Chinese translation and psychometric testing of the cardiac self-efficacy scale in patients with coronary heart disease in mainland China

Abstract

BackgroundA person’s self-efficacy plays a critical role during the chronic management process of a health condition. Assessment of self-efficacy for patients with heart diseases is essential for healthcare professionals to provide tailored interventions to help patient to manage the disease.ObjectiveTo translate and test the psychometric properties of the Chinese version of Cardiac Self-efficacy Scale (C-CSES) as a disease-specific instrument for patients with coronary heart disease (CHD) in mainland China.MethodsThe original English version of the CSES was translated into Chinese using a forward-backward translation approach. A convenience sample consisting of 224 Chinese patients with CHD were recruited from a university-affiliated hospital in Shiyan, China. The C-CSES and the General Self-efficacy Scale (GSES) were used in this study. The factor structure, convergent and discriminative validities, and internal consistency of the C-CSES were evaluated.ResultsThe confirmatory factor analysis (CFA) supported a three-factor high-order structure of the C-CSES with model fit indexes (RMSEA = 0.084, CFI = 0.954, NNFI = 0.927, IFI = 0.954 and χ 2 /df = 2.572). The C-CSES has good internal consistency with a Cronbach’s alpha of 0.926. The convergent validity of the C-CSES was established with significantly moderate correlations between the C-CSES and the Chinese version of the GSES (p < 0.001). The C-CSES has also shown good discriminative validity with significant differences of cardiac self-efficacy being found between patients with and without comorbidities of hypertension, diabetes, or heart failure.ConclusionThe empirical data supported that the C-CSES is a valid and reliable disease-specific instrument for assessing the self-efficacy of Chinese patients with CHD.

Evaluating Perceptions of Self-efficacy and Quality of Life in Patients Having Coronary Artery Bypass Grafting and Their Family Caregivers

“…The validity and reliability of the Cardiac Self-Efficacy scale has been established in research. [26][27][28][29]35 No studies were found that had used the scale with caregivers. In this study, the Cronbach alpha for SE-CS was 0.75 for patients and 0.74 for caregivers; SE-MF was 0.79 for patients and 0.76 for caregivers.…”

“…14 Previous self-efficacy research has mostly involved a single assessment of either patients or caregivers. [5][6][7]14,[25][26][27][28][29][30] Such an individualised approach ignores the interdependency of behaviours or beliefs within the patient and partner relationship. 31 Because patients and family caregivers are affected by the patients' health status, interactions in patient and caregiver dyads are inevitable.…”

Mediating Effects of Risk Perception on Association Between Social Support and Coping with COVID-19: An Online Survey

“…A paper-and-pencil questionnaire as opposed to a digital one, along with printed advertisements posted in public areas would be bene cial to also include non-netizens within the study population. Moreover, further studies investigating optimism bias and self-e cacy though the General Self-E cacy Scale [26] may be helpful to explore how people cope with the threats of COVID-19.…”

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“…25 The scale is widely used in China, and the reliability and validity are good. 26 The scale consists of 10 items with each item scoring from 1 to 4, and the aggregate score ranges from 10 to 40. The standard score gets from the aggregate score divided by 10.…”