Author
Listed:
- Petr Winnige
(Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic)
- Katerina Filakova
(Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic)
- Jakub Hnatiak
(Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic
Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic)
- Filip Dosbaba
(Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic)
- Otakar Bocek
(Department of Internal Cardiology Medicine, University Hospital Brno, 62500 Brno, Czech Republic)
- Garyfallia Pepera
(Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, 35100 Lamia, Greece)
- Jannis Papathanasiou
(Department of Medical Imaging, Allergology & Physiotherapy, Faculty of Dental Medicine, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria
Department of Kinesitherapy, Faculty of Public Health, Medical University of Sofia, 1431 Sofia, Bulgaria)
- Ladislav Batalik
(Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic)
- Sherry L. Grace
(Faculty of Health, York University & KITE-Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON M3J 1P3, Canada)
Abstract
Cardiovascular rehabilitation (CR) is an effective secondary preventive model of care. However, the use of CR is insufficient, and the reasons for this are not well-characterized in East-Central Europe. This prospective observational study psychometrically validated the recently translated Cardiac Rehabilitation Barriers Scale for the Czech language (CRBS-CZE) and identified the main CR barriers. Consecutive cardiac in/out-patients were approached from January 2020 for 18 months, of whom 186 (89.9%) consented. In addition to sociodemographic characteristics, participants completed the 21-item CRBS-CZE (response options 1–5, with higher scores representing greater barriers), and their CR utilization was tracked. Forty-five (24.2%) participants enrolled in CR, of whom 42 completed the CRBS a second time thereafter. Factor analysis revealed four factors, consistent with other CRBS translations. Internal reliability was acceptable for all but one factor (Cronbach’s alpha range = 0.44–0.77). Mean total barrier scores were significantly higher in non-enrollers ( p < 0.001), decreased from first and second administration in these enrollers ( p < 0.001), and were lower in CR completers ( p < 0.001), supporting criterion validity. There were also significant differences in barrier scores by education, geography, tobacco use, among other variables, further supporting validity. The biggest barriers to enrolment were distance, work responsibilities, lack of time, transportation problems, and comorbidities; and the greatest barriers to adherence were distance and travel. Several items were considered irrelevant at first and second administration. Other barriers included wearing a mask during the COVID-19 pandemic. The study demonstrated sufficient validity and reliability of CRBS-CZE, which supports its use in future research.
Suggested Citation
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.
Handle:
RePEc:gam:jijerp:v:18:y:2021:i:24:p:13113-:d:700711
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Cited by:
- Andreea-Elena Lăcraru & Ștefan-Sebastian Busnatu & Maria-Alexandra Pană & Gabriel Olteanu & Liviu Șerbănoiu & Kai Gand & Hannes Schlieter & Sofoklis Kyriazakos & Octavian Ceban & Cătălina Liliana Andr, 2023.
"Assessing the Efficacy of a Virtual Assistant in the Remote Cardiac Rehabilitation of Heart Failure and Ischemic Heart Disease Patients: Case-Control Study of Romanian Adult Patients,"
IJERPH, MDPI, vol. 20(5), pages 1-19, February.
- 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.
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