Validation of the Chinese Version of the Coronary Artery Disease Education Questionnaire – Short Version: A Tool to Evaluate Knowledge of Cardiac Rehabilitation Components

Area	Items	Score mean ± SD	ICC	Item total score correlations	Cronbach’s alpha coefficient per domain	Mean Score Per area
Medical	1	0.49 ± 0.50	0.76	0.421**	0.747	1.78 ± 1.50
	3	0.47 ± 0.50	0.77	0.548**
	6	0.42 ± 0.49	0.76	0.509**
	11	0.41 ± 0.49	0.79	0.578**
Risk Factors	2	0.66 ± 0.47	0.92	0.565**	0.749	2.56 ± 1.45
	12	0.65 ± 0.48	0.83	0.489**
	16	0.57 ± 0.50	0.76	0.556**
	18	0.67 ± 0.47	0.92	0.575**
Exercise	4	0.78 ± 0.42	0.84	0.465**	0.780	3.05 ± 1.31
	8	0.86 ± 0.35	0.79	0.419**
	13	0.73 ± 0.45	0.81	0.619**
	17	0.69 ± 0.46	0.79	0.672**
Diet	5	0.84 ± 0.37	0.76	0.405**	0.743	3.28 ± 1.15
	9	0.87 ± 0.34	0.84	0.426**
	14	0.73 ± 0.45	0.84	0.676**
	20	0.84 ± 0.37	0.79	0.333**
Psychological Risk	7	0.70 ± 0.46	0.91	0.454**	0.817	2.48 ± 1.54
	10	0.67 ± 0.47	0.76	0.466**
	15	0.47 ± 0.50	0.77	0.544**
	19	0.64 ± 0.48	0.81	0.591**
Total		13.15 ± 4.70	–	1	0.856	–

[i] Note: ** P < 0.001. SD-standard deviation; ICC-intraclass correlation coefficient;

Abbreviation: CADE-Q SV, Coronary Artery Disease Education Questionnaire – Short Version.

Table 2

Demographic characteristics of participants (n = 240).

Variable		N(%)	Scores(mean ± SD) or M(P₂₅, P₇₅)	H/Z	P–value
Age, years(mean ± SD)		65.14 ± 11.76
Age dichotomous	Less than 65 years old	96(40.0)	14.00(11.00,18.00)	–3.055^a	0.002
	65 years old or older	144(60.0)	12.38 ± 4.73
Gender	Male	135(56.3)	14.00(10.00,18.00)	–1.787^a	0.074
	Female	105(43.7)	12.56 ± 4.60
Marital status	Married	218(90.8)	13.00(10.00,18.00)	5.609^b	0.061
	Single	4(1.7)	11.75 ± 5.68
	Divorced/widowed	18(7.5)	10.72 ± 4.97
Living area	City	163(67.9)	15.00(12.00,18.00)	–7.387^a	<0.001
	Countryside	77(32.1)	9.95 ± 3.81
Monthly family income	Less than three thousand yuan	25(10.4)	9.00(6.00,18.50)	5.891^b	0.117
	Between three and five thousand yuan	103(42.9)	13.00(10.00,17.00)
	Between five and 10 thousand yuan	109(45.4)	14.00(11.00,18.00)
	More than 10 thousand yuan	3(1.3)	12.00 ± 3.00
Education background	Primary school and below	51(21.3)	8.00(6.00,11.00)	101.896^b	<0.001
	Middle school	57(23.8)	11.86 ± 4.07
	High school	61(25.4)	13.00(12.00,17.00)
	Bachelor degree and above	71(29.5)	18.00(15.00,19.00)
Comorbidity	No	17(7.1)	7.00(6.00,9.00)	70.522^b	<0.001
	With one comorbidity	77(32.1)	11.10 ± 4.20
	With two comorbidity	110(45.8)	14.00(11.00,17.00)
	With three comorbidity	36(15.0)	19.00(17.50,20.00)
History of CVD	Less than one year	7(2.9)	13.14 ± 5.52	2.267^b	0.322
	Between one and five years	119(49.6)	12.71 ± 4.57
	More than five years	114(47.5)	14.00(10.00,18.00)
Smoking	yes	67(28.0)	11.99 ± 4.50	–2.439^a	0.015
	no	173(72.0)	14.00(10.00,18.00)
Alcoholic behavior	yes	44(18.3)	14.00(11.00,18.00)	–1.579^a	0.114
	no	196(81.7)	13.00(10.00,17.00)
Myocardial infarction		73(30.4)	13.00(10.00,18.00)	–0.286^a	0.775
PCI		89(37.1)	12.00(9.00,18.00)	–0.650^a	0.516
Duration in CR (mean ± SD)		1.73 ± 1.14
	1 month	78(32.5)	12.50(9.00,17.00)	15.736^b	0.008
	2 months	91(38.0)	12.00(10.00,16.50)
	3 months	44(18.3)	13.57 ± 4.47
	4 months	15(6.2)	16.60 ± 2.67
	5 months	6(2.5)	16.33 ± 3.33
	6 months	6(2.5)	15.17 ± 1.94

[i] Note: Comorbidity, such as hypertension, diabetes, and hyperlipidemia; three thousand yuan corresponds to USD$ 423.22; PCI, Percutaneous Transluminal Coronary Intervention. ^a = Z-value, ^b = H-value.

Table 3

Factor loadings from confirmatory factor analysis.

Area	Items	Unstandardized estimate	Standard error	P-value	Standardized estimate
Medical	1	1.000	0.000	999.000	0.515
	3	1.403	0.201	***	0.724
	6	1.252	0.188	***	0.654
	11	1.337	0.194	***	0.704
Risk Factors	2	1.000	0.000	999.000	0.648
	12	0.979	0.124	***	0.624
	16	1.075	0.131	***	0.659
	18	1.039	0.125	***	0.671
Exercise	4	1.000	0.000	999.000	0.513
	8	0.871	0.125	***	0.521
	13	1.565	0.209	***	0.732
	17	1.898	0.241	***	0.858
Diet	5	1.000	0.000	999.000	0.458
	9	1.025	0.152	***	0.513
	14	2.390	0.366	***	0.919
	20	1.003	0.189	***	0.464
Psychological Risk	7	1.000	0.000	999.000	0.682
	10	1.107	0.118	***	0.727
	15	1.170	0.125	***	0.723
	19	1.188	0.122	***	0.761

[i] Note: * P < 0.001.

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DOI: https://doi.org/10.5334/gh.912 | Journal eISSN: 2211-8179

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Language: English

Submitted on: Aug 31, 2020

Accepted on: Feb 10, 2021

Published on: Feb 24, 2021

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

cardiovascular disease,

education,

validation,

cardiac rehabilitation,

knowledge

© 2021 Lamei Yang, Shilan Luo, Siyu Yang, Gabriela Lima de Melo Ghisi, Xiaoli Yan, Mengying Tian, Yunmei Wu, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 16 (2021): Issue 1