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Validity and reliability of the Iranian version of the Cardiac Exercise Self-Efficacy Scale

Document Type : Original Article(s)

Authors

1 Associate Professor, Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Assistant Professor, Department of Gynecology and Obstetrics, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

BACKGROUND: The assessment of exercise self-efficacy in patients with cardiovascular disease (CVD) is necessary to conduct tailored interventions. The aim of the current study was to validate the Iranian version of the Cardiac Exercise Self-efficacy Scale (CESE) for patients with CVD.METHODS: To develop the Iranian version of the CESE scale, a forward and back translation procedure was followed. Data were collected from 260 patients with CVD who were admitted to Imam Ali Cardiovascular Hospital, Iran, using convenience sampling. Psychometric properties of the scale including validity (face and content validity, discriminant, concurrent, convergent, divergent, and construct validity) and reliability (internal consistency, and test-retest reliability) were assessed. SPSS software was used for statistical analysis.RESULTS: The questionnaire had a good face and content validity and reliability, with Cronbach's alpha of 0.87 and intraclass correlation coefficient (ICC) of 0.42. The questionnaire discriminated well between subgroups according to their medical conditions and the “health transition” item in the Short-Form Health Survey (SF-36). There was a significant correlation between CESE and the physical components of the SF-36 (P < 0.001). In addition, a strong to moderate significant correlation was found between the CESE and the Exercise Self-efficacy Scale (ESES) (r = 0.77; P < 0.01) and between CESE and the Hospital Anxiety and Depression Scale (HADS) total (r = -0.45; P < 0.001). The exploratory factor analysis (EFA) identified a four-factor structure model, explaining 71.02% of the observed variance.CONCLUSION: The Persian version of the CESE is a valid and reliable instrument for the evaluation of CVD patients’ exercise self-efficacy level in performing regular exercise behaviors.

