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Translation, Cross-Cultural Adaptation and Psychometric Validation of the Greek Version of the Cardiac Rehabilitation Barriers Scale (CRBS-GR): What Are the Barriers in South-East Europe?

Author

Listed:
  • Varsamo Antoniou

    (Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, GR-35100 Lamia, Greece)

  • Konstantinos Pasias

    (Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, GR-35100 Lamia, Greece)

  • Nektarios Loukidis

    (Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, GR-35100 Lamia, Greece)

  • Kalliopi K. Exarchou-Kouveli

    (Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, GR-35100 Lamia, Greece)

  • Demosthenes B. Panagiotakos

    (Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, GR-17671 Athens, Greece)

  • Sherry L. Grace

    (School of Kinesiology and Health Science, Faculty of Health, York University, Τoronto, ON M3J 1P3, Canada
    KITE Research Institute and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON M5G 2A2, Canada)

  • Garyfallia Pepera

    (Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, GR-35100 Lamia, Greece)

Abstract

Cardiac Rehabilitation (CR) is a secondary prevention intervention proven to improve quality of life, yet with low participation. The Cardiac Rehabilitation Barriers Scale (CRBS) was developed to assess multi-level barriers to participation. This study aimed at the translation, and cross-cultural adaptation of the CRBS into the Greek language (CRBS-GR), followed by psychometric validation. Some 110 post-angioplasty patients with coronary artery disease (88.2% men, age 65.3 ± 10.2 years) answered the CRBS-GR. Factor analysis was performed to obtain the CRBS-GR subscales/factors. The internal consistency and 3-week test–retest reliability was evaluated using Cronbach’s alpha (α) and intraclass correlation coefficient (ICC), respectively. Construct validity was tested via convergent and divergent validity. Concurrent validity was assessed with the Hospital Anxiety and Depression Scale (HADS). Translation and adaptation resulted in 21 items similar to the original version. Face validity and acceptability were supported. Construct validity assessment revealed four subscales/factors, with acceptable overall reliability (α = 0.70) and subscale internal consistency for all but one factor (α range = 0.56–0.74). The 3-week test-retest reliability was 0.96. Concurrent validity assessment demonstrated a small to moderate correlation of the CRBS-GR with the HADS. The greatest barriers were the distance from the rehabilitation center, the costs, the lack of information about CR, and already exercising at home. The CRBS-GR is a reliable and valid tool for identifying CR barriers among Greek-speaking patients.

Suggested Citation

  • Varsamo Antoniou & Konstantinos Pasias & Nektarios Loukidis & Kalliopi K. Exarchou-Kouveli & Demosthenes B. Panagiotakos & Sherry L. Grace & Garyfallia Pepera, 2023. "Translation, Cross-Cultural Adaptation and Psychometric Validation of the Greek Version of the Cardiac Rehabilitation Barriers Scale (CRBS-GR): What Are the Barriers in South-East Europe?," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4064-:d:1079239
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    References listed on IDEAS

    as
    1. John Horn, 1965. "A rationale and test for the number of factors in factor analysis," Psychometrika, Springer;The Psychometric Society, vol. 30(2), pages 179-185, June.
    2. Petr Winnige & Katerina Filakova & Jakub Hnatiak & Filip Dosbaba & Otakar Bocek & Garyfallia Pepera & Jannis Papathanasiou & Ladislav Batalik & Sherry L. Grace, 2021. "Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
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