Coronary Heart Disease Knowledge Test

Smith, M; Hicks, Virginia L.; Heyward, Vivian H.

doi:10.1097/00006205-199104000-00006

Cited by 21 publications

(5 citation statements)

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“…Other valid instruments were also developed for CHD knowledge assessment, but most were developed explicitly for individual studies and not yet adapted to another language or immigrant populations. [58][59][60][61] Therefore, the CADE-Q SV is the first used in the Chinese immigrant population and has been tested to be suitable for use as a comprehensive CHD knowledge screening instrument. Clinical implications regarding survey delivery and utilization related to survey use are essential.…”

Section: Discussionmentioning

confidence: 99%

“…In comparison, the CADE-Q SV includes 5 domains of CHD-related knowledge, which involves a broader and more systematic understanding of CHD and its risk factors. Other valid instruments were also developed for CHD knowledge assessment, but most were developed explicitly for individual studies and not yet adapted to another language or immigrant populations 58–61 . Therefore, the CADE-Q SV is the first used in the Chinese immigrant population and has been tested to be suitable for use as a comprehensive CHD knowledge screening instrument.…”

Section: Discussionmentioning

confidence: 99%

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Cultural Adaptation and Psychometric Validation of a Cardiac Knowledge Questionnaire for Chinese Immigrants

et al. 2023

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Background: Disease-related knowledge deficits are common in Chinese immigrants living in Western countries, putting them at risk of disease progression and mortality, particularly those with a coronary heart disease (CHD) diagnosis. However, no measurement instrument is available to assess CHD-related knowledge in this population. Objectives: The aim of this study was to culturally adapt and examine the psychometric properties of the short version of Coronary Artery Disease Education Questionnaire (CADE-Q SV) (simplified Chinese version) in Chinese immigrants with CHD. Methods: Mandarin-speaking people recruited from medical centers and cardiology clinics across metropolitan Sydney completed the 20-item CADE-Q SV (5 domains; potential scores: 0-20). Internal consistency was assessed using Cronbach α. A subgroup (n = 40) repeated the survey 2 weeks later for test-retest reliability by intraclass correlation coefficient. Factor structure (confirmatory factor analysis) and discriminant (known-groups) validation using education and English proficiency (univariate general linear model) were also undertaken. Results: Participants (n = 202) had a mean (SD) age of 66.08 (10.93) years, 45.1% were male, and the mean (SD) total CADE-Q SV score was 13.07 (4.57). Reliability and consistency were good (intraclass correlation coefficient > 0.70; Cronbach α coefficients > 0.70, for total and per domain, respectively). The 5-domain structure was validated by confirmatory factor analysis. The scale demonstrated discriminant validity, with low education (P < .001) and low English proficiency (P = .017) associated with lower knowledge scores. Conclusion: The CADE-Q SV (simplified Chinese version) can be used as a valid and reliable instrument, either paper based or digital, to evaluate the CHD-related knowledge of Chinese immigrants. This scale can be adapted to other migrant populations in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation and Psychometric Validation of a Cardiac Knowledge Questionnaire for Chinese Immigrants

et al. 2023

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“…The concepts included in these six validated instruments were general diabetes knowledge (Fitzgerald et al, 1998;Fitzgerald et al, 2016;Garcia et al, 2001), attitudes toward diabetes management (Anderson et al, 1989), risk factors for coronary heart disease (Smith et al, 1991) and fidelity of PA classes (Duesterhaus, 2011). Although these instruments reported valid psychometric properties, none of them were designed for the CHW population and show no evidence of being applicable to them.…”

Section: Instrumentationmentioning

confidence: 99%

Development and Validation of a Stroke Literacy Assessment Test for Community Health Workers

Mallaiah,

Williams,

Allegrante

2024

Health Educ Behav

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Community health workers (CHWs) are increasingly being required to perform complex health care activities, especially in community cardiovascular disease and stroke prevention. However, currently, there are no psychometrically validated instruments for assessing CHW competencies in these roles. This article describes the development and validation of the stroke literacy assessment test (SLAT)—pertaining to the Life’s Simple Seven (LS7) risk factors for stroke—for evaluating CHWs’ competencies in the context of education and training programs. The SLAT was developed using an iterative instrument design protocol, followed by empirically testing the instrument in 68 CHWs from the Columbia University Institute for Training Outreach and Community Health (InTOuCH) in New York. Data collection began in March 2021 and continued through May 2021. The evaluation was based on four types of validity evidence: (a) content validation with expert reviews of items and overall domain, (b) validation on examinee response processes with cognitive interviews, (c) item validation and diagnostic analysis, and (d) validity evidence based on expected directional group differences. In addition, the internal consistency reliability of the total test scores, with the best functioning items, were evaluated. Two such iterative cycles yielded a 34-item, written structured response test that assesses the factual knowledge and application levels of cognition, and demonstrates sufficient validity and reliability (Cronbach’s α = .69) for use with CHWs specializing in stroke prevention efforts. The SLAT is a novel, valid, and reliable instrument that contributes to filling a critical gap in rigorous competency assessments for CHWs deployed in chronic disease prevention.

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“…The concepts included in these six validated instruments were general diabetes knowledge (Fitzgerald et al, 1997(Fitzgerald et al, , 2016Garcia et al, 2001), attitudes toward diabetes management (Anderson et al, 1989), risk factors for coronary heart disease (Smith et al, 1991), and fidelity of PA classes (Duesterhaus, 2011). Although these instruments reported valid psychometric properties, none of them were designed for the CHW population and showed no evidence of being applicable to them.…”

Section: Instrumentationmentioning

confidence: 99%

Cardiovascular Disease and Stroke-Focused Competency Assessment Tools for Community Health Workers in the United States: A Scoping Review

Singh

Leon

Williams

et al. 2022

Health Promotion Practice

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Cardiovascular disease (CVD) and stroke are major contributors to chronic disease burden in the United States. Despite the high prevalence of stroke, 90% of all stroke events are preventable and can be attributed to seven key modifiable risk factors (MRFs)—high blood pressure (BP), high cholesterol, diabetes mellitus (DM), smoking, obesity, unhealthy diet, and physical inactivity. In the United States, stroke prevention interventions led by community health workers (CHWs) have been proven to be highly effective in preventing the onset of MRFs. We conducted a scoping review of the competency assessment methods used in CVD and stroke-focused CHW training programs. We searched six online databases: PubMed, Cochrane, CINAHL, Embase, Web of Science, and HaPI, from all available years until January 2021. Of the 1,774 initial articles found, we identified 30 eligible articles to be included in the review. Nine of these studies used previously validated instruments, whereas the remaining 21 studies used tools from the training curriculum or independently developed instruments. Only five of these validated tools reported psychometric properties; none of them were designed for the CHW population. Our scoping review of literature revealed that CHW-specific competency assessment methods were limited, with few or no domain-referenced tools on CVD or stroke risk factors that complied with established measurement standards. We conclude that there is an urgent need for the development of a comprehensive and valid assessment instrument in CVD and stroke prevention to evaluate CHW performance and optimize their credibility, representing important first steps toward integrating CHWs into health care systems.

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Coronary Heart Disease Knowledge Test

Cited by 21 publications

References 0 publications

Cultural Adaptation and Psychometric Validation of a Cardiac Knowledge Questionnaire for Chinese Immigrants

Cultural Adaptation and Psychometric Validation of a Cardiac Knowledge Questionnaire for Chinese Immigrants

Development and Validation of a Stroke Literacy Assessment Test for Community Health Workers

Cardiovascular Disease and Stroke-Focused Competency Assessment Tools for Community Health Workers in the United States: A Scoping Review

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