The development and validation of scales to measure the presence of a teachable moment following a cardiovascular disease event

Brust, Michelle; Gebhardt, Winifred A.; Voorde, Nadine A.E. van der; Numans, Mattijs E.; Jong, Jessica C. Kiefte‐de

doi:10.1016/j.pmedr.2022.101876

Cited by 2 publications

(2 citation statements)

References 60 publications

(128 reference statements)

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“…The Cardiac Teachable Moment (CardiacTM) scale (alpha = 0.88) was used as a basis for the assessment of the psychosocial factors [ 32 ]. This validated scale was developed based on McBride’s conceptual framework and assesses risk perception, affective impact, and changed self-concept due to an acute cardiac event.…”

Section: Methodsmentioning

confidence: 99%

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A cross-sectional analysis of factors associated with the teachable moment concept and health behaviors during pregnancy

Uzan,

Brust,

Molenaar

et al. 2024

BMC Pregnancy Childbirth

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Background Pregnancy is often associated with a change in health behaviors, leading some to suggest that pregnancy could be a teachable moment for lifestyle change. However, the prevalence and underlying mechanism of this phenomenon is not well understood. The aim of this study is to explore the prevalence of a teachable moment during pregnancy, the psychosocial factors that are associated with experiencing such a moment, and its association with actual health behaviors. Methods In this cross-sectional study, 343 pregnant Dutch women completed an online questionnaire. Participants reported on their intentions to change lifestyle due to pregnancy, their current health behaviors, and several psychosocial factors that were assumed to be linked to perceiving a teachable moment during pregnancy: perceived risk, affective impact, changed self-concept, and social support. Multivariable linear and logistic regression were applied to the data analysis. Results Results demonstrate that 56% of the women experienced a teachable moment based on intentions to change their health behavior. Multivariate regression analyses revealed that changed self-concept (β = 0.21; CI = 0.11–0.31), positive affect (positive β = 0.28; CI = 0.21–0.48), and negative affect (β = 0.12; CI = 0.00-0.15) were associated with higher intentions to change health behavior. Conversely, more perceived risk was associated with lower intentions to change health behavior (β=-0.29; CI = 0.31 − 0.13). Multivariate regression analyses showed a positive association between intentions to change health behavior and diet quality (β = 0.11; CI = 0.82–1.64) and physical activity (OR = 2.88; CI = 1.66-5.00). Conclusions This study suggests that pregnancy may be experienced as a teachable moment, therefore providing an important window of opportunity for healthcare professionals to efficiently improve health behaviors and health in pregnant women and their children. Results suggest that healthcare professionals should link communication about pregnancy-related health behaviors to a pregnant women’s change in identity, affective impact (predominantly positive affective impact) and risk perception to stimulate the motivation to change healthy behavior positively.

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Section: Methodsmentioning

confidence: 99%

“…Intentions to change behavior were assessed using the validated Cardiac Lifestyle Change Intention (LCI) scale [ 32 ], originally aimed to assess whether an acute cardiac event has led to subsequent intention to change lifestyle. We adapted the original statements of the scale for the event of pregnancy (e.g.…”

Section: Methodsmentioning

confidence: 99%

A cross-sectional analysis of factors associated with the teachable moment concept and health behaviors during pregnancy

Uzan,

Brust,

Molenaar

et al. 2024

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

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Psychometric properties of the post-stroke depression scale in the sequelae stage

Zeng

Li²,

Ning³

et al. 2023

Front. Psychol.

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AimTo evaluate the psychometric properties of the Post-Stroke Depression Scale in the Sequelae Stage (PSDS-SS).BackgroundThe incidence of the sequelae stage Post-Stroke Depression (PSD) is high, and the best screening tools are still lacking. Under this circumstances, our research team developed the PSDS-SS by Delphi method, but its psychometric properties need to be further verified.MethodThis was a cross-sectional study. Seven hundred and sixteen stroke patients in the sequelae stage were enrolled by purpose sampling from May 2022 to September 2022. The exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to verify the factor structure of the scale. The reliability of the scale was tested by Cronbach’s α coefficient, test–retest reliability and composite reliability. The validity of the scale was tested by criterion-related validity, convergent and discriminant validity.ResultEight items were deleted through item analysis. The EFA ended up with a 5-factor scale including 24 items after removing one item with low factor loading. Finally, a 21-item model was established by confirmatory factor analysis, and all the fit indexes were acceptable. The reliability and validity of the total scale and each factor are acceptable.ConclusionThe PSDS-SS has a stable factor structure, and demonstrated good reliability and validity. And it would be an effective tool to assess PSD in the sequelae stage.

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The development and validation of scales to measure the presence of a teachable moment following a cardiovascular disease event

Cited by 2 publications

References 60 publications

A cross-sectional analysis of factors associated with the teachable moment concept and health behaviors during pregnancy

A cross-sectional analysis of factors associated with the teachable moment concept and health behaviors during pregnancy

Psychometric properties of the post-stroke depression scale in the sequelae stage

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