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Reliability and validity of the Korean version of the coronary revascularization outcome questionnaire
Minju Kim1, JiYeong Seo2, Jin-Yong Hwang3,4
1Department of Nursing, Dong-A University, 32 Daesingonwon-ro, Seo-Gu, Busan, 49201, Korea.
Insights
The Korean version of the Coronary Revascularization Outcome Questionnaire (CROQ-K) is a reliable tool for assessing health-related quality of life in patients after percutaneous coronary intervention (PCI). This study confirms its validity and reliability for this patient group.
Area of Science:
- Cardiology
- Health Outcomes Research
- Psychometrics
Background:
- Ischemic heart disease prevalence is rising, increasing the importance of health-related quality of life (HRQOL).
- The Coronary Revascularization Outcome Questionnaire (CROQ) is a key instrument for evaluating HRQOL in coronary artery disease patients.
- Percutaneous coronary intervention (PCI) is a common treatment for coronary artery disease.
Purpose of the Study:
- To validate the psychometric properties of the Korean version of the CROQ (CROQ-K).
- To assess the reliability and validity of the CROQ-K in patients undergoing percutaneous coronary intervention (PCI).
Main Methods:
- The CROQ was translated into Korean (CROQ-K).
- 209 pre-PCI and 169 post-PCI patients completed the CROQ-K, SF-12, and SAQ-K.
- Internal consistency, concurrent validity (vs. SF-12, SAQ-K), and construct validity (EFA) were assessed.
Main Results:
- CROQ-K demonstrated good internal consistency (coefficients > 0.70, excluding adverse effects).
- Concurrent validity was supported by correlations with SF-12 and SAQ-K.
- Exploratory factor analysis identified 7 core factors, with large effect sizes for symptoms and psychosocial functioning.
Conclusions:
- The Korean version of the CROQ (CROQ-K) is a valid and reliable measure.
- CROQ-K is suitable for assessing HRQOL in Korean patients with coronary artery disease post-PCI.
Background:
People with ischemic heart disease have increased drastically, and their health-related quality of life (HRQOL) has been increasingly important. The Coronary Revascularization Outcome Questionnaire (CROQ) is a widely used tool to assess the quality of life in patients with coronary artery disease. The purpose of this study was to rigorously examine the psychometric properties of the CROQ in patients who had undergone percutaneous coronary intervention (PCI).
Methods:
The CROQ was translated into Korean. A total of 209 patients before PCI and 169 patients after PCI were recruited from a university hospital in Korea and completed questionnaires. In terms of statistical analyses, internal consistency, concurrent validity with using the Short Form 12 (SF-12) and Seattle Angina Questionnaire-Korean version (SAQ-K), and construct validity using exploratory factor analysis were assessed. Effective size statistics were calculated.
Results:
The internal consistency coefficients for all subscales of the CROQ were above 0.70, except the domain of adverse effects. The concurrent validity was mostly supported by the pattern of association among CROQ-K, SAQ-K, and SF-12. The results of EFA showed the core items of the CROQ had 7 factors. Large effect sizes were observed for the symptoms and the psychosocial functioning scales.
Conclusions:
The Korean version of the CROQ is a valid and reliable scale for assessing HRQOL in patients with coronary artery disease.
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