Gabriela Lima de Melo Ghisi1, Sherry L Grace2, Scott Thomas3, Michael F Evans4, Paul Oh5. 1. Exercise Sciences Department, Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada; Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada. Electronic address: gabriella.meloghisi@uhn.ca. 2. Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada; School of Kinesiology and Health Science, York University, Toronto, Canada. 3. Exercise Sciences Department, Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada. 4. Health Design Lab, St Michael's Hospital, Toronto, Canada. 5. Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Abstract
OBJECTIVES: To develop and psychometrically-validate a revised version of the Coronary Artery Disease Education Questionnaire (CADE-Q)--a tool to assess patients' knowledge about CAD in cardiac rehabilitation (CR). METHODS: After a needs assessment, a literature review and focus group with CR experts, the revised questionnaire was developed. It underwent pilot-testing in 30 patients, which lead to further refinement. The questionnaire was then psychometrically-tested in 307 CR patients. Internal consistency was assessed using Cronbach's alpha, the dimensional structure through exploratory factor analysis, and criterion validity with regard to educational level. RESULTS: Cronbach's alpha was 0.91. Criterion validity was supported by significant differences in mean scores by educational level (p<0.001). Factor analysis revealed four factors, which were internally-consistent (0.65-0.77), and well-defined by items. The mean total score was 64.2±18.1/93. Patients with a history of heart failure, cardiomyopathy and percutaneous coronary intervention (p<0.05) had significantly higher knowledge scores compared with patients without such a history. Knowledge about exercise and their medical condition was significantly higher than risk factors, nutrition and psychosocial risk. CONCLUSIONS: The CADE-QII has good reliability and validity. PRACTICAL IMPLICATIONS: This tool may be useful to assess CR participants' knowledge gaps, and to evaluate the efficacy of educational delivery in CR.
OBJECTIVES: To develop and psychometrically-validate a revised version of the Coronary Artery Disease Education Questionnaire (CADE-Q)--a tool to assess patients' knowledge about CAD in cardiac rehabilitation (CR). METHODS: After a needs assessment, a literature review and focus group with CR experts, the revised questionnaire was developed. It underwent pilot-testing in 30 patients, which lead to further refinement. The questionnaire was then psychometrically-tested in 307 CR patients. Internal consistency was assessed using Cronbach's alpha, the dimensional structure through exploratory factor analysis, and criterion validity with regard to educational level. RESULTS: Cronbach's alpha was 0.91. Criterion validity was supported by significant differences in mean scores by educational level (p<0.001). Factor analysis revealed four factors, which were internally-consistent (0.65-0.77), and well-defined by items. The mean total score was 64.2±18.1/93. Patients with a history of heart failure, cardiomyopathy and percutaneous coronary intervention (p<0.05) had significantly higher knowledge scores compared with patients without such a history. Knowledge about exercise and their medical condition was significantly higher than risk factors, nutrition and psychosocial risk. CONCLUSIONS: The CADE-QII has good reliability and validity. PRACTICAL IMPLICATIONS: This tool may be useful to assess CR participants' knowledge gaps, and to evaluate the efficacy of educational delivery in CR.
Authors: Gabriela S S Chaves; Gabriela L M Ghisi; Sherry L Grace; Paul Oh; Antonio L Ribeiro; Raquel R Britto Journal: Braz J Phys Ther Date: 2016-10-27 Impact factor: 3.377
Authors: Jodi L Feinberg; David Russell; Ana Mola; Kathryn H Bowles; Terri H Lipman Journal: J Cardiopulm Rehabil Prev Date: 2017-11 Impact factor: 2.081
Authors: Gabriela S S Chaves; Gabriela Lima de Melo Ghisi; Raquel R Britto; Sherry L Grace Journal: J Am Heart Assoc Date: 2019-02-19 Impact factor: 5.501
Authors: Rafaella Zulianello Dos Santos; Christiani Decker Batista Bonin; Eliara Ten Caten Martins; Moacir Pereira Junior; Gabriela Lima de Melo Ghisi; Kassia Rosangela Paz de Macedo; Magnus Benetti Journal: Arq Bras Cardiol Date: 2018-02-01 Impact factor: 2.000