Caring for women globally: Psychometric testing of two instruments translated into five languages for use in cardiovascular recovery

Lucia Gonzales*, Anne Koci, Rose Mary Gee, Ariko Noji, Dale Glaser, Allison K. Marsh, Kathy K. Marsh, Amara Michella Altman, Nasser Al Salmi, Sulaiman Al Sabei

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Among women, cardiovascular disease is the leading cause of mortality worldwide. After experiencing an acute cardiovascular event, a woman's physical health, the prevalence of morbidities, likelihood of being treated with coronary artery bypass graft surgery, likelihood for referral for cardiac rehabilitation are less favourable than men. The social support resources of marginality and religiousness are associated with physical and mental health outcomes following cardiovascular crises. This study aimed to evaluate the reliability and validity of the translated versions (Japanese, Ukrainian, Tagalog, Hispanic and Arabic) of the Koci Marginality Index and the Duke University Religion Index among 282 women (aged 35-92 years) representing seven cultures. Results showed that reliability and validity were strong (coefficient alpha of 0.79 and 0.84). Understanding a woman's social isolation and whether she has a connection to religious groups assists health-care professionals to identify a woman's social support resources during recovery following acute cardiovascular episodes. Copyright

Original languageEnglish
Pages (from-to)27-37
Number of pages11
JournalInternational Journal of Nursing Practice
Issue numberS1
Publication statusPublished - Mar 1 2015
Externally publishedYes


  • Cardiovascular disease
  • Female
  • Marginality
  • Religion
  • Social isolation
  • Social support

ASJC Scopus subject areas

  • Nursing(all)

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