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Measuring Cardiovascular Disease Risk Perception: Translation and Validation of the Indonesian ABCD Risk
Septa Meriana Lumbantoruan1, Deby Kristiani Uligraff2, Eva Berthy Tallutondok1
1Faculty of Nursing Universitas Pelita Harapan, Tangerang, Indonesia.
Insights
The Indonesian version of the Attitude and Belief about Cardiovascular Disease (ABCD) questionnaire is valid and reliable. This tool helps assess cardiovascular disease awareness in Indonesia.
Area of Science:
- Public Health
- Health Psychology
- Cardiology
Background:
- Cardiovascular diseases (CVDs) represent a growing global health burden.
- The Attitude and Belief about Cardiovascular Disease (ABCD) questionnaire assesses CVD awareness.
- The ABCD questionnaire was not previously available in the Indonesian language.
Purpose of the Study:
- To translate and validate the ABCD questionnaire into Indonesian.
- To assess the reliability and validity of the Indonesian version of the ABCD questionnaire for use in Indonesia.
Main Methods:
- Forward-backward translation of the original ABCD questionnaire.
- Content validity assessment by three experts.
- Exploratory and confirmatory factor analysis (EFA/CFA) on 236 samples.
- Internal consistency testing using Cronbach's alpha and ordinal alpha.
Main Results:
- The Indonesian ABCD questionnaire demonstrated satisfactory validity.
- EFA and CFA confirmed three factors: risk perception, perceived benefit, and healthy eating intention.
- Acceptable internal consistency was found, supporting the questionnaire's reliability.
Conclusions:
- The Indonesian version of the ABCD questionnaire is statistically valid and reliable.
- This validated tool can be used to measure attitudes and beliefs about cardiovascular diseases in Indonesia.
Background:
Cardiovascular diseases (CVDs) are still increasing worldwide contributing to increasing death worldwide. To test CVDs' awareness, the Attitude and Belief about Cardiovascular Disease (ABCD) questionnaire was developed. However, this questionnaire is not available in Indonesia language.
Methods:
The original questionnaire was translated in both directions forward and backward. The process is then continued with a content validity index created by three experts. The exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) then determine the factors that support the translated questionnaire. The splitting sample method was applied in both factor analyses. Internal consistency testing of 18 items was performed on 236 samples.
Result:
The validity of the entire questionnaire subscale was satisfactory. Three retained factors were supported by the EFA and CFA, namely, risk perception, perceived benefit, and healthy eating intention. The internal consistency was acceptable based on Cronbach alpha and ordinal alpha. The Indonesian version of ABCD questionnaire was statistically valid and reliable to be used.
Conclusion:
The Indonesian version of the ABCD questionnaire is a valid questionnaire to access the attitude and belief of CVDs in Indonesia.
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