Public knowledge of cardiovascular disease and response to acute cardiac events in three cities in China and India

Duber, Herbert C.; McNellan, Claire R.; Wollum, Alexandra; Phillips, Bryan; Allen, Kate E.; Brown, Jonathan C.; Bryant, Miranda; Guptam, R B; Li, Yichong; Majumdar, Piyusha; Roth, Gregory A.; Thomson, Blake; Wilson, Shelley; Woldeab, Alexander; Zhou, Maigeng; Ng, Marie

doi:10.1136/heartjnl-2017-311388

Cited by 32 publications

(32 citation statements)

References 29 publications

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“…However, it was lower than the result (64.2±18.1) of the study conducted in Canada using the English version of the CADEQ-II (the total score is 93),20 indicating the lack of patient education in China 48,49,53,54. Whereas the Canadian study did not include patients with low education level,20 this may partly explained the higher scores among its participants.…”

Section: Discussionmentioning

confidence: 64%

The Chinese version of the Coronary Artery Disease Education Questionnaire-II (CADEQ-II): translation and validation

Chen¹,

Geng²,

Wang³

et al. 2018

PPA

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ObjectivesIt is necessary to assess disease-related knowledge in patients with coronary artery disease (CAD) for tailored patient education; however there is a lack of a well-validated measurement in China. The objective of this study was to translate and validate a Chinese version of the Coronary Artery Disease Education Questionnaire-II (CADEQ-II).MethodsThe Chinese version of CADEQ-II was translated and culturally adapted. Then, it was tested for psychometric properties through a convenient sampling. Content validity was examined based on a panel of five experts. The item difficulty index and item discrimination index were calculated to assess the item difficulty and item discrimination. Internal consistency reliability was measured with the Cronbach’s alpha coefficient. Criterion-related validity was established through comparing scores in patients with different education levels. Construct validity was assessed through confirmatory factor analysis (CFA).ResultsThe Chinese version of the CADEQ-II was finalized after deleting three items and modifying two items from the original version. Three hundred and sixteen participants completed the whole questionnaire. Content validity index of the whole questionnaire was 0.87. The Cronbach’s alpha coefficient of the overall questionnaire was 0.907. The significant difference of the knowledge scores among patients with different education levels supported criterion-related validity. CFA confirmed the proposed four-factorial structure of the questionnaire.ConclusionThe Chinese version of CADEQ-II had an acceptable reliability and validity among Chinese patients with CAD. It could be used to develop individualized health education for Chinese patients with CAD. Also, it could serve as a suitable outcome measurement to evaluate the effectiveness of education interventions related to CAD.

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Section: Discussionmentioning

confidence: 64%

The Chinese version of the Coronary Artery Disease Education Questionnaire-II (CADEQ-II): translation and validation

Chen¹,

Geng²,

Wang³

et al. 2018

PPA

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“…Compared with public knowledge of CVD risk factors and AMI symptoms in both developed and developing countries, respondents in this study were overall less likely to have knowledge of any CVD risk factor, and generally less knowledgeable of common CVD risk factors, including hyperglycaemia, smoking, physical inactivity and overweight/obesity. 11 19 20 Furthermore, CPR knowledge was lower than what has been reported in Beijing, Shanghai, 11 and other international contexts. 9 An important finding from this investigation is that lower levels of education and lower socioeconomic status were consistent predictors of lower knowledge across all categories included in this survey.…”

Section: Discussionmentioning

confidence: 90%

“…Results of a similar landscape assessment in three megacities in China and India have been previously published. 11…”

Section: How Might This Impact Clinical Practice?mentioning

confidence: 99%

Public knowledge of cardiovascular disease and response to acute cardiac events in three municipalities in Brazil

et al. 2020

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ObjectiveTo conduct a landscape assessment of public knowledge of cardiovascular disease risk factors and acute myocardial infarction symptoms, cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) awareness and training in three underserved communities in Brazil.MethodsA cross-sectional, population-based survey of non-institutionalised adults age 30 or greater was conducted in three municipalities in Eastern Brazil. Data were analysed as survey-weighted percentages of the sampled populations.Results3035 surveys were completed. Overall, one-third of respondents was unable to identify at least one cardiovascular disease risk factor and 25% unable to identify at least one myocardial infarction symptom. A minority of respondents had received training in CPR or were able to identify an AED. Low levels of education and low socioeconomic status were consistent predictors of lower knowledge levels of cardiovascular disease risk factors, acute coronary syndrome symptoms and CPR and AED use.ConclusionsIn three municipalities in Eastern Brazil, overall public knowledge of cardiovascular disease risk factors and symptoms, as well as knowledge of appropriate CPR and AED use was low. Our findings indicate the need for interventions to improve public knowledge and response to acute cardiovascular events in Brazil as a first step towards improving health outcomes in this population. Significant heterogeneity in knowledge seen across sites and socioeconomic strata indicates a need to appropriately target such interventions.

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“…In further aspects, several "sudden death" induced by OHCA had brought widespread discussion on how to increase the survival rate in China [6]. When compare to developed countries, mass CPR training is not widely spread across in developing countries including China and India [7]. However, numerous measurements of mass training in bystanders-CPR and AED was trying to perform, one is building a team of mass CPR instructors from local health-care providers.…”

Section: Introductionmentioning

confidence: 99%

Emergency staffers could guide local health-care providers constructing a team of mass CPR instructors: a survey report of knowledge and attitudes from Shenzhen City, China.

Lin

wang

Luo

et al. 2020

Preprint

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Background: Few investigations concerns about why the local health-care providers participate in mass Cardiopulmonary Resuscitation (CPR) training in developing countries. This study aimed to survey knowledge and attitudes of local health-care providers who candidate to be mass CPR instructors in China. Method: This was a retrospective survey study. Data were obtained from candidates being mass CPR instructors (n=496) between March 2018 and December 2018. Whether they belonged to the emergency group or non-emergency group was based on their service department. The outcome was passed in the final examination. Binary logistic regression was performed to analysis. Result: Passed rate in emergency group is higher than non-emergency groups (90.7%, 175/194 vs. 83.8%, 253/302, P=0.042).Consisting with higher frequency on receiving CPR training, emergency staffers were richer in dealing emergency situation such as out-of-hospital cardiac arrest (58.2%), In-of-hospital cardiac arrest (95.4%), use of an automatic external defibrillator (AED) (96.4%), traumatic hemorrhage (83.5%), suffocation(74.2%), syncope (53.1%) and epilepsy (79.4%). In despite, younger group (OR: 0.957, 95% CI [0.925-0.990]), previous training on AED (OR: 2.698, 95% CI [1.441-5.050]) and pecuniary motivation (OR: 3.176, 95%CI [1.231-8.191])independently affects being mass CPR instructors among health-care provider. Conclusion:Because of better knowledge and skill, emergency staffers have ability to lead local health-care providers to build a team of mass CPR instructors. Our findings can be used to conduct public emergency education for health policy design in China.

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Public knowledge of cardiovascular disease and response to acute cardiac events in three cities in China and India

Cited by 32 publications

References 29 publications

The Chinese version of the Coronary Artery Disease Education Questionnaire-II (CADEQ-II): translation and validation

The Chinese version of the Coronary Artery Disease Education Questionnaire-II (CADEQ-II): translation and validation

Public knowledge of cardiovascular disease and response to acute cardiac events in three municipalities in Brazil

Emergency staffers could guide local health-care providers constructing a team of mass CPR instructors: a survey report of knowledge and attitudes from Shenzhen City, China.

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