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@article{1815903,
author = {Winnige, Petr and Filáková, Kateřina and Hnatiak, Jakub and Dosbaba, Filip and Boček, Otakar and Pepera, Garyfallia and Papathanasiou, Jannis and Baťalík, Ladislav and Grace, Sherry L.},
article_location = {Basel},
article_number = {4},
doi = {http://dx.doi.org/10.3390/IJERPH182413113},
keywords = {barriers; utilization; cardiac rehabilitation; coronary artery disease; Czech Republic},
language = {eng},
issn = {1660-4601},
journal = {INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH},
title = {Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe},
url = {https://www.mdpi.com/1660-4601/18/24/13113},
volume = {18},
year = {2021}
}
TY - JOUR
ID - 1815903
AU - Winnige, Petr - Filáková, Kateřina - Hnatiak, Jakub - Dosbaba, Filip - Boček, Otakar - Pepera, Garyfallia - Papathanasiou, Jannis - Baťalík, Ladislav - Grace, Sherry L.
PY - 2021
TI - Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe
JF - INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL - 18
IS - 4
SP - 1-14
EP - 1-14
PB - MDPI
SN - 16604601
KW - barriers
KW - utilization
KW - cardiac rehabilitation
KW - coronary artery disease
KW - Czech Republic
UR - https://www.mdpi.com/1660-4601/18/24/13113
N2 - 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.
ER -
WINNIGE, Petr, Kateřina FILÁKOVÁ, Jakub HNATIAK, Filip DOSBABA, Otakar BOČEK, Garyfallia PEPERA, Jannis PAPATHANASIOU, Ladislav BAŤALÍK a Sherry L. GRACE. Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe. \textit{INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}. Basel: MDPI, 2021, roč.~18, č.~4, s.~1-14. ISSN~1660-4601. Dostupné z: https://dx.doi.org/10.3390/IJERPH182413113.
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