WINNIGE, Petr, Kateřina FILÁKOVÁ, Jakub HNATIAK, Filip DOSBABA, Otakar BOČEK, Garyfallia PEPERA, Jannis PAPATHANASIOU, Ladislav BAŤALÍK and 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. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. Basel: MDPI, 2021, vol. 18, No 4, p. 1-14. ISSN 1660-4601. Available from: https://dx.doi.org/10.3390/IJERPH182413113.
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Basic information
Original name Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe
Authors WINNIGE, Petr (203 Czech Republic, belonging to the institution), Kateřina FILÁKOVÁ (203 Czech Republic), Jakub HNATIAK (203 Czech Republic, belonging to the institution), Filip DOSBABA (203 Czech Republic), Otakar BOČEK (203 Czech Republic), Garyfallia PEPERA, Jannis PAPATHANASIOU, Ladislav BAŤALÍK (703 Slovakia, belonging to the institution) and Sherry L. GRACE.
Edition INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Basel, MDPI, 2021, 1660-4601.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30304 Public and environmental health
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.614
RIV identification code RIV/00216224:14110/21:00123447
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3390/IJERPH182413113
UT WoS 000738266100001
Keywords in English barriers; utilization; cardiac rehabilitation; coronary artery disease; Czech Republic
Tags 14110115, 14110525, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 19/1/2022 12:27.
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.
Links
MUNI/A/1608/2020, interní kód MUName: Prohlubování znalostí v oblasti zdravotních rizik a benefitů výživy, prostředí a životního stylu III
Investor: Masaryk University
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