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A psychometric evaluation of the Chinese version of the Cardiovascular Limitations and Symptoms Profile in patients with coronary heart disease.
J Clin Nurs. 2008 Sep; 17(17):2327-34.JC

Abstract

AIMS AND OBJECTIVES

The aim of this study was to translate from English and evaluate the validity, reliability and cultural relevance of the Cardiovascular Limitations and Symptoms Profile (CLASP) as a health-related quality-of-life (HRQL) measure in Chinese patients with coronary heart disease.

BACKGROUND

Improvement in HRQL is increasingly used as a primary outcome in determining the treatment benefit using a generic instrument. However, disease-specific instruments are being cited as more responsive and sensitive in detecting even the smallest changes in health status. Therefore, valid and reliable disease-specific measures for patients with coronary heart disease are now being developed and evaluated.

DESIGN

Questionnaire design.

METHODS

The translation equivalence and content validity of the Chinese version of CLASP were evaluated by an expert panel. Measurement performance was tested on a convenience sample of 369 Chinese coronary heart disease patients.

RESULTS

The instrument demonstrated good content validity (content validity index 0.94), acceptable internal consistency (>0.70), except for two subscales of angina and tiredness and significant positive correlations among the subscales of CLASP, Hospital Anxiety Depression Scale and the Short Form 36 Health Survey. Principal components analysis revealed nine factors that together explained 69% of the variance.

CONCLUSIONS

The results of this study support that CLASP is a valid and reliable disease-specific health status measure for Chinese patients with coronary heart disease. However, further item modifications and testings are needed when considering the cross-cultural context.

RELEVANCE TO CLINICAL PRACTICE

The use of disease-specific HRQL measures could effectively evaluate nursing interventions in clinical practice. Further validations of CLASP among different diagnostic groups, such as patients with heart failure and those who have survived an acute myocardial infarction, would provide further empirical support for its use with all patients with heart disorders.

Authors+Show Affiliations

School of Nursing (Mackillop Campus), Australian Catholic University, NSW, Australia. v.lopez@mackillop.acu.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

18705708

Citation

Lopez, Violeta, et al. "A Psychometric Evaluation of the Chinese Version of the Cardiovascular Limitations and Symptoms Profile in Patients With Coronary Heart Disease." Journal of Clinical Nursing, vol. 17, no. 17, 2008, pp. 2327-34.
Lopez V, Chair SY, Thompson DR, et al. A psychometric evaluation of the Chinese version of the Cardiovascular Limitations and Symptoms Profile in patients with coronary heart disease. J Clin Nurs. 2008;17(17):2327-34.
Lopez, V., Chair, S. Y., Thompson, D. R., Tsui, Y. Y., & Lewin, R. J. (2008). A psychometric evaluation of the Chinese version of the Cardiovascular Limitations and Symptoms Profile in patients with coronary heart disease. Journal of Clinical Nursing, 17(17), 2327-34. https://doi.org/10.1111/j.1365-2702.2008.02294.x
Lopez V, et al. A Psychometric Evaluation of the Chinese Version of the Cardiovascular Limitations and Symptoms Profile in Patients With Coronary Heart Disease. J Clin Nurs. 2008;17(17):2327-34. PubMed PMID: 18705708.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A psychometric evaluation of the Chinese version of the Cardiovascular Limitations and Symptoms Profile in patients with coronary heart disease. AU - Lopez,Violeta, AU - Chair,Sek Ying, AU - Thompson,David R, AU - Tsui,Yuen Yan, AU - Lewin,Robert Jp, PY - 2008/8/19/pubmed PY - 2008/11/19/medline PY - 2008/8/19/entrez SP - 2327 EP - 34 JF - Journal of clinical nursing JO - J Clin Nurs VL - 17 IS - 17 N2 - AIMS AND OBJECTIVES: The aim of this study was to translate from English and evaluate the validity, reliability and cultural relevance of the Cardiovascular Limitations and Symptoms Profile (CLASP) as a health-related quality-of-life (HRQL) measure in Chinese patients with coronary heart disease. BACKGROUND: Improvement in HRQL is increasingly used as a primary outcome in determining the treatment benefit using a generic instrument. However, disease-specific instruments are being cited as more responsive and sensitive in detecting even the smallest changes in health status. Therefore, valid and reliable disease-specific measures for patients with coronary heart disease are now being developed and evaluated. DESIGN: Questionnaire design. METHODS: The translation equivalence and content validity of the Chinese version of CLASP were evaluated by an expert panel. Measurement performance was tested on a convenience sample of 369 Chinese coronary heart disease patients. RESULTS: The instrument demonstrated good content validity (content validity index 0.94), acceptable internal consistency (>0.70), except for two subscales of angina and tiredness and significant positive correlations among the subscales of CLASP, Hospital Anxiety Depression Scale and the Short Form 36 Health Survey. Principal components analysis revealed nine factors that together explained 69% of the variance. CONCLUSIONS: The results of this study support that CLASP is a valid and reliable disease-specific health status measure for Chinese patients with coronary heart disease. However, further item modifications and testings are needed when considering the cross-cultural context. RELEVANCE TO CLINICAL PRACTICE: The use of disease-specific HRQL measures could effectively evaluate nursing interventions in clinical practice. Further validations of CLASP among different diagnostic groups, such as patients with heart failure and those who have survived an acute myocardial infarction, would provide further empirical support for its use with all patients with heart disorders. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/18705708/A_psychometric_evaluation_of_the_Chinese_version_of_the_Cardiovascular_Limitations_and_Symptoms_Profile_in_patients_with_coronary_heart_disease_ L2 - https://doi.org/10.1111/j.1365-2702.2008.02294.x DB - PRIME DP - Unbound Medicine ER -