Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire
Abstract Cardiovascular disease (CVD) is the leading cause of global mortality and disease burden. The perceived risk of CVD, a central psychological construct, may affect health behavior change and maintenance, such as lifestyle modification and medication adherence. Risk perception varies based on...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-24620-9 |
| _version_ | 1797986837618229248 |
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| author | Zhiting Guo Chuanqi Ding Wen Gao Junyi Hong Jiaying Tang Yuping Zhang Jingfen Jin |
| author_facet | Zhiting Guo Chuanqi Ding Wen Gao Junyi Hong Jiaying Tang Yuping Zhang Jingfen Jin |
| author_sort | Zhiting Guo |
| collection | DOAJ |
| description | Abstract Cardiovascular disease (CVD) is the leading cause of global mortality and disease burden. The perceived risk of CVD, a central psychological construct, may affect health behavior change and maintenance, such as lifestyle modification and medication adherence. Risk perception varies based on the knowledge of risk in the context of cultural health-world views. Little is known about CVD-related knowledge and risk perception in China. The aim of this study is to cross-culturally translate, adapt, and evaluate the psychometric properties of the Attitudes and Beliefs about Cardiovascular Disease (ABCD) Risk Perception Questionnaire in Chinese. The translation and cross-cultural adaptation process followed established guidelines. A cross-sectional study of 318 adults between April and May 2022 was conducted in Zhejiang province. The study evaluated the item- and scale-level psychometric properties and validity indices of the ABCD risk perception questionnaire. The exploratory and confirmatory factor analyses of the risk scale supported a three-factor solution that accounts for 69.63% of the total variance, corresponding to risk perception (F1), perceived benefits and intention to change physical activity (F2), and perceived benefits and intention to change dietary habits (F3). Adequate content validity (I-CVI = 0.852–1.00, S-CVI = 946) was ensured by expert panel. The internal consistency of the dimensions showed good results ranging from 0.801 to 0.940 for Cronbach's α, and 0.853 to 0.952 for McDonald’s ω. The item analysis of knowledge dimension indicated that the item difficulty index was 0.440 to 0.852, the item discrimination index was 0.572 to 0.707. This study confirmed that the Chinese version of the ABCD risk perception questionnaire has good psychometric properties in terms of measuring CVD-related knowledge and risk perception in the Chinese adult population, which can lead to the development of individually tailored CVD-risk reduction intervention programs or risk communication programs by health providers. |
| first_indexed | 2024-04-11T07:38:10Z |
| format | Article |
| id | doaj.art-1dd532da5e694e69b650dc550240cbda |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T07:38:10Z |
| publishDate | 2022-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-1dd532da5e694e69b650dc550240cbda2022-12-22T04:36:39ZengNature PortfolioScientific Reports2045-23222022-11-0112111110.1038/s41598-022-24620-9Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception QuestionnaireZhiting Guo0Chuanqi Ding1Wen Gao2Junyi Hong3Jiaying Tang4Yuping Zhang5Jingfen Jin6The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Nursing DepartmentChangxing County People’s Hospital, Emergency DepartmentThe Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Nursing DepartmentStomatology Hospital, Zhejiang University School of Medicine (ZJUSS), Nursing DepartmentThe Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Nursing DepartmentThe Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Nursing DepartmentThe Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Nursing DepartmentAbstract Cardiovascular disease (CVD) is the leading cause of global mortality and disease burden. The perceived risk of CVD, a central psychological construct, may affect health behavior change and maintenance, such as lifestyle modification and medication adherence. Risk perception varies based on the knowledge of risk in the context of cultural health-world views. Little is known about CVD-related knowledge and risk perception in China. The aim of this study is to cross-culturally translate, adapt, and evaluate the psychometric properties of the Attitudes and Beliefs about Cardiovascular Disease (ABCD) Risk Perception Questionnaire in Chinese. The translation and cross-cultural adaptation process followed established guidelines. A cross-sectional study of 318 adults between April and May 2022 was conducted in Zhejiang province. The study evaluated the item- and scale-level psychometric properties and validity indices of the ABCD risk perception questionnaire. The exploratory and confirmatory factor analyses of the risk scale supported a three-factor solution that accounts for 69.63% of the total variance, corresponding to risk perception (F1), perceived benefits and intention to change physical activity (F2), and perceived benefits and intention to change dietary habits (F3). Adequate content validity (I-CVI = 0.852–1.00, S-CVI = 946) was ensured by expert panel. The internal consistency of the dimensions showed good results ranging from 0.801 to 0.940 for Cronbach's α, and 0.853 to 0.952 for McDonald’s ω. The item analysis of knowledge dimension indicated that the item difficulty index was 0.440 to 0.852, the item discrimination index was 0.572 to 0.707. This study confirmed that the Chinese version of the ABCD risk perception questionnaire has good psychometric properties in terms of measuring CVD-related knowledge and risk perception in the Chinese adult population, which can lead to the development of individually tailored CVD-risk reduction intervention programs or risk communication programs by health providers.https://doi.org/10.1038/s41598-022-24620-9 |
| spellingShingle | Zhiting Guo Chuanqi Ding Wen Gao Junyi Hong Jiaying Tang Yuping Zhang Jingfen Jin Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire Scientific Reports |
| title | Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire |
| title_full | Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire |
| title_fullStr | Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire |
| title_full_unstemmed | Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire |
| title_short | Psychometric properties of the Chinese version of Attitudes and Beliefs about Cardiovascular Disease Risk Perception Questionnaire |
| title_sort | psychometric properties of the chinese version of attitudes and beliefs about cardiovascular disease risk perception questionnaire |
| url | https://doi.org/10.1038/s41598-022-24620-9 |
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