Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden.
Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden.
Physiother Theory Pract. 2022 Nov;38(11):1779-1788. doi: 10.1080/09593985.2021.1891590. Epub 2021 Feb 24.
Translate and adapt the Multidimensional Outcome Expectations for Exercise Scale (MOEES) into Swedish language and to explore psychometric properties, in terms of test-retest reliability, internal consistency as well as factor structure and floor and ceiling effects, of the Swedish version of MOEES in cardiac patients.
This prospective psychometrical study set in a Swedish cardiac rehabilitation outpatient clinic included 74 patients; age 18 years after acute coronary syndrome or that had undergone cardiac surgery. Translation and adaptation procedure of the MOEES followed established international guidelines. To evaluate test-retest reliability, relative (intra-class correlation coefficient ICC, 2.1)and absolute reliability (standard error of measurement (SEM) standard error of measurement % (SEM%), percentage of absolute agreement and Kappa coefficient for each item were calculated. Internal consistency was assessed with Cronbach´s alpha. The original 3-factor structure was tested with a confirmatory factor analysis. Floor and ceiling effects were calculated.
In total, 60 patients, mean age 65 years, were included in the study. The test-retest showed for the three outcome expectations subscales (Physical, Self-evaluative and Social) ICC-values of 0.40 (CI 95% 0.20-0.58), 0.57 (0.39-0.71) and 0.72 (0.57-0.83), respectively. In general, the Kappa coefficients were low and varied between 0.11 and 0.44. Two questions had low loadings in the confirmatory factor analysis (<0.5) , contributing to a weak fit of the model. There was no floor effect, but the subscales physical and self-evaluative outcome expectation showed ceiling effects.
This is the first study to analyse test-retest reliability of the translated version of MOEES into Swedish in cardiac patients and shows need for further development of the instrument before use in clinical practice and research.
将多维运动期望量表（MOEES）翻译并改编为瑞典语，并探讨其在瑞典语版 MOEES 在心梗或心脏手术后患者中的信度（重测信度、内部一致性）、效度（结构效度、效标关联效度）和反应度（内容效度、实证效度、临界值有效性）。
本前瞻性心理测量研究在瑞典心脏康复门诊进行，共纳入 74 例年龄 18 岁以上的急性冠脉综合征或心脏手术后患者。MOEES 的翻译和改编过程遵循国际标准。为评估重测信度，计算了相对信度（组内相关系数 ICC，2.1）和绝对信度（测量标准差（SEM）、测量标准差百分比（SEM%）、每个项目的绝对一致性百分比和 Kappa 系数）。内部一致性用 Cronbach's alpha 评估。采用验证性因子分析检验原始的 3 因素结构。计算临界值有效性。
共纳入 60 例患者，平均年龄 65 岁。3 个结局期望分量表（生理、自我评估和社会）的重测信度 ICC 值分别为 0.40（95%CI 0.20-0.58）、0.57（0.39-0.71）和 0.72（0.57-0.83）。总体而言，Kappa 系数较低，在 0.11 至 0.44 之间。2 个条目在验证性因子分析中的负荷较低（<0.5），导致模型拟合不佳。无下限效应，但生理和自我评估结局期望分量表有上限效应。
这是第一个分析瑞典语版 MOEES 在心脏患者中的重测信度的研究，表明在临床实践和研究中使用之前，该工具需要进一步开发。
