Key result
Chinese CADE-Q SV validates as an acceptable tool to assess cardiovascular patient knowledge.
Why the study?
Due to heavy clinical workload in China, a short and reliable tool was needed to assess disease-related knowledge for targeted patient education in cardiac rehabilitation.
Is the Chinese version of the CADE-Q SV a reliable and valid tool for assessing disease-related knowledge in cardiovascular patients undergoing cardiac rehabilitation?
Cross-Sectional (n=240)
No
Is the Chinese version of the CADE-Q SV a reliable and valid tool for assessing disease-related knowledge in cardiovascular patients undergoing cardiac rehabilitation?
The Chinese CADE-Q SV is a reliable and valid short tool for assessing disease-related knowledge in Chinese cardiac rehabilitation patients, facilitating targeted patient education.
Answers are grounded in this paper and cite their sources.
May aid knowledge assessment in Chinese cardiac rehab; leaves open prospective outcome validation.
Background: Patient education is the first step in implementing a cardiac rehabilitation (CR) program and a powerful tool for promoting behavioral changes in cardiac patients. In China, the clinical workload is so heavy that a short and reliable tool for assessing disease-related knowledge is needed for targeted patient education. Objective: The aim of this study was to translate, adapt and validate the Chinese version of the Coronary Artery Disease Education Questionnaire - Short Version (CADE-Q SV). Methods: The CADE-Q SV was translated to simplified Chinese and culturally adapted to the Chinese context. The translated version was reviewed by a committee of seven experts in cardiovascular disease, and the content validity of the questionnaire was established. The psychometric properties of the questionnaire were analyzed considering the responses of 240 CR patients. The Kuder-Richardson-20 (KR-20) coefficient and Cronbach's alpha were used to assess internal consistency. The intraclass correlation coefficient (ICC) was used to assess test-retest reliability. The criterion-related validity was evaluated by determining whether there were differences in the total scores of patients with different educational levels. Confirmatory factor analysis (CFA) was used to assess the factor structure. Results: Three items from the original version were adapted to reflect Chinese culture. The content validity index was 0.94. The KR-20 score was 0.856. All ICC values were > 0.70. The knowledge scores of patients with different educational levels were significantly different, indicating that the criterion-related validity of the Chinese CADE-Q-SV was acceptable. CFA validated the five-factor structure of the Chinese CADE-Q-SV. Conclusion: The Chinese CADE-Q SV questionnaire has good reliability and validity. This short, efficient tool can be completed quickly, assess disease-related knowledge in cardiovascular patients and serve as a reference for individualized patient education in China. It can also be used to evaluate the effectiveness of CR-related patient education interventions.
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Yang et al. (2021) conducted a cross-sectional in Cardiovascular disease (cardiac rehabilitation patients) (n=240). Chinese CADE-Q SV was evaluated on Psychometric properties (reliability and validity) of the Chinese CADE-Q SV. The Chinese CADE-Q SV demonstrated good reliability and validity, indicating it is an acceptable tool for assessing disease-related knowledge in cardiovascular patients.
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