing, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0270-7443","authenticated-orcid":false,"given":"Marykay","family":"Pavol","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"8","key":"R1-20261001","doi-asserted-by":"crossref","first-page":"e347","DOI":"10.1161\/CIR.0000000000001209","article-title":"American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association","volume":"149","author":"Martin","year":"2024","journal-title":"Circulation"},{"issue":"2","key":"R2-20261001","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.athoracsur.2022.11.023","article-title":"The Society of Thoracic Surgeons Intermacs 2022 Annual Report: focus on the 2018 heart transplant allocation system","volume":"115","author":"Yuzefpolskaya","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"10","key":"R4-20261001","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1016\/j.jchf.2021.05.009","article-title":"Advanced heart failure epidemiology and outcomes: a population-based study","volume":"9","author":"Dunlay","year":"2021","journal-title":"JACC Heart Fail"},{"issue":"1 Pt C","key":"R5-20261001","doi-asserted-by":"crossref","first-page":"102118","DOI":"10.1016\/j.cpcardiol.2023.102118","article-title":"Efficacy and complication profiles of left ventricular assist devices in adult heart failure management: a systematic review and meta-analysis","volume":"49","author":"Llerena-Velastegui","year":"2024","journal-title":"Curr Probl Cardiol"},{"issue":"3","key":"R6-20261001","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0003-4975(99)00042-9","article-title":"The REMATCH trial: rationale, design, and endpoints. 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