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Article: Psychometric Validation of the Chinese Version of the Atrial Fibrillation Knowledge Scale in Chinese Patients With Atrial Fibrillation

TitlePsychometric Validation of the Chinese Version of the Atrial Fibrillation Knowledge Scale in Chinese Patients With Atrial Fibrillation
Authors
Keywordsatrial fibrillation
knowledge
psychometrics
reliability
validity
Issue Date21-Dec-2021
PublisherLippincott, Williams & Wilkins
Citation
Journal of Cardiovascular Nursing, 2023, v. 38, n. 1, p. 92-100 How to Cite?
Abstract

Background 

Assessment of patients' knowledge on atrial fibrillation (AF) and its management is important for evaluating their learning needs. However, a validated and comprehensive instrument to be used among Chinese patients is yet to be developed.

Objectives 

The aim of this study was to develop and validate the Chinese version of the Atrial Fibrillation Knowledge Scale (AFKS-C) in Chinese patients.

Methods 

The 11-item AFKS was translated, and then content and face validations were conducted by an expert panel and patients with AF. A sample of 255 patients with AF was recruited from a university-affiliated hospital to evaluate its psychometric properties. The internal consistency and test-retest reliability were evaluated using the Kuder-Richardson formula 20 and κ statistics. Item analysis determined the item difficulty index and item discrimination coefficients. Factorial and discriminant validity were evaluated using exploratory factor analysis and the known-groups method.

Results 

The content validity index of the AFKS-C was 0.94, and the Kuder-Richardson formula 20 value was 0.60. The difficulty indices of the items ranged from 0.36 to 0.89, and the point-biserial coefficients of the items ranged from 0.122 to 0.255, indicating sufficient discriminatory ability. The test-retest reliability was acceptable, because the κ values ranged from 0.234 to 0.710. The principal axis factoring analysis indicated a 3-factor structure that explained 50.4% of the total variance. The AFKS-C also demonstrated satisfactory discriminant validity, having yielded significantly different scores between patients with newly diagnosed and established AF.

Conclusion 

The AFKS-C has acceptable psychometric properties and can be used to measure the knowledge of patients and evaluate the effects of patient education programs.


Persistent Identifierhttp://hdl.handle.net/10722/330975
ISSN
2023 Impact Factor: 1.7
2023 SCImago Journal Rankings: 0.574
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLi, PWC-
dc.contributor.authorYu, DSF-
dc.contributor.authorYan, BP-
dc.contributor.authorHendriks, JM-
dc.contributor.authorWong, CWY-
dc.contributor.authorChan, BS-
dc.date.accessioned2023-09-21T06:51:42Z-
dc.date.available2023-09-21T06:51:42Z-
dc.date.issued2021-12-21-
dc.identifier.citationJournal of Cardiovascular Nursing, 2023, v. 38, n. 1, p. 92-100-
dc.identifier.issn0889-4655-
dc.identifier.urihttp://hdl.handle.net/10722/330975-
dc.description.abstract<h3>Background </h3><p>Assessment of patients' knowledge on atrial fibrillation (AF) and its management is important for evaluating their learning needs. However, a validated and comprehensive instrument to be used among Chinese patients is yet to be developed.</p><h3>Objectives </h3><p>The aim of this study was to develop and validate the Chinese version of the Atrial Fibrillation Knowledge Scale (AFKS-C) in Chinese patients.</p><h3>Methods </h3><p>The 11-item AFKS was translated, and then content and face validations were conducted by an expert panel and patients with AF. A sample of 255 patients with AF was recruited from a university-affiliated hospital to evaluate its psychometric properties. The internal consistency and test-retest reliability were evaluated using the Kuder-Richardson formula 20 and κ statistics. Item analysis determined the item difficulty index and item discrimination coefficients. Factorial and discriminant validity were evaluated using exploratory factor analysis and the known-groups method.</p><h3>Results </h3><p>The content validity index of the AFKS-C was 0.94, and the Kuder-Richardson formula 20 value was 0.60. The difficulty indices of the items ranged from 0.36 to 0.89, and the point-biserial coefficients of the items ranged from 0.122 to 0.255, indicating sufficient discriminatory ability. The test-retest reliability was acceptable, because the κ values ranged from 0.234 to 0.710. The principal axis factoring analysis indicated a 3-factor structure that explained 50.4% of the total variance. The AFKS-C also demonstrated satisfactory discriminant validity, having yielded significantly different scores between patients with newly diagnosed and established AF.</p><h3>Conclusion </h3><p>The AFKS-C has acceptable psychometric properties and can be used to measure the knowledge of patients and evaluate the effects of patient education programs.</p>-
dc.languageeng-
dc.publisherLippincott, Williams & Wilkins-
dc.relation.ispartofJournal of Cardiovascular Nursing-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectatrial fibrillation-
dc.subjectknowledge-
dc.subjectpsychometrics-
dc.subjectreliability-
dc.subjectvalidity-
dc.titlePsychometric Validation of the Chinese Version of the Atrial Fibrillation Knowledge Scale in Chinese Patients With Atrial Fibrillation-
dc.typeArticle-
dc.identifier.doi10.1097/JCN.0000000000000881-
dc.identifier.scopuseid_2-s2.0-85143336820-
dc.identifier.volume38-
dc.identifier.issue1-
dc.identifier.spage92-
dc.identifier.epage100-
dc.identifier.eissn1550-5049-
dc.identifier.isiWOS:000892606600016-
dc.identifier.issnl0889-4655-

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