Original Article

Reliability and Validity of a Chinese Version of the Stroke Action Test: A New Instrument for Assessment of Stroke Knowledge and Response

Abstract

Background: The public’s cognition of stroke and responses to stroke symptoms are important to prevent complications and decrease the mortality when stroke occurs. The aim of study was to develop and validate the Chinese version of the Stroke Action Test (C-STAT) in a Chinese population.

Methods: This study was rigorously implemented with the published guideline for the translation, adaptation and validation of instruments for the cross-cultural use in healthcare care research. A cross-sectional study was performed among 328 stroke patients and family members in the Department of Neurology in the Second Hospital of Lanzhou University, Gansu province, China in 2014.

Results: The Chinese version of the instrument showed favorable content equivalence with the source version. Values of Cronbach’s alpha and test-retest reliability of the C-STAT were 0.88 and 0.86, respectively. Principal component analysis supported four-factor solutions of the C-STAT. Criterion-related validity showed that the C-STAT was a significant predictor of the 7-item stroke symptom scores (R = 0.77; t = 21.74, P< 0.001).

Conclusion: The C-STAT is an intelligible and brief psychometrical tool to assess individuals’ knowledge of the appropriate responses to stroke symptoms in Chinese populations. It could also be used by health care providers to assess educational programs on stroke prevention.

 

Wang YL, Wu D, Liao XL, Zhang W, Zhao XQ, Wang YJ (2007). Burden of strok in China. Int J Stroke, 2: 211-3.

Kathleen MM, Marianne S (2006). Stroke prevention and management in older adults. J Cardiovasc Nurs, 21(5 Suppl 1):S21-6.

Liu L, Wang D, Wong KS, Wang Y (2011). Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke, 42: 3651-4.

Moser DK, Kimble LP, Alberts MJ, Alonso A, Croft JB, Dracup K et al. (2006). ). Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. Circulation, 114: 168-82.

Yang J, Zheng M, Cheng S, Ou S, Zhang J, Wang N, et al (2014). Knowledge of Stroke Symptoms and Treatment among Community Residents in Western Urban China. J Stroke Cerebrovasc Dis, 23: 1216-24.

Kleindorfer DO, Lindsell CJ, Broderick JP, Flaherty ML, Woo D, Ewing I, et al. (2006). Community socioeconomic status and pre-hospital times in acute stroke and transient ischemic attack: do poorer patients have longer delays from 911 calls to the emergency department? Stroke, 37: 1508-13.

He HL (2013). Factors for Hospital Delay, Adverse Outcome, and Nursing Strategies for Patients after Acute Ischemic Onset. M.Sc. Thesis, He Nan University.

Lundelin K, Graciani A, Garcıa-Puig J et al (2012). Knowledge of stroke warning symptoms and intended action in response to stroke in Spain: a nationwide population-based study. Cerebrovasc Dis, 34: 161-8.

Sun H, Chen S, Jiang B, Zhao X, Wu S, Liu Y, et al. (2011). Public knowledge of stroke in Chinese urban residents: a community questionnaire study. Neurol Res, 33: 536-40.

Zeng Y, He GP, Yi GH, Huang YJ, Zhang QH, He LL (2012). Knowledge of stroke warning signs and risk factors among patients with previous stroke or TIA in China. J Clin Nurs, 21: 2886-95.

Billings-Gagliardi S, Mazor KM (2005). Development and validation of the stroke action test. Stroke, 36: 1035-9.

Sousa VD, Rojjanasrirat W (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract, 17: 268-74.

Polit DF, Beck CT (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health, 29: 489-97.

Polit DF, Beck CT, Owen SV (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health, 30: 459-67.

Waltz CF, Strickland OL, Lenz ER (2010). Measurement in Nursing and Health Research. 4th ed. New York: Springer Publishing Company.

Lynn MR (1986). Determination and quantification of content validity. Nurs Res, 35: 382-5.

Paiva CE, Barroso EM, Carneseca EC, de Padua Souza C, Dos Santos FT, Mendoza Lopez RV, et al. (2014). A critical analysis of test-retest reliability in instrument validation studies of cancer patients under palliative care: a systematic review. BMC Med Res Methodol, 14: 8.

Chien WT (2015). Testing the psychometric properties of a Chinese version of Dementia Management Strategies Scale. Neuropsychiatr Dis Treat, 11: 1663-75.

Cao X, Chen L, Diao Y, Tian L, Liu W, Jiang X (2015). Validity and Reliability of the Chinese Version of the Care Transition Measure. PLoS One, 10: e0127403.

Polit DF, Hungler BP (1999). Nursing research: principles and methods. 6th ed. Philadelphia, JB: Lippincott.

Streiner DL, Norman GR (2008). Health Measurement Scales: A Practical Guide to Their Development and Use. 4th ed. Oxford: Oxford University Press.

Laosap J, Nimpitakpong P, Kongkaew C, Jedsadayanmata A (2012). Development and Validation of An Instrument to Assess General Knowledge of Stroke. 1st Mae Fah Luang University International Conference, 1-8.

Nunnally JC, Bernstein RL (1994). Psychometric Theory. 3rd ed. New York: McGraw-Hill.

Vivienne Wu SF, Courtney M, Edwards H, McDowell J, Shortridge-Baggett LM, Chang PJ (2008). Development and validation of the Chinese version of the Diabetes Management Self-efficacy Scale. Int J Nurs Stud, 45: 534-42.

García-Alberca JM, Cruz B, Lara JP, Garrido V, Lara A, Gris E, et al (2013). The experience of caregiving: the influence of coping strategies on behavioral and psychological symptoms in patients with Alzheimer’s disease. Aging Ment Health, 17: 615-22.

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IssueVol 45 No 12 (2016) QRcode
SectionOriginal Article(s)
Keywords
Chinese populations Stroke Stroke action test Reliability Validity

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How to Cite
1.
HA M, QIAN X, YANG H, HUANG J, LIU C. Reliability and Validity of a Chinese Version of the Stroke Action Test: A New Instrument for Assessment of Stroke Knowledge and Response. Iran J Public Health. 2016;45(12):1595-1603.