Psychometric evaluation of the Perceived Barriers to Health Care-seeking Decision in Chinese patients with acute coronary syndromes

Heart Lung. 2014 Mar-Apr;43(2):140-5. doi: 10.1016/j.hrtlng.2014.01.001. Epub 2014 Feb 1.

Abstract

Objectives: This study aimed to develop the Chinese version of the Perceived Barriers to Health Care-seeking Decision (PBHSD-C) and evaluate its psychometric properties in Chinese patients with acute coronary syndromes (ACS).

Background: The assessment of the level of perceived barriers in the care-seeking trajectory of ACS patients is important for the understanding of its impact on pre-hospital delay in seeking care.

Methods: The psychometric properties of PBHSD-C were evaluated among 114 ACS patients in the cardiac unit of two major hospitals in Hong Kong.

Results: The Content Validity Indexes were ranged from .88 to 1. The Cronbach's alpha of the PBHSD-C was .74. The intraclass correlation coefficients of all items were above .80. The convergent validity of the PBHSD-C was also supported.

Conclusion: The PBHSD-C is reliable and valid to be used to assess the level of perceived barriers in the care-seeking of Chinese patients with ACS.

Keywords: Acute coronary syndromes; Care-seeking; Instrument development; Perceived barriers; Psychometrics.

Publication types

  • Validation Study

MeSH terms

  • Acute Coronary Syndrome / psychology*
  • Aged
  • Female
  • Hong Kong
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Psychometrics*
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Translations