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

authors:

avatar Madjid Shafiayan 1 , avatar Mahdie Ghalenoee 2 , avatar Abbas Ebadi ORCID 3 , avatar Reza Ghanei Gheshlagh ORCID 4 , * , avatar Arezoo Fallahi 5 , avatar Seyed Hassan Niksima 6

Medical Education Department, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran
Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Behavioral Sciences Research Center, Lifestyle Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, IR Iran
Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IR Iran
Health Promotion Research Center, Iran University of Medical Sciences, Tehran, IR Iran
International Cardiovascular Research Journal: Vol.13, issue 4; e92172
published online: December 01, 2019
article type: Research Article
received: April 11, 2019
accepted: October 16, 2019

how to cite: Shafiayan M, Ghalenoee M, Ebadi A, Ghanei Gheshlagh R, Fallahi A, et al. Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale. Int Cardiovasc Res J. 2019;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.

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References

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