Avaliação da aderência ao programa de reabilitação cardíaca em um hospital particular geral

Mair, Vanessa; Breda, Ana Paula; Nunes, Marcos Eduardo Boquembuzo; Matos, Luciana Diniz Nagem Janot de

doi:10.1590/s1679-45082013000300004

Cited by 18 publications

(26 citation statements)

References 25 publications

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“…McCarthy et al [35] reported that suffering from other diseases, a lack of insurance coverage, or financial concerns were barriers to patients’ adherence to the program. These findings correspond with the results reported by Mair et al [42] indicating that travel/labor dispute, personal/family problems, and low initial provision were main factors contributing to absenteeism from a CR program. According to Meng et al [43] the patient-centered self-management program might be more effective in certain self-management outcomes than a usual care education in both short- and long-term periods.…”

Section: Discussionsupporting

confidence: 92%

Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)

Hamedani

Shahsavari

Amaniyan

et al. 2019

JCDD

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Patients with cardiac diseases can achieve the greatest benefit from cardiac rehabilitation through modification of their unhealthy behaviors. This study aimed to develop and examine the psychometric properties of the Cardiac Rehabilitation Adherence Tool (CRAT), which was designed to assess patients’ adherence to cardiac rehabilitation. In this instrument development study, the items of the CRAT were extracted through a comprehensive literature review. The CRAT was assessed in terms of validity and reliability. Exploratory factor analysis was conducted to assess its construct validity, which led to the development of a tool containing 57 items and five dimensions including “acceptance of the rehabilitation center,” “being interested in health,” “feeling a need,” “personal control over the situation,” and “encouragement and advice.” These five factors accounted for 45.23% of the observed variance. The Cronbach’s alpha was 0.935. The test-retest method supported the stability of the instrument (r = 0.95). Health care professionals can use the CRAT to examine factors influencing the patient’s decision to leave cardiac rehabilitation and design strategies for improving their adherence to the rehabilitation program.

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Section: Discussionsupporting

confidence: 92%

Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)

Hamedani

Shahsavari

Amaniyan

et al. 2019

JCDD

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“…In contrast to this study, Mair et al 10 described that the factors that most negatively influenced patients' adherence to CVR were situations related to the travel arrangements or working conditions. However, because it was performed in a private hospital in the city of São Paulo, possibly the population of this study had a higher socioeconomic level than the present study.…”

Section: Lack Of Medical Prescription 32 40%contrasting

confidence: 91%

“…7,8,9 Other authors, although they did this survey by the patients' view, did so in specific regions of Brazil, such as São Paulo and Rio Grande do Sul. 10,11 However, these regions do not reflect the reality of the Brazilian Northeast, which has distinct cultural and socioeconomic characteristics.…”

Section: Introductionmentioning

confidence: 99%

Barriers to cardiovascular rehabilitation care in a northeast city of Brazil

Santos¹,

Gomes²,

Vilaronga³

et al. 2017

Acta Fisiátrica

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Identifying barriers by regions of Brazil can be a valuable strategy to improve the insertion and adherence of patients with cardiopathy to cardiovascular rehabilitation programs. Objective: To identify and describe the reasons that lead to the non-inclusion of individuals with cardiopathy in cardiovascular rehabilitation programs. Methods: Descriptive cross-sectional study with 79 individuals of both sexes, aged over 50 years, with cardiopathy from five private cardiology clinics. To identify the factors that interfered with the inclusion of patients in cardiovascular rehabilitation programs, the scale of barriers for cardiac rehabilitation was applied. This instrument is composed of 22 items, 21 of which are closed and objective questions. Individuals were instructed to tick "YES" or "NO" for each target item on the scale if they identified the item as a barrier to inclusion / adherence. Results: 64 (81%) of the sample did not know about the existence of cardiovascular rehabilitation and its benefits. For 50 (63%) the distance from the residence to the rehabilitation center was a barrier. In addition, the cost of urban mobility 37 (47%) and the lack of indication of the physician as unnecessary 32 (40%) were also pointed as barriers. Conclusion: The results of this study indicate that the main reasons for non-insertion in cardiovascular rehabilitation programs were the lack of knowledge about the benefits of this type of program, the distance of the patients' residence to the nearest center and the displacement cost.

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“…The CR adherence tool, while valid, does not consider factors that may impede initial enrolment. 20 The Cardiac Rehabilitation Barriers Scale (CRBS) is arguably the most widely administered, [21][22][23][24][25][26][27] comprehensive and psychometrically validated tool to assess patient barriers to CR enrolment and participation from the patient to health system levels. 28 It was developed following a review of the literature and revised with input from healthcare providers including CR staff.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

et al. 2020

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ObjectivesThis study aimed to translate, cross-culturally adapt and psychometrically validate a Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P) and to identify the main barriers in an Iranian setting.SettingAfshar cardiac rehabilitation (CR) centre, affiliated with the Yazd University of Medical Sciences, in the centre of Iran.DesignThis was a multimethod study, culminating in a cross-sectional survey.ParticipantsInpatient CR graduates who did not attend their initial outpatient CR appointment.MethodThe 21-item CRBS was translated and cross-culturally adapted in accordance with best practices; an expert panel considered the items and previous non-attending patients were interviewed via phone to refine the scale. Next, structural validity was assessed; participants were invited to complete the CRBS on the phone between March 2017 and February 2018. Using exploratory factor analysis (EFA) with principal component analysis extraction and oblique rotation. Second, confirmatory factor analysis (CFA) was used to verify the results; several goodness-of-fit indices were considered. The internal consistency and 3-week test–retest reliability of the scale (5% subsample) were evaluated using Cronbach’s α and intraclass correlation (ICC), respectively.ResultsFace, content and cross-cultural validity were established by the experts and patients (n=50). One thousand and one hundred (40.7%) of the 2700 patients completed the CRBS-P. Structural validity was established by EFA (Bartlett’s test p<0.001; =0.759) and confirmed by the CFA; a four-factor solution with 18 items accounting for 61.256% of variance had the best fit (χ2/df=3.206, root mean square error of approximation=0.061 and Comparative Fit Index=0.959). The internal consistency and test–retest reliability (n=42) of the scale were acceptable (ICC=0.743 95% CI (0.502 to 0.868); overall α=0.797). The top barriers were not knowing about CR, cost and lack of encouragement from physicians.ConclusionThe four-factor, 18-item CRBS-P had good psychometric properties, and hence can be reliably and validly used to measure CR barriers in Iran and other Persian-speaking populations.

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Avaliação da aderência ao programa de reabilitação cardíaca em um hospital particular geral

Cited by 18 publications

References 25 publications

Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)

Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)

Barriers to cardiovascular rehabilitation care in a northeast city of Brazil

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

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