Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-12-2017 | Research

Translation and psychometric testing of the Farsi version of the Seattle angina questionnaire

Authors: Zahra Taheri-Kharameh, Majideh Heravi-Karimooi, Nahid Rejeh, Ebrahim Hajizadeh, Mojtaba Vaismoradi, Sherrill Snelgrove, Ali Montazeri

Published in: Health and Quality of Life Outcomes | Issue 1/2017

Login to get access

Abstract

Background

Angina pectoris causes substantial psychological and functional disabilities and adversely effects quality of life in patients. The aim of this study was to investigate the psychometric properties including validity and reliability of the Farsi version of the Seattle angina questionnaire.

Methods

The ‘forward-backward’ procedure was applied to translate this questionnaire from English to Farsi. The translated version of the Seattle angina questionnaire was assessed in terms of validity and reliability with a convenience sample of 200 patients suffering from angina pectoris who were recruited from the inpatient ward (post CCU) and outpatient department at two teaching hospitals in an urban area of Iran. Validity was assessed using content, face and construct validity. The calculation of the Cronbach’s alpha coefficient and the test-retest method helped with the assessment of reliability of the questionnaire’s five subscales. Construct validity of the questionnaire was evaluated using exploratory factor analysis.

Results

The results of exploratory factor analysis indicated a five-factor solution for the questionnaire including ‘physical limitation in middle to strenuous activities’, ‘physical limitation in slight activities’, ‘angina pattern and discomfort of treatment’, ‘treatment satisfaction’ and ‘disease perception’ that jointly accounted for 64.42% of variance observed. Convergent validity was mostly supported by the pattern of association between the Seattle angina questionnaire-Farsi version and the SF-36. Cronbach’s alpha of the subscales ranged from 0.60 to 0.86 and test-retest scores ranged from 0.79 to 0.97 indicating a good range of reliability.

