Since CADE-Q and CADE-Q II take between 15 to 20 minutes to complete we are developing a short version of this knowledge questionnaire, to be used in clinical practice. It is important to mention that if your objective is to test your patients’ knowledge in order to design and develop educational curricula you should use CADE-Q or CADE-Q II. The SV version is a quick tool to test the knowledge of your patients, but since it is a true/false questionnaire it will not give you detailed information.
We will be posting more information about this questionnaire once the development and validation is finished.
We have developed the second version of the CADE-Q (called CADE-Q II).
Abstract and link for full-text available here.
Objectives: To develop and psychometrically-validate a revised version of the Coronary Artery Disease Education Questionnaire (CADE-Q)- a tool to assess patients’ knowledge about CAD in cardiac rehabilitation (CR).
Methods: After a needs assessment, a literature review and focus group with CR experts, the revised questionnaire was developed. It underwent pilot-testing in 30 patients, which lead to further refinement. The questionnaire was then psychometrically-tested in 307 CR patients. Internal consistency was assessed using Cronbach’s alpha, the dimensional structure through exploratory factor analysis, and criterion validity with regard to educational level.
Results: Cronbach’s alpha was 0.91. Criterion validity was supported by significant differences in mean scores by educational level (p<.001). Factor analysis revealed four factors, which were internally-consistent (0.65-0.77), and well-defined by items. The mean total score was 64.2±18.1/93. Patients with a history of heart failure, cardiomyopathy and percutaneous coronary intervention (p<0.05) had significantly higher knowledge scores compared with patients without such a history. Knowledge about exercise and their medical condition was significantly higher than risk factors, nutrition and psychosocial risk.
Conclusions: The CADE-QII has good reliability and validity.
Practical Implications: This tool may be useful to assess CR participants’ knowledge gaps, and to evaluate the efficacy of educational delivery in CR.
Our research group recently published a systematic review on patient education of cardiac patients and the promotion of behaviour change.
The first objective of this systematic review was to investigate the impact of education on patients’ knowledge about health and disease. The second objective was to determine if educational interventions are related to health behaviour change in CAD patients, namely smoking, physical activity, dietary habits, response to cardiac symptoms, and medication adherence, as well as psychosocial well-being. Finally, the third objective was to describe the nature of the educational interventions offered, as per the Workgroup for Intervention Development and Evaluation Research (WIDER) reporting guideline.
Click here to see the abstract and get the full-text article.
A new study is in progress to develop and psychometrically validate of the second version of the CADE-Q, called CADE-Q II. Although CADE-Q demonstrated good reliability and validity in both psychometrically versions (Portuguese and English), presents lack of detailed assessment of all core components of cardiac rehabilitation (CR), such as nutrition and psychosocial risk. This is a limitation particularly when information from this tool is used to develop an educational curiiculum for cardiac rehabilitation patients. Thus, the CADE-Q started its development in 2004 and an update is needed. The availability of a more comprehensive and updated CADE-Q is important to assess cardiac patients’ knowledge and to tailor the educational component of CR programs.
Results from the application of the new tool in 307 patients and psychometric analysis are expected to be published in mid-2014.