Keywords

References
  1. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349(9064): 1498-504.
  2. Rezaeian M, Dehdarinejad A, Esmaili Nadimi A, Tabatabaie S. Geographical epidemiology of deaths due to cardiovascular diseases in counties of kerman province. Iran J Epidemiol 2008; 4(1): 35-41. [In Persian].
  3. Pucci GC, Rech CR, Fermino RC, Reis RS. Association between physical activity and quality of life in adults. Rev Saude Publica 2012; 46(1): 166-79.
  4. Kroonstrom LA, Johansson L, Zetterstrom AK, Dellborg M, Eriksson P, Cider A. Muscle function in adults with congenital heart disease. Int J Cardiol 2014; 170(3): 358-63.
  5. Sandberg C, Thilen U, Wadell K, Johansson B. Adults with complex congenital heart disease have impaired skeletal muscle function and reduced confidence in performing exercise training. Eur J Prev Cardiol 2015; 22(12): 1523-30.
  6. Sandberg C, Engstrom KG, Dellborg M, Thilen U, Wadell K, Johansson B. The level of physical exercise is associated with self-reported health status (EQ-5D) in adults with congenital heart disease. Eur J Prev Cardiol 2015; 22(2): 240-8.
  7. Craig A, Tran Y, Siddall P, Wijesuriya N, Lovas J, Bartrop R, et al. Developing a model of associations between chronic pain, depressive mood, chronic fatigue, and self-efficacy in people with spinal cord injury. J Pain 2013; 14(9): 911-20.
  8. Middleton J, Tran Y, Craig A. Relationship between quality of life and self-efficacy in persons with spinal cord injuries. Arch Phys Med Rehabil 2007; 88(12): 1643-8.
  9. Middleton JW, Tate RL, Geraghty TJ. Self-efficacy and spinal cord injury: Psychometric properties of a new scale. Rehabilitation Psychology 2003; 48(4): 281-8.
  10. Bandura A. Self-efficacy: The exercise of control. New York, NY: W H Freeman; 1997.
  11. Sol BG, van der Graaf Y, van Petersen R, Visseren FL. The effect of self-efficacy on cardiovascular
  12. lifestyle. Eur J Cardiovasc Nurs 2011; 10(3): 180-6.
  13. Scholz U, Sniehotta FF, Schwarzer R. Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. J Sport Exerc Psychol 2005; 27(2): 135-51.
  14. Rajati F, Kamali K, Parvizy S. Public health customers' experiences of health accessibility: A phenomenological study. Iran J Epidemiol 2011; 7(2): 17-24. [In Persian].
  15. Noroozi A, Ghofranipour F, Heydarnia AR, Nabipour I, Tahmasebi R, Tavafian S. The Iranian version of the exercise self-efficacy scale (ESES): Factor structure, internal consistency and construct validity. Health Education Journal 2011; 70(1): 21-31. [In Persian].
  16. Everett B, Salamonson Y, Davidson PM. Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting. Int J Nurs Stud 2009; 46(6): 824-9.
  17. Resnick B, Jenkins LS. Testing the reliability and validity of the self-efficacy for exercise scale. Nurs Res 2000; 49(3): 154-9.
  18. Hickey ML, Owen SV, Froman RD. Instrument development: Cardiac diet and exercise self-efficacy. Nurs Res 1992; 41(6): 347-51.
  19. Tinsley HE, Tinsley DJ. Uses of factor analysis in counseling psychology research. J Couns Psychol 1987; 34(4): 414-24.
  20. Aksayan S, Guzum S. A Guideline for intercultural scale adaptation: Stages of scale adaptation and language adaptation. Hemsirelik Arastirma Gelistirme Dergisi 2002; 4: 9-14. [In Turkish].
  21. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000; 25(24): 3186-91.
  22. Darawad MW, Hamdan-Mansour AM, Khalil AA, Arabiat D, Samarkandi OA, Alhussami M. Exercise self-efficacy scale: Validation of the arabic version among jordanians with chronic diseases. Clin Nurs Res 2018; 27(7): 890-906.
  23. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67(6): 361-70.
  24. Lisspers J, Nygren A, Soderman E. Hospital anxiety and depression scale (HAD): Some psychometric data for a Swedish sample. Acta Psychiatr Scand 1997; 96(4): 281-6.
  25. Spinhoven P, Ormel J, Sloekers PP, Kempen GI, Speckens AE, Van Hemert AM. A validation study of the hospital anxiety and depression scale (HADS) in different groups of Dutch subjects. Psychol Med 1997; 27(2): 363-70.
  26. Bocerean C, Dupret E. A validation study of the hospital anxiety and depression scale (HADS) in a large sample of French employees. BMC Psychiatry 2014; 14: 354.
  27. Herrero MJ, Blanch J, Peri JM, De Pablo J, Pintor L, Bulbena A. A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. Gen Hosp Psychiatry 2003; 25(4): 277-83.
