Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, Canada.
Can J Nurs Res. 2022 Mar;54(1):51-58. doi: 10.1177/0844562120986001. Epub 2021 Feb 2.
The long-term success of cardiac rehabilitation programs rests in part on the patient's ability to maintain health behaviors, which is influence by the patient education received. Therefore, a short and reliable tool to assess patients' knowledge is warranted. The aim of this study was to translate, culturally-adapt and psychometrically validate the French-Canadian version of the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV).
The French CADE-Q SV - translated and culturally-adapted - was reviewed by 3 bilingual experts in cardiovascular disease. This version was then psychometrically tested in 115 CR patients in two Canadian provinces (Québec and New Brunswick). The questionnaire was completed at patients' first CR session and in the end of their 6-month program to assess interpretability. The internal consistency was assessed using Kuder-Richardson-20 (KR-20) and Cronbach's alpha, factor structure using confirmatory factor analysis, and criterion validity regarding level of education and family income.
KR-20 was 0.72. Factor analysis revealed 5 factors, all internally consistent. Criterion validity was supported by significant differences in total scores by educational level and family income (p < 0.05). Results showed that increases in knowledge can moderately increase mean steps per day and peakVO2, with an MCID of 3.00. The overall mean was 15.7 ± 2.0. The area with the highest knowledge was risk factors and the lowest was psychosocial risk.
The French-Canadian CADE-SV was demonstrated to have good validity and reliability.
心脏康复计划的长期成功部分取决于患者维持健康行为的能力，而这受到患者所接受的教育的影响。因此，需要一种简短而可靠的工具来评估患者的知识。本研究的目的是翻译、文化适应和心理测量验证法语版冠心病教育问卷短版（CADE-Q SV）。
经过 3 位心血管疾病双语专家对法语版 CADE-Q SV 的翻译和文化适应审查，该版本在加拿大两个省份（魁北克省和新不伦瑞克省）的 115 名 CR 患者中进行了心理测量测试。问卷在患者的第一次 CR 疗程和 6 个月疗程结束时完成，以评估可解释性。内部一致性采用 Kuder-Richardson-20（KR-20）和克朗巴赫的 alpha 进行评估，使用验证性因素分析评估结构，以及根据教育程度和家庭收入评估标准有效性。
KR-20 为 0.72。因子分析显示有 5 个因子，均具有内部一致性。标准有效性得到了支持，即根据教育程度和家庭收入的总分数存在显著差异（p < 0.05）。结果表明，知识的增加可以适度增加每日步数和峰值 VO2，其 MCID 为 3.00。总平均值为 15.7 ± 2.0。知识水平最高的领域是危险因素，最低的是心理社会风险。
法语版 CADE-SV 具有良好的有效性和可靠性。
