Key result
The 7-item CVD-AAQ demonstrated a one-factor structure with satisfactory internal consistency (Cronbach's alpha 0.79) and was significantly associated with medication non-adherence and higher BMI.
Cross-Sectional (n=275)
Effect estimate: Cronbach's alpha 0.79
The CVD-AAQ is a reliable and valid measure of heart disease-specific psychological inflexibility that correlates with important cardiovascular risk factors like medication adherence and BMI.
May aid assessment of psychological barriers to heart-healthy behaviors; leaves open prospective utility in guiding interventions or predicting outcomes.
Psychological inflexibility refers to the attempt to decrease internal distress even when doing so is inconsistent with life values, and has been identified as a potential barrier to making and maintaining health behavior changes that are consistent with a heart-healthy lifestyle. Disease- and behavior-specific measures of psychological inflexibility have been developed and utilized in treatment research. However, no specific measure has been created for patients with heart disease. Thus, the CardioVascular Disease Acceptance and Action Questionnaire (CVD-AAQ) was developed. The present study is aimed to evaluate the psychometric properties of the CVD-AAQ and to explore its association with measures of psychological adjustment and cardiovascular risk factors in an Italian sample of 275 cardiac patients. Exploratory factor analysis showed a structural one-factor solution with satisfactory internal consistency and test-retest reliability. The relation with other measures was in the expected direction with stronger correlations for the theoretically consistent variables, supporting convergent and divergent validity. CVD-AAQ scores were associated with general psychological inflexibility, anxiety and depression and inversely correlated with psychological well-being. Moreover, the results showed that CVD-AAQ scores are associated with two relevant risk factors for cardiac patients, namely low adherence to medication and being overweight. In sum, results suggest that the CVD-AAQ is a reliable and valid measure of heart disease-specific psychological inflexibility with interesting clinical applications for secondary prevention care.
No takes yet. Share an insight, caveat, or question.
Spatola et al. (2014) conducted a cross-sectional in Cardiovascular disease (n=275). Cardiovascular Disease Acceptance and Action Questionnaire (CVD-AAQ) was evaluated on Psychometric properties (factor structure and internal consistency) of the CVD-AAQ (Cronbach's alpha 0.79). The 7-item CVD-AAQ demonstrated a one-factor structure with satisfactory internal consistency (Cronbach's alpha 0.79) and was significantly associated with medication non-adherence and higher BMI.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: