ABC | Volume 111, Nº6, December 2018

Original Article Ghisi et al Validation of the Brazilian-Portuguese CADE-Q SV Arq Bras Cardiol. 2018; 111(6):841-849 Table 2 – Clarity (n = 21), means and Standard Deviations of CADE-Q SV scores per item, item completion rates (n = 200), ICC (n = 20), and Mean Scores per area Area Item Clarity* Mean ± SD Score Mean ± SD Item completion rates (%) ICC Mean Score Per area 1 – Medical 1. Heart disease only happens in older people who smoke or have high cholesterol. 8.5 ± 1.9 0.73 ± 0.45 98.5 0.75 2.38 ± 0.76 3. “Angina” is chest pain or discomfort in your arm, back or neck. 8.1 ± 3.0 0.75 ± 0.44 98.5 0.71 6. Medications such as aspirin (ASA) help prevent blood clots from forming. 8.5 ± 2.6 0.86 ± 0.35 98.5 0.70 11. “Statin” medications (such as atorvastatin and simvastatin) limit how much cholesterol your body absorbs from food. † 8.8 ± 1.8 0.05 ± 0.21 98.5 0.72 2 – Risk Factors 2. Lifestyle changes such as healthy eating can lower your chances of developing heart disease. 9.1 ± 1.9 0.89 ± 0.32 98.0 0.80 2.95 ± 0.88 12. To help control your blood pressure, eat less salt and exercise regularly. 9.5 ± 0.8 0.97 ± 0.16 98.5 0.83 16. To control cholesterol, become a vegetarian and avoid eating eggs. 8.7 ± 1.5 0.51 ± 0.50 98.5 0.77 18. You cannot prevent diabetes with exercise and healthy eating. 8.7 ± 2.1 0.58 ± 0.49 98.5 0.85 3 – Exercise 4. Resistance training (lifting weights or using elastic bands) can strengthen your muscles and help lower your blood sugar. 8.0 ± 2.5 0.63 ± 0.48 98.5 0.72 2.69 ± 1.01 8. A warm-up before exercising raises your heart rate and lowers your chance of getting angina. 8.8 ± 1.6 0.63 ± 0.48 98.5 0.70 13. If you get chest discomfort while walking, speed up to see if it goes away. 9.0 ± 1.6 0.86 ± 0.35 98.5 0.79 17. You are exercising at the right level when your heart rate is in the target zone and you can still talk comfortably. 8.4 ± 2.4 0.57 ± 0.50 98.5 0.80 4 – Diet 5. Eating more meat and dairy products is a good way to add more fiber to your diet. 8.1 ± 2.2 0.47 ± 0.50 98.0 0.72 2.09 ± 0.84 9. Prepared or processed foods, such as canned soup and bacon, usually have a lot of salt (sodium). 8.8 ± 2.1 0.90 ± 0.30 98.5 0.98 14. Trans fat is an unhealthy type of fat that is often found in baked or fried foods. 7.8 ± 2.9 0.78 ± 0.41 98.5 0.74 20. To help lower your blood pressure, eat healthy foods more often, such as vegetables, fruits, and whole grains. 9.6 ± 0.9 0.94 ± 0.24 98.5 0.94 5 – Psychosocial Risk 7. The only effective way to manage stress is to avoid people who cause unpleasant feelings. 8.2 ± 3.0 0.35 ± 0.48 98.5 0.77 1.97 ± 0.70 10. Depression is common after a heart attack and increases the chance of having another heart attack. 8.5 ± 2.2 0.63 ± 0.48 98.0 0.78 15. Sleep apnea (pauses in breathing during sleep) can increase your chance of having another heart attack. 8.1 ± 2.7 0.05 ± 0.21 98.5 0.77 19. Stress increases your chance of having a heart attack as much as high blood pressure and diabetes. 9.1 ± 1.4 0.94 ± 0.23 98.5 0.72 Total 8.6 ± 3.2 13.08 ± 2.61 - - - SD-standard deviation; ICC-intraclass correlation coefficient; (*) Clarity was assessed using a Likert-type scale ranging from 1 = not clear to 10 = very clear; ( † ) item culturally adapted. Note: maximum score for item is 1 and for areas is 5. 844