Translation and psychometric evaluation of a scale to measure the fear of activity in Chinese patients with coronary artery disease.
Jiehong Chen, Wei Guo, Hongmei Liu and 3 others
PMID 36840660WHAT IT FOUND
A Chinese questionnaire for patients with coronary artery disease appears usable to identify fear of activity, and women reported more fear than men, but it was not tested to show that any treatment reduces fear.
Key findings
01The Chinese version produced four factors: fear of exercise, avoidance of injury, body perception and role function.
02The total score correlated strongly with the Tampa Scale for Kinesiophobia Heart (r = 0.83, p < 0.01).
03The overall internal consistency was 0.74, and the overall test-retest intraclass correlation coefficient was 0.82.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited from one hospital, so the results may not apply to other regions of China. Most participants were male, so the results should be applied cautiously to female patients. The scale depends on self-report, so answers may be affected by patients' subjective judgements and illness cognition. Internal consistency was low for some subscales, especially fear of exercise and avoidance of injury. The Chinese version produced four factors, while the original Fact-CAD was reported as one-dimensional, so the factor structure needs further confirmation.
Declared interests
The study was supported by Guangzhou Medical University, and the authors declared no conflict of interest.
The easy way to misread this
Do not conclude that this scale proves a treatment works. It was tested only as a questionnaire in patients with coronary artery disease; the study did not evaluate an intervention or patient outcomes.