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Validity and reliability of a questionnaire on knowledge of cardiovascular risk factors for use in Brazil
Marco Aurélio Lumertz Saffi1, Luis Joeci Jacques de Macedo Junior2, Melina Maria Trojahn2
1Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Insights
This study adapted and validated the Q-FARCS questionnaire for Brazilian patients with coronary artery disease. The validated tool effectively assesses knowledge of cardiovascular risk factors and lifestyle changes.
Area of Science:
- Cardiology
- Psychometrics
- Health Education
Background:
- Coronary artery disease (CAD) management requires patient understanding of risk factors and adherence to lifestyle changes.
- A validated tool is needed to assess patient knowledge in the Brazilian population.
Purpose of the Study:
- To perform cross-cultural adaptation and validation of the Questionnaire on Knowledge of Cardiovascular Risk Factors (Q-FARCS) for use in Brazil.
- To evaluate the psychometric properties of the Brazilian version of Q-FARCS.
Main Methods:
- The study involved cross-cultural adaptation (translation, expert review, pretesting) of the Q-FARCS.
- Psychometric properties including face, content, reliability, and construct validity were assessed in 240 CAD patients.
- Cronbach's alpha was used to measure reliability.
Main Results:
- The cross-cultural adaptation process was successfully completed.
- The Brazilian version of Q-FARCS demonstrated adequate face and content validity.
- Reliability analysis (Cronbach's alpha = 0.75) and construct validity (seven components) supported its psychometric integrity.
Conclusions:
- The Brazilian version of the Q-FARCS is a reliable and valid instrument for assessing knowledge of cardiovascular risk factors in patients with coronary artery disease.
- This validated questionnaire can aid in improving patient education and management strategies for cardiovascular health in Brazil.
Abstract:
Using a sample of patients with coronary artery disease, this methodological study aimed to conduct a cross-cultural adaptation and validation of a questionnaire on knowledge of cardiovascular risk factors (Q-FARCS), lifestyle changes, and treatment adherence for use in Brazil. The questionnaire has three scales: general knowledge of risk factors (RFs); specific knowledge of these RFs; and lifestyle changes achieved. Cross-cultural adaptation included translation, synthesis, back-translation, expert committee review, and pretesting. Face and content validity, reliability, and construct validity were measured. Cronbach's alpha for the total sample (n = 240) was 0.75. Assessment of psychometric properties revealed adequate face and content validity, and the construct revealed seven components. It was concluded that the Brazilian version of Q-FARCS had adequate reliability and validity for the assessment of knowledge of cardiovascular RFs.
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