[Construction and validation of the CADE-Q for patient education in cardiac rehabilitation programs].
BACKGROUND
Being aware of the coronary artery disease can be considered the first step to reduce the risk of cardiac complications.


OBJECTIVE
Building and validating a tool to assess and describe coronary patients' awareness in cardiac rehabilitation programs, with the purpose of education.


METHODS
For the construction, we analyzed articles and field studies to submit items to multidisciplinary team associated to cardiac rehabilitation. After this analysis, we generated the version tested in a pilot study. The tool, named CADE-Q (Questionnaire for Coronary Patient Education) was applied in 155 patients aged 61 +/- 9 (min = 36, max = 86) in response to cardiac rehabilitation programs. Out of the 155 patients, 114 were men. Internal consistency was measured by Cronbach's alpha coefficient. Reproducibility was tested by the intraclass correlation coefficient (ICC) and construct validity was performed by exploratory factor analysis. The analysis compared the total scores as a function population characteristics and rehabilitation groups (private and public).


RESULTS
The final version has 19 questions with 4 alternatives, with 4 quadrants of awareness. Cronbach's alpha was 0.68 and ICC was 0.783. The factor analysis revealed 6 factors, covering three areas of awareness, which demonstrates the multifactorial nature of the instrument. The population characteristics as a function of the total score showed significant differences depending on the socioeconomic status variables (type of rehabilitation, household income and education level).


CONCLUSIONS
CADE-Q has proper validity and reliability to be used in the Brazilian population in future research.
Ghisi
Gabriela Lima de Melo
GL
Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil. gabriela.ghisi@gmail.com
Durieux
Adriana
A
Manfroi
Waldomiro Carlos
WC
Herdy
Artur Haddad
AH
Carvalho
Tales de
Td
Andrade
Alexandre
A
Benetti
Magnus
M
D000368:Aged; D001938:Brazil; D003324:Coronary Artery Disease / Q000534:rehabilitation*; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires / Q000592:standards*; D013997:Time Factors