Translation and validation of the Chinese version of the stroke knowledge test for the hypertension patient

Sci Rep. 2023 Oct 14;13(1):17446. doi: 10.1038/s41598-023-44682-7.

Abstract

The measurement of hypertensive patients' stroke knowledge is an important stroke prevention indicator of health care service quality. The aim of this study was to develop a Chinese version of the Stroke Knowledge Test and examine its psychometric properties, reliability, and validity for hypertensive patients. A sample of 200 hypertensive patients completed the Chinese version of the Stroke Knowledge Test, and 30 of the participants were retested after 2 weeks. The final Chinese version of the Stroke Knowledge Test included 20 items with acceptable content validity (I-CVI = 0.88 ~ 1.00, S-CVI/Ave = 0.97). These items showed satisfactory internal reliability consistency (Kuder Richardson-20 = 0.62) and test-retest reliability was 0.77. The 40% of the difficulty index was in the acceptable range, and 25% was in the difficult range, as well as the 90% items overall values for discrimination were ranged from 0.2 to > 0.4. Known-group validity testing was performed based on the education level, and the result exhibited significant difference (F = 21.21, p < 0.001). The Chinese version of the Stroke Knowledge Test demonstrated acceptable psychometric properties, thus providing a new tool for the future care of hypertensive patients in Taiwan. It also could be as a reference for healthcare providers to educate hypertensive patients on stroke prevention.

Publication types

  • Validation Study

MeSH terms

  • Asian People
  • China
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Hypertension* / complications
  • Patient Education as Topic
  • Psychometrics
  • Reproducibility of Results
  • Stroke* / diagnosis
  • Stroke* / etiology
  • Stroke* / prevention & control
  • Surveys and Questionnaires
  • Translating