Document Type : Original Article
Authors
1 Rajaie Cardiovascular Medical and Research Center, Cardio-Oncology Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
Abstract
BACKGROUND: Cardiovascular diseases are among progressive diseases that begin in childhood
and are manifested mainly in adulthood. This study was assessed the validity and reliability testing
of the Persian version of the Perceived Health Competence Scale (PHCS) among patients with
cardiovascular diseases referred to Shahid Rajaie Heart center in Tehran, Iran.
METHODS: In this cross‑sectional study, a convenience sample of 700 patients with cardiovascular
diseases referring to Shahid Rajaie Heart center in Tehran were recruited (response rate = 100%;
n = 700). Content validity was established using translation and back‑translation procedure and getting
views of the expert panel. The content validity of the questionnaire was measured using content
validity ratio (CVR) and content validity index (CVI). Reliability was ascertained using Cronbach’s
alpha. The stability was confirmed using intra‑class correlation coefficients.
RESULTS: In this study, CVI = 0.81 and CVR = 0.72 were calculated. Scale reliability was sufficient
(α = 0.78; range = 0.73–0.77). Furthermore, reliability based on the stability of the whole scale was
0.75.
CONCLUSIONS: The PHCS‑Persian confirmed as a valid and reliable instrument to measure
perceived health competence. The PHCS‑Persian scale could be a useful, comprehensive, and
culturally sensitive scale for assessing perceived health competence.
Keywords
relationship between social capital dimensions and perceived
health in Yazd Urban Society, 2013. J Tolooebehdasht
2016;15(3):67‑77.
2. McDowell I. Measuring Health: A Guide to Rating Scales and
Questionnaires. USA: Oxford University Press; 2006.
3. Movahed M, Jahanbazian S, Abbasi Shavazi MT. The study of
self‑assessed health among elderly women in Shiraz and Yasuj
cities. Elderly Health J 2016;2(1):27‑32.
4. Smith MS, Wallston KA, Smith CA. The development and
validation of the Perceived Health Competence Scale. Health
Educ Res. 1995;10(1):51‑64. doi: 10.1093/her/10.1.51.
5. Sharifirad G, Mohebbi S, Matlabi M. The relationship of
physical activity in middle age and cardiovascular problems
in old age in retired people in Isfahan, 2006. J Horizon Med Sci
2007;13(2):57‑63.
6. Aminian Z, Mohammadzadeh S, Eslami Vaghar M, Fesharaki M.
Effectiveness of teaching ways to deal with stress on quality of life
in patients with acute coronary syndrome admitted to hospitals of
Tehran University of Medical Sciences in 2013. Med Sci J Islamic
Azad Univ Tehran Med Branch 2014;24(3):168‑74.
7. Fall M, Baranowski A, Elneil S, Engeler D, Hughes J, Messelink E.
Guía clínica sobre el dolor pélvico crónico. Williams, A D C. 2010,
p. 749‑756.
8. Charalambous C, Koulori A, Vasilopoulos A, RoupaZ. Evaluation
of the Validity and Reliability of the Waterlow Pressure Ulcer Risk
Assessment Scale. Med Arch. 2018;72(2):141‑144. doi: 10.5455/
medarh.2018.72.141‑144.
9. Bachmann JM, Goggins KM, Nwosu SK, Schildcrout JS,
Kripalani S, Wallston KA. Perceived health competence
predicts health behavior and health‑related quality of life in
patients with cardiovascular disease. Patient Educ Couns.
2016;99(12):2071‑2079. doi: 10.1016/j.pec.2016.07.020.
10. Ware J Jr, Kosinski M, Keller SD. A 12‑Item Short‑Form Health
Survey: construction of scales and preliminary tests of reliability
and validity. Med Care. 1996;34(3):220‑233. doi: 10.1097/000056
50‑199603000‑00003.
11. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian
version of 12‑item Short Form Health Survey (SF‑12): Factor
structure, internal consistency and construct validity. BMC Public
Health 2009;9:341. doi.org/10.1186/1471‑2458‑9‑341.
12. Stone AT, Bransford RJ, Lee MJ, Vilela MD, Bellabarba C,
Anderson PA, et al. Reliability of classification systems for
subaxial cervical injuries. Evid Based Spine Care J 2010;1(13):19‑26.
doi: 10.1055/s‑0030‑1267064.
13. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and
reliability of the instruments and types of measurements in health
applied researches. J Rafsanjan Univ Med Sci 2015;13(12):1153‑70.
14. Najafi F, Kheiry B. Investigating the impact of country of origin on
customer behavior: Investigation of the moderating roles of product
involvement and product familiarity on product evaluation and
customer behavioral intentions. Int J Phys Soc Sci 2013;7(17):37‑60.
15. Lawshe CH. A quantitative approach to content validity.
J Personnel psychol 1975;28(4):563‑75.
16. GhazanfariZ. The effectiveness of a theory‑based behavior change
intervention to increase and maintain physical activity in female
diabetic patients in Tehran, Iran [dissertation]. Tehran: Faculty
of Medical Sciences, Tarbiat Modares University; 2010.
17. Dempster M, Donnelly M. Validity of the perceived health
competence scale in a UK primary care setting. Psychol Health
Med. 2008;13(1):123‑127. doi: 10.1080/13548500701351984.
18. Togari T, Ikezaki S, Yamazaki Y, Ito M, Zenko A, Taguchi R.
The development of perceived health competence scale (PHCS)
Japanese version. Japanese J Healt Human Ecol 2004;70(5):184‑95.
doi.org/10.3861/jshhe.70.184.
19. Polchert MJ. Cross cultural exploration of the perceived health
competence scale. Open J Nurs 2015;05(07):632‑40. doi: 10.4236/
ojn.2015.57067.
20. Marks GR, Lutgendorf SK. Perceived health competence and
personality factors differentially predict health behaviors
in older adults. J Aging Health 1999;11(2):221‑39. doi.
org/10.1177/089826439901100205.