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Initial development of the chest pain conception questionnaire

John R Blakeman1, Ann L Eckhardt2, MyoungJin Kim3

  • 1Assistant Professor, Mennonite College of Nursing, Illinois State University, Campus Box 5810, Normal, IL 1790-5810, United States.

Heart & Lung : the Journal of Critical Care
|May 20, 2023
PubMed

Insights

Researchers developed the Chest Pain Conception Questionnaire (CPCQ) to understand public perceptions of chest pain related to acute coronary syndrome (ACS). This validated instrument helps assess how people understand this critical heart attack symptom.

Area of Science:

  • Cardiology
  • Psychometrics
  • Health Communication

Background:

  • Chest pain is a recognized symptom of acute coronary syndrome (ACS), yet public understanding of this symptom is poorly understood.
  • Lay public conceptions of chest pain related to ACS require further investigation.

Purpose of the Study:

  • To develop and validate an instrument measuring the lay public's conceptions of chest pain associated with ACS.
  • The Chest Pain Conception Questionnaire (CPCQ) was created to address this knowledge gap.

Main Methods:

  • Instrument development involved the Theory of Unpleasant Symptoms and literature review.
  • Expert feedback and two rounds of pilot testing with the target population were utilized.
  • Psychometric testing, including exploratory factor analysis, was conducted to establish validity.

Main Results:

  • The final CPCQ instrument includes 23 items (open-ended, Likert-type, and multiple-choice) written at a 7th-grade reading level.
  • High content validity (scale-level index of 0.99) and construct validity were supported by exploratory factor analysis.

Conclusions:

  • The study provides preliminary evidence for the validity of the Chest Pain Conception Questionnaire (CPCQ).
  • The CPCQ is a valuable tool for assessing public understanding of chest pain as an ACS symptom.
Abstract

Keywords:
Acute coronary syndromeChest painHeart attackInstrumentMyocardial infarctionSigns and symptoms

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