Sinicization of the Attitude and Beliefs about Cardiovascular Disease Risk Questionnaire Scale and Its Reliability and Validity Test
Objective To sinicized the Attitude and Beliefs about Cardiovascular Disease Risk Questionnaire(ABCD)Scale and test its reliability and validity.Methods After obtaining the authorization of the original author of ABCD Scale,initial Chinese version of ABCD Scale was formed by translating,proofreading,retranslating and proofreading by the original author.From January to February 2023,questionnaires were distributed and collected through WeChat,and two rounds of expert letters were made to form the Chinese version of ABCD Scale.Five hundred patients with cardiovascular diseases admitted to First Affiliated Hospital of Army Military Medical University from June to August 2023 were selected by convenient sampling method,and the Chinese version of ABCD Scale and the Risk Perception Questionnaire for Chronic Patients were used for investigation.(1)Item analysis:the correlation between the scores of each item of the Chinese version of ABCD Scale and the total score of the scale was analyzed by item analysis,and according to the total score of the Chinese version of ABCD Scale,the patients were ranked from high to low by critical ratio method,those with the top 25%were as the high score group(n=117)and those with the last 25%were as the low score group(n=117).(2)Reliability analysis:Cronbach's α coefficient was used to evaluate the internal consistency of the Chinese version of ABCD Scale,and the Chinese version of ABCD Scale was divided into two parts to calculate the half-reliability coefficient;two weeks later,30 patients were randomly selected from the survey subjects to test the retest reliability of the Chinese version of ABCD Scale.(3)Validity analysis:five experts were invited to evaluate the content validity of the scale,including item-level content validity index(I-CVI)and scale-level content validity index(S-CVI);exploratory factor analysis was used to evaluate the structural validity of the Chinese version of ABCD Scale,and principal component analysis and maximum variance analysis were used for orthogonal rotation to extract the common factor with characteristic root value>1.Correlation coefficient between the total score of the Chinese version of ABCD Scale and the scores of its each dimension and the Risk Perception Questionnaire for Chronic Patients was used to evaluate the criterion validity of the Chinese version of ABCD Scale.Results Six experts were involved,and the recovery rate of the first and second rounds of expert letters was 100.00%.The expert authority coefficients of the first and second rounds of expert inquiry were 0.819 and 0.847,respectively.The overall expert authority coefficient was 0.833.Finally,22 items were retained to form the Chinese version of ABCD Scale.The results of item analysis showed that the scores of each item in Chinese version of ABCD Scale were positively correlated with the total score of the scale(P<0.05),and the results of critical ratio method showed that there were significant differences in the scores of each item in Chinese version of ABCD Scale between high score group and low score group(P<0.05).Cronbach's α coefficient of each dimension of the Chinese version of ABCD Scale was 0.873-0.972,and Cronbach's α coefficient of the total scale was 0.912.The half reliability coefficient of the scale was 0.851,and the retest reliability of the scale was 0.857(P<0.05).I-CVI of the scale was 0.725-1.000,and S-CVI was 0.891.Exploratory factor analysis showed that KMO value was 0.922,and χ2 value of Bartlett's spherical test was 3 517.393(P<0.001).Principal component analysis and maximum variance analysis were used for orthogonal rotation,and four common factors(disease knowledge,risk perception,healthy exercise intention and healthy eating intention)were extracted.Pearson correlation analysis showed that the total score of Chinese version of ABCD Scale was positively correlated with the scores of disease knowledge,risk perception,healthy exercise intention and healthy eating intention dimensions and the score of Risk Perception Questionnaire for Chronic Patients(P<0.05).Conclusion The Chinese version of ABCD Scale includes 22 items in four dimensions:disease knowledge,risk perception,healthy exercise intention and healthy eating intention.The Chinese version of ABCD Scale has good reliability and validity.
Cardiovascular diseasesRisk evaluation and mitigationReproducibility of eesultsReliabilityValidity
万方数据
维普
