Abstract
BackgroundThe Health Education Impact Questionnaire (heiQ) evaluates the effectiveness of health education and self-management programs provided to people dealing with a wide range of conditions. Aim of this study was to translate, culturally adapt and validate the Dutch translation of the heiQ and to compare the results with the English, German and French translations.MethodsA systematic translation process was undertaken. Psychometric properties were studied among patients with arthritis, atopic dermatitis, food allergy and asthma (n = 286). Factorial validity using confirmatory factor analysis, item difficulty (D), item remainder correlation and composite reliability were conducted. Stability was tested using the intra-class correlation coefficient (ICC).ResultsItems were well understood and only minor language adjustments were required. Confirmatory fit indices were >0.95 and item difficulty was D ≥ 0.65 for all items in scales showing acceptable fit indices, except for the reversed Emotional distress scale. Composite reliability ranged between 0.67 and 0.85. Test-retest reliability (n = 93) ICC varied between 0.61 and 0.84. Comparisons with other translations showed comparable fit indices. A lower ICC on Self-monitoring and insight scale was observed.ConclusionsThe Dutch translation of the heiQ was found to be well understood and user friendly by patients with Rheumatoid Arthritis, Atopic Dermatitis, Food allergy and asthma and to have robust psychometric properties for evaluating the impact of health education and self-management programs. Given the wide applications of the heiQ and the comparability of the Dutch results with the English, German and French version, the heiQ is a practical and useful questionnaire to evaluate the impact of self-management support programs in different countries and populations with different diseases.
Highlights
The Health Education Impact Questionnaire evaluates the effectiveness of health education and self-management programs provided to people dealing with a wide range of conditions
Background several new treatment options for people with chronic conditions like arthritis and atopic dermatitis have been developed in the past decade, patients still experience a large impact of their disease on their daily life [1,2,3,4,5]
Acceptability and comprehensibility of the Dutch translation Patients with arthritis (n = 9), atopic dermatitis (n = 4) and food allergy (n = 3), 8 men and 8 women with a mean age of 42.5 years, judged the content and comprehensibility of the Dutch version of the Health Education Impact Questionnaire (heiQ). They understood the items as intended and found them acceptable. They had some suggestions like adding specific activity examples for the Dutch population on the Health directed behavior scale which resulted in minor changes
Summary
The Health Education Impact Questionnaire (heiQ) evaluates the effectiveness of health education and self-management programs provided to people dealing with a wide range of conditions. Several new treatment options for people with chronic conditions like arthritis and atopic dermatitis have been developed in the past decade, patients still experience a large impact of their disease on their daily life [1,2,3,4,5]. The chronic nature of the disease imposes daily challenges and patients must make many decisions about the way they manage their lives [6,7,8,9]. It is not a matter of whether patients self-manage their (chronic) illness, but how they do this [10]. Mostly derived from behavioural sciences, encouraged the movement of self-management interventions towards inclusion of cognitive-behavioural and other approaches [14]
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