  28. Pais-Ribeiro J, Silva I, Ferreira T, Martins A, Meneses R, Baltar M. Validation study of a Portuguese version of the hospital anxiety and depression scale. Psychol Health Med 2007; 12(2): 225-35.
  29. Muszbek K, Szekely A, Balogh EM, Molnar M, Rohanszky M, Ruzsa A, et al. Validation of the hungarian translation of hospital anxiety and depression scale. Qual Life Res 2006; 15(4): 761-6.
  30. Miklavcic IV, Snoj Z, Mlakar J, Pregelj P. Validation of the Slovenian version of Hospital Anxiety and Depression Scale in female cancer patients. Psychiatr Danub 2008; 20(2): 148-52.
  31. Terkawi AS, Tsang S, AlKahtani GJ, Al-Mousa SH, Al MS, AlZoraigi US, et al. Development and validation of Arabic version of the hospital anxiety and depression scale. Saudi J Anaesth 2017; 11(Suppl 1): S11-S18.
  32. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): Translation and validation study of the Iranian version. Health Qual Life Outcomes 2003; 1: 14.
  33. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-83.
  34. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): translation and validation study of the Iranian version. Qual Life Res 2005; 14(3): 875-82.
  35. Lawshe CH. A quantitative approach to content validity. Pers Psychol 1975; 28(4): 563-75.
  36. DiIorio CK. Measurement in Health Behavior: Methods for Research and Evaluation. Hoboken, NJ: John Wiley & Sons; 2006.
  37. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007; 30(4): 459-67.
  38. Ayre C, Scally AJ. Critical values for Lawshe's content validity ratio: Revisiting the original methods of calculation. Meas Eval Couns Dev 2014; 47(1): 79-86.
  39. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007; 60(1): 34-42.
  40. Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. Upper Saddle River, NJ: Prentice Hall Health; 2000.
  41. Turgeon RD, Anderson TJ, Gregoire J, Pearson GJ. 2016 Guidelines for the management of dyslipidemia and the prevention of cardiovascular
  42. disease in adults by pharmacists. Can Pharm J (Ott) 2017; 150(4): 243-50.
  43. Nunnally JC, Bernstein IH. Psychometric theory. New York, NY: McGraw-Hill; 1994.
  44. National Research Council, Mathematical sciences education board. Measuring what counts: A conceptual guide for mathematics assessment. Washington DC: National Academies Press; 1993.
  45. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1(8476): 307-10.
  46. Tabachnick BG, Fidell LS. Using multivariate statistics. Boston, MA: Allyn and Bacon; 2001.
  47. Bay A, Sandberg C, Thilen U, Wadell K, Johansson B. Exercise self-efficacy in adults with congenital heart disease. Int J Cardiol Heart Vasc 2018; 18: 7-11.
  48. Lapier TK, Cleary K, Kidd J. Exercise self-efficacy, habitual physical activity, and fear of falling in patients with coronary heart disease. Cardiopulm Phys Ther J 2009; 20(4): 5-11.
  49. Pashaei T, Shojaeizadeh D, Rahimi Foroushani A, Ghazitabatabae M, Moeeni M, Rajati F, et al. Effectiveness of relapse prevention cognitive-behavioral model in opioid-dependent patients participating in the methadone maintenance treatment in Iran. Iran J Public Health 2013; 42(8): 896-902.
  50. Zhang X, Zhan Y, Liu J, Chai S, Xu L, Lei M, et al. Chinese translation and psychometric testing of the cardiac self-efficacy scale in patients with coronary heart disease in mainland China. Health Qual Life Outcomes 2018; 16(1): 43.
  51. Strohle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transm (Vienna) 2009; 116(6): 777-84.
  52. Petruzzello SJ, Landers DM, Hatfield BD, Kubitz KA, Salazar W. A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and mechanisms. Sports Med 1991; 11(3): 143-82.
  53. Bonnet F, Irving K, Terra JL, Nony P, Berthezene F, Moulin P. Anxiety and depression are associated with unhealthy lifestyle in patients at risk of cardiovascular disease. Atherosclerosis 2005; 178(2): 339-44.
  54. Mulaik SA. Foundations of factor analysis. Boca Raton, FL: CRC Press; 2009.
  55. Dong X, Liu Y, Wang A, Wang M. The psychometric properties of Chines version of SC Exercise Self-Efficacy Scale in patients with stroke. Patient Prefer Adherence 2016; 10: 1235-41.
  56. Kim NH, Seo JA, Cho H, Seo JH, Yu JH, Yoo HJ, et al. Risk of the development of diabetes and cardiovascular disease in metabolically healthy obese people: The Korean genome and epidemiology study. Medicine (Baltimore) 2016; 95(15): e3384.
ARYA Atherosclerosis Journal
Volume 15, Issue 3 - Serial Number 3
May and June 2019
Pages 113-122
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