Validation of a French-language version of the health education impact Questionnaire (heiQ) among chronic disease patients seen in primary care: a cross-sectional study

Health and Quality of Life Outcomes

Maud-Christine Chouinard²  Tarek Bouhali¹  José Amirall¹  Martin Fortin⁴  Catherine Hudon⁴  Anne Bélanger³ 

[1] Adjunct professor, Department of family medicine and emergency medicine, Université de Sherbrooke, Quebec, Canada;Registered nurse and professor, Department of health sciences, Université du Québec à Chicoutimi (UQAC), Québec, Canada;Registered nurse and graduate student, Department of health sciences, Université du Québec à Chicoutimi (UQAC), Quebec, Canada;Family physician and professor, Department of family medicine and emergency medicine, Université de Sherbrooke, Quebec, Canada

关键词: Chronic disease;    Primary care;    Health education;    French-language questionnaire;   

Others  :  1224745
DOI  :  10.1186/s12955-015-0254-0

 received in 2015-02-16, accepted in 2015-04-30,  发布年份 2015

【 摘 要 】

Background

The Health Education Impact Questionnaire (heiQ) allows for the evaluation of the effects of education interventions provided to patients with chronic diseases. This study describes the process for the cross-cultural adaptation and validation of the heiQ into French (heiQ-Fv).

Methods

We undertook a systematic translation process followed by a validation study based on the secondary analysis of cross-sectional data from a longitudinal study. Participants in the validation study were adult patients from primary care clinics in Quebec, Canada, with one or more of the following diseases: diabetes, asthma, chronic obstructive pulmonary disease, cardiovascular disease; or one or more risk factors for these diseases. Main outcomes of the study were the French version of the heiQ-Fv and the validation analyses that included internal consistency, test-retest reliability, confirmatory factor analysis (CFA) and concomitant validity.

Results

The validation analysis was conducted on results from 332 participants. Cronbach’s alphas (internal consistency) for seven domains of the heiQ-Fv varied from 0.80 to 0.89; one domain scored 0.69. The test-retest analysis (n = 50) yielded intra-class correlation coefficients from 0.66 to 0.86. The CFA of the eight heiQ domains with the hypothesis of no correlation between the domains yielded a model that did not exhibit acceptable fit values. A model with the hypothesis of all domains correlated exhibited acceptable fit values (scaled chi-square = 1210.15, degrees of freedom = 712, p < 0.001; CFI = 0.98; RMSEA = 0.06; SRMR = 0.065). Results show a moderate correlation (concomitant validity) between five domains of the heiQ-Fv and the Self-Efficacy for Managing Chronic Diseases. We also found a moderate to strong correlation between the Emotional Wellbeing domain of the heiQ and the Kessler Psychological Distress Scale (K6) (r = 0.61; 95 % CI: 0.52 –0.69, p < 0.01).

Conclusions

The heiQ was translated into French using a rigorous translation process; the French-language version showed good psychometric properties. Health professionals and researchers in primary care settings may use the heiQ-FV to evaluate the impact of educational programs on patients with chronic diseases.

【 授权许可】

   
2015 Bélanger et al.; licensee BioMed Central.

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