Philippine Journal of Internal Medicine 2017;55(4):1-11
Development and validation of the Filipino Version of the Coronary Artery Disease Education Questionnaire Version 2 (FILIPINO CADE-Q II)
Lucky R. Cuenza 1 ; Bernard Benjamin Albano 2 ; Joseph Michael Ramirez 2 ; Raphael Magbag 3 ; Benjamin Jose Quito 4 ; Edgardo Ebba 4 ; Leandro Bongosia 3
Affiliations
Keywords
Health knowledge; Cardiac Rehabilitation
Country
Philippines
Language
English
MeSH
ACTIONS
ACTIONS
Abstract
Introduction:There is currently a lack of validated tools that
measure knowledge level as an outcome of the educational
component of cardiac rehabilitation programs in our local
setting. The researchers aim to culturally adapt and validate
a questionnaire that was designed to assess patients’
knowledge about coronary artery disease and participation
in cardiac rehabilitation programs, the second version
of the Coronary Artery Disease Education Questionnaire
(CADE-Q II).
Methods:Qualified translators did two independent
translations of the questionnaire. After back translation, the
questions were reviewed and modified by a committee of
experts. The final Filipino version was tested in a pilot study.
For psychometric validation the tool was administered to
109 patients enrolled in a cardiac rehabilitation program.
Criterion validity was assessed with regards to differences
in educational attainment and patient characteristics.
Spearman rank was used to correlate patient’s level of
knowledge with number of sessions attended. Internal
consistency was assessed by use of cronbach’s alpha.
Results:The final version of the questionnaire had 30
questions arranged in five domains consisting of medical
condition, risk factors, exercise, nutrition, and psychosocial
risk. Patients who were college graduates had significantly
higher mean scores than non college graduates. The
number of cardiac rehab sessions attended had a weak
but statistically significant correlation with knowledge.
(spearman rho 0.35, p=0.007). The overall internal consistency
of the questionnaire was good (α=0.75)
Conclusion:The CADE-Q II questionnaire cross culturally adapted in Filipino is a valid and reliable tool which can be used to assess Filipino patients’ knowledge about their disease when participating in cardiac rehabilitation programs.
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