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Translation, cross-cultural adaptation, and psychometric validation of the Chinese version of the Caregiver Contribution to Self-Care of Coronary Heart Disease Inventory

Bibliographic Data

ID22081111
AuthorsZiming He (Dalian University), Yuxuan Zhang (0009-0002-9553-8032, Dalian University), Tingting Zou (0000-0002-7240-1378, The Third People's Hospital of Dalian City), Yunbin Teng (The Third People's Hospital of Dalian City), Yuanyuan Zhang (0000-0001-9230-7314, Dalian No.3 People’s Hospital), Yuhui Zhang (0000-0003-1918-2628, Dalian University), Tingting Song (0009-0003-7539-119X, The Third People's Hospital of Dalian City), Tong Yue (0000-0002-7772-474X, Dalian University, corresponding author), Jie Li (0000-0002-5131-4769, The Third People's Hospital of Dalian City, corresponding author), Junping Li (0000-0002-8840-7811, Dalian No.3 People’s Hospital), Sainan Xi (Dalian University, corresponding author)
Year2026
Volume14
Pages1751188-1751188
Publication date2026-03-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1751188
PMID41982896
OpenAlexW7143399851
LanguageEN
References cited42

Objective This study aimed to translate the Caregiver Contribution to Self-Care of Coronary Heart Disease Inventory, version 3a (CC-SC-CHDI v3a), into Chinese and evaluate its psychometric properties after cultural adaptation. Methods Between December 2024 and April 2025, a cross-sectional survey was conducted with 278 primary caregivers of patients with coronary heart disease, recruited from cardiology departments in two hospitals in Dalian, China. Translation was based on the Brislin model, which involved forward–backward translation, expert panel assessment, and a pilot test with 30 caregivers. Psychometric evaluation included item analysis, assessment of content validity, convergent validity, concurrent validity, and confirmatory factor analysis (CFA). Reliability was assessed through internal consistency (Cronbach’s α ). Results The Chinese version of the CC-SC-CHDI v3a demonstrated high content validity, with item-level CVI values ranging from 0.90 to 1.00 and scale-level CVI values between 0.97 and 1.00. All items had critical ratios exceeding 3.0 and item–total correlations above 0.4. CFA results indicated a satisfactory model fit ( χ 2 /df 0.90; RMSEA < 0.08). Cronbach’s α values for the three subscales were 0.821, 0.870, and 0.840. Conclusion The culturally adapted Chinese version of the CC-SC-CHDI v3a is a reliable and valid tool for assessing caregiver contributions to self-care in Chinese patients with coronary heart disease

Concurrent validity · Confirmatory factor analysis · Convergent validity · Coronary heart disease · Heart disease · Internal consistency · Psychometrics · Structural equation modeling · Cardiac Health and Mental Health · Family and Patient Care in Intensive Care Units · Nursing care and research

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Highly citedNo

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