Key result
Hungarian ABCD Risk Questionnaire demonstrates validity for assessing CVD-related attitudes in community samples.
Why the study?
Reliable and valid assessment of subjective risk perception is crucial for CVD prevention and rehabilitation, prompting evaluation of the psychometric properties of the Hungarian version of the ABCD Risk Questionnaire.
Does the Hungarian version of the ABCD Risk Questionnaire demonstrate adequate psychometric properties in a community sample?
Cross-Sectional (n=410)
Does the Hungarian version of the ABCD Risk Questionnaire demonstrate adequate psychometric properties in a community sample?
The Hungarian version of the ABCD Risk Questionnaire is a valid and reliable tool for assessing cardiovascular disease risk perception and attitudes in the general population.
Supports research use of the Hungarian ABCD questionnaire; leaves open clinical translation and outcome prediction.
OBJECTIVES: Reliable and valid assessment of subjective risk perception is a crucial part of cardiovascular disease (CVD) prevention and rehabilitation. Since the recently developed Attitudes and Beliefs about Cardiovascular Disease (ABCD) Risk Questionnaire complies with these requirements, the aim of the present study was to investigate the psychometric properties of the Hungarian version of the measure. DESIGN AND SETTING: Community-based cross-sectional observational study PARTICIPANTS: In sum, 410 (M=49.53 years, SD=8.09) Hungarian adults (inclusion criteria: aged 35 and above, not under treatment with a psychiatric disorder) were included in the present study (female: n=277, 67.6%; college or university-level education: n=247, 60.2%). METHODS: We translated the ABCD Risk Questionnaire into Hungarian and checked its psychometric properties and validity indices. PRIMARY OUTCOME MEASURES: Internal consistency, explorative and confirmative factorial validity. Associations with sociodemographic and health-related characteristics, as well as with measures of mental health (depressive symptoms, perceived stress and well-being). RESULTS: Exploratory and confirmatory factor analyses supported a three-factor solution, corresponding to the original subscales of Risk Perception, Perceived Benefits and Healthy Eating Intentions, with a moderate correlation between the latent constructs. The respondents' level of knowledge on CVD risk factors was largely independent of their subjective risk perception. The results also provided evidence on the weak-to-medium associations between mental health indices and CVD-related perceptions. Based on the results, a shortened scale version was also suggested. CONCLUSION: This study confirms the factorial structure, internal consistency and validity of the Hungarian version of the ABCD Risk Questionnaire in a non-English-speaking community sample. The ABCD Risk Perception Questionnaire is a parsimonious and psychometrically adequate measure to assess CVD-related attitudes and knowledge in the general population. Further research is needed in socioeconomically more diverse and in clinical samples, as well as in longitudinal intervention studies.
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Martos et al. (2020) conducted a cross-sectional in Cardiovascular disease risk perception (n=410). Hungarian version of the ABCD Risk Questionnaire was evaluated on Internal consistency, explorative and confirmative factorial validity, and associations with sociodemographic, health-related, and mental health characteristics. The Hungarian version of the ABCD Risk Questionnaire demonstrated a valid three-factor structure, internal consistency, and validity for assessing CVD-related attitudes in a community sample.
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