Conclusions

The Seattle angina questionnaire-Farsi version had acceptable psychometric properties. Therefore, it can be used to assess health-related quality of life and assess the effects of different medical and nursing interventions on patients’ quality of life.
Literature
1.
Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, Ferguson TB, Ford E, Furie K, Gillespie C. Heart disease and stroke statistics—2010 update. Circulation. 2010;121:e46–e215.CrossRefPubMed
2.
Ghezeljeh TN, Momtahen M, Tessma MK, Nikravesh MY, Ekman I, Emami A. Gender specific variations in the description, intensity and location of angina pectoris: a cross-sectional study. Int J Nurs Stud. 2010;47:965–74.CrossRefPubMed
3.
Aghayosefi A, Sharif N, Alipour A, Shaghaghi F. The relation between coping ways with stress and low-density lipoprotein (ldl) in coronary heart disease patients. J Sabzevar Univ Med Sci. 2013;20:165–75.
4.
Kucia A, Quinn T: Acute cardiac care: a practical guide for nurses. 1th edition. edn. London: Wiley; 2013.
5.
Moattari M, Adib F, Kojuri J, Tabatabaee SHR. Angina self-management plan and quality of life, anxiety and depression in post coronary angioplasty patients. Iran Red Crescent Med J. 2014;16:e16981.
6.
Wright RS, Anderson JL, Adams CD, Bridges CR, Casey DE, Ettinger SM, Fesmire FM, Ganiats TG, Jneid H, Lincoff AM. 2011 ACCF/AHA focused update incorporated into the ACC/AHA 2007 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2011;57:e215–367.CrossRefPubMed
7.
Kohn CG, Parker MW, Limone BL, Coleman CI. Impact of angina frequency on health utility values of patients with chronic stable angina. Health Qual Life Outcomes. 2014;12:39.CrossRefPubMedPubMedCentral
8.
Kobau R, Sniezek J, Zack MM, Lucas RE, Burns A. Well-being assessment: an evaluation of well-being scales for public health and population estimates of well-being among US adults. Appl Psychol. 2010;2:272–97.
9.
10.
Dueñas M, Salazar A, Ojeda B, Failde I: Health related quality of life in coronary patients. In Recent advances in cardiovascular risk factors. InTech; 2012.
11.
Lillevik SA, Schroter S, Hanssen TA. Translation and validation of the Norwegian version of the Coronary Revascularisation Outcome Questionnaire. Eur J Cardiovasc Nurs. 2017;1:474515117715841.
12.
Rejeh N, Heravi-Karimooi M, Montazeri A, Taheri Kharame Z, Vaismoradi M, Jordan S. Psychometric properties of the Farsi version of the myocardial infarction dimensional assessment scale. J Res Nurs. 2015;20:680–95.CrossRef
13.
Uysal H, Ozcan Ş. A Turkish version of myocardial infarction dimensional assessment scale (TR-MIDAS): reliability–validity assesment. Eur J Cardiovasc Nurs. 2011;10:115–23.CrossRefPubMed
14.
Spertus JA, Winder JA, Dewhurst TA, Deyo RA, Prodzinski J, McDonnell M, Fihn SD. Development and evaluation of the Seattle angina questionnaire: a new functional status measure for coronary artery disease. J Am Coll Cardiol. 1995;25:333–41.CrossRefPubMed
15.
Farin E, Meder M. Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation. Health Qual Life Outcomes. 2010;8:100.CrossRefPubMedPubMedCentral
16.
Shore S, Smolderen KG, Kennedy KF, Jones PG, Arnold SV, Cohen DJ, Stolker JM, Zhao Z, Wang TY, Ho PM. Health status outcomes in patients with acute myocardial infarction after Rehospitalization. Circ Cardiovasc Qual Outcomes. 2016;9:777–84.CrossRefPubMed
17.
Yeng SHS, Gallagher R, Elliott D. Factors influencing health-related quality of life after primary percutaneous coronary intervention for ST-elevation myocardial infarction. Appl Nurs Res. 2016;30:237–44.CrossRefPubMed
18.
Lu Y, Sun L, Yan J, Li Q, Wang Y, Zhuang X, Zhang Z, Fan Z. Assessment of quality of life in patients with coronary artery disease with Seattle angina questionnaire. Zhonghua Yi Xue Za Zhi. 2009;89:2827–30.PubMed
19.
Chan PS, Jones PG, Arnold SA, Spertus JA. Development and validation of a short version of the Seattle angina questionnaire. Circ Cardiovasc Qual Outcomes. 2014;7:640–7.CrossRefPubMedPubMedCentral
20.
Seki S, Kato N, Ito N, Kinugawa K, Ono M, Motomura N, Yao A, Watanabe M, Imai Y, Takeda N. Validity and reliability of Seattle angina questionnaire Japanese version in patients with coronary artery disease. Asian Nurs Res (Korean Soc Nurs Sci). 2010;4:57–63.CrossRef
21.
Garratt AM, Hutchinson A, Russell I. The UK version of the Seattle angina questionnaire (SAQ-UK): reliability, validity and responsiveness. J Clin Epidemiol. 2001;54:907–15.CrossRefPubMed
22.
Pettersen KI, Reikvam A, Stavem K. Reliability and validity of the Norwegian translation of the Seattle angina questionnaire following myocardial infarction. Qual Life Res. 2005;14:883–9.CrossRefPubMed
23.
Höfer S, Benzer W, Schüßler G, Von Steinbüchel N, Oldridge N. Health-related quality of life in patients with coronary artery disease treated for angina: validity and reliability of German translations of two specific questionnaires. Qual Life Res. 2003;12:199–212.CrossRefPubMed
24.
Taheri Kharame Z, Heravi-Karimooi M, Rejeh N, Hajizadeh E, Montazeri A. Translation and validation study of the Iranian version of Seattle angina questionnaire. Payesh. 2013;12:79–87.
25.
Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14:875–82.CrossRefPubMed
26.
Ware JE, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol. 1998;51:903–12.CrossRefPubMed
27.
Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. USA: Oxford University Press; 2015.CrossRef
28.
Nunnally J. Psychometric Theory 3E. New Delhi: Tata McGraw-Hill Education; 2010.
29.
Schneider Z. Nursing research: an interactive learning. London: Mosby Co; 2004.
30.
Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Bullinger M, Kaasa S, Leplege A, Prieto L. Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: results from the IQOLA project. J Clin Epidemiol. 1998;51:1171–8.CrossRefPubMed
31.
Kimble LP, Dunbar SB, Weintraub WS, McGuire DB, Fazio S, De AK, Strickland O. The Seattle angina questionnaire: reliability and validity in women with chronic stable angina. Heart disease (Hagerstown, Md). 2002;4:206.CrossRef
32.
Nishiyama S, Momomura S-i, Ishiwata S, Daida H, Hara K, Nishimura S, Nakamura M, Yamashina A, Shirai T, Yutaro N. Health-related quality of life in Japanese patients with ischemic heart disease: a multicenter cooperative investigation assessed using SF-36. J Cardiol. 2005;46:211–20.PubMed
33.
Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 3rd ed. ed.). New York, NY: Springer. 2005.
Metadata
Title
Translation and psychometric testing of the Farsi version of the Seattle angina questionnaire
Authors
Zahra Taheri-Kharameh
Majideh Heravi-Karimooi
Nahid Rejeh
Ebrahim Hajizadeh
Mojtaba Vaismoradi
Sherrill Snelgrove
Ali Montazeri
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0808-4

Other articles of this Issue 1/2017

Health and Quality of Life Outcomes 1/2017 Go to the issue

Research

The National Eye Institute 25-Item Visual Function Questionnaire (NEI VFQ-25) – reference data from the German population-based Gutenberg Health Study (GHS)

Research

Development of a short scale for assessing economic environmental aspects in patients with spinal diseases using Rasch analysis

Research

The factors that influence the oral health-related quality of life in 12-year-old children: baseline study of a longitudinal research

Review

A review of patient-reported outcome measures to assess female infertility-related quality of life

Research

Body image in head and neck cancer patients treated with radiotherapy: the impact of surgical procedures

Research

International comparison of experience-based health state values at the population level