Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale

Madjid Shafiayan; Mahdie Ghalenoee; Abbas Ebadi; Reza Ghanei Gheshlagh; Arezoo Fallahi; Seyed Hassan  Niksima

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale

Author(s):

Madjid Shafiayan¹,

Mahdie Ghalenoee²,

Abbas Ebadi

³,

Reza Ghanei Gheshlagh

^4,*,

Arezoo Fallahi⁵,

Seyed Hassan Niksima ⁶

1Medical Education Department, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran

2Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

3Behavioral Sciences Research Center, Lifestyle Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

4Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, IR Iran

5Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IR Iran

6Health Promotion Research Center, Iran University of Medical Sciences, Tehran, IR Iran

International Cardiovascular Research Journal:Vol. 13, issue 4; e92172

Published online:Dec 01, 2019

Article type:Research Article

Received:Apr 11, 2019

Accepted:Oct 16, 2019

How to Cite:Madjid ShafiayanMahdie GhalenoeeAbbas EbadiReza Ghanei GheshlaghArezoo FallahiSeyed Hassan Niksima et al.Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale.Int Cardiovasc Res J.13(4):e92172.

Abstract

Background:

Cardiovascular Disease (CVD) is a common chronic disease with a high mortality rate. Patients with CVD need to engage in cardiovascular health behaviors to prevent the complications of the disease.

Objective:

The present study aimed to examine the psychometric properties of the Persian version of the Cardiac Health Behavior (CHB) scale among patients with CVD.

Methods:

In this methodological study, a total of 325 patients with CVD were selected from public places in Tehran using convenience sampling. The instrument was translated based on the World Health Organization’s (WHO) guidelines. The face, content, and construct validities were examined using exploratory and confirmatory factor analyses. The reliability of the scale was also assessed using McDonald’s omega and Cronbach’s alpha coefficients. Data analyses were performed using Lisrel 8.8 and SPSS 20 software.

Results:

Using Exploratory Factor Analysis (EFA), the five following factors were extracted: health responsibility, dietary habits, physical activities, smoking cessation, and stress management. These factors explained 64.96% of the total variance of cardiac health behavior. In Confirmatory Factor Analysis (CFA), the goodness of fit of the five-factor model for cardiac health behavior was confirmed based on standard indices (CFI = 0.92, IFI = 0.92, PNFI = 0.75, and RMSEA = 0.089). Using Cronbach’s alpha coefficient, the internal consistency of the total scale was found to be 0.887.

Conclusion:

The five-factor model of cardiac health behavior showed good validity and reliability in patients with CVD. According to its good psychometric properties, the Persian version of the CHB scale reflected the importance of health behaviors in the daily activities of the patients with CVD.

Keywords

Cardiovascular Disease

Factor Analysis

Health Behavior

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References

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