Psychometric validation of the Cardiac Rehabilitation Barriers Scale Revised (CRBS-R) for hybrid delivery

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Autor(es): dc.contributorYork University-
Autor(es): dc.contributorUniversity Health Network-
Autor(es): dc.contributorShahid Sadoughi University of Medical Sciences-
Autor(es): dc.contributorAdamantina University Center-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Toronto-
Autor(es): dc.creatorGrace, Sherry L.-
Autor(es): dc.creatorGhanbari, Mahdieh-
Autor(es): dc.creatorCruz, Mayara Moura Moura Alves da-
Autor(es): dc.creatorVanderlei, Luiz Carlos Marques-
Autor(es): dc.creatorGhisi, Gabriela Lima de Melo-
Data de aceite: dc.date.accessioned2025-08-21T19:34:10Z-
Data de disponibilização: dc.date.available2025-08-21T19:34:10Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-10-15-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1136/bmjopen-2024-090261-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/304121-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/304121-
Descrição: dc.descriptionObjective To test the measurement properties of the revised version of the English Cardiac Rehabilitation Barriers Scale (CRBS-R), suitable for hybrid delivery, structural validity, internal reliability, as well as face, cross-cultural, construct and criterion validity were assessed. Design Cross-sectional study, where participants completed an online survey via Qualtrics (2023-2024). Setting Multicentre, with cardiac rehabilitation (CR) programmes recruiting patients globally; most patients stemmed from a hybrid programme in Iran and supervised programme in Brazil. Participants Participants include inpatients or outpatients with a cardiovascular diagnosis or procedure that is indicated for participation in CR. Measures In addition to sociodemographic and CR use items, the 21-item CRBS-R was administered. It assesses multilevel barriers and was revised based on a literature review. Responses range from 1 to 5, with higher scores indicating greater barriers. Results 235 patients participated from all 6 WHO regions. Items were rated as highly applicable, and open-ended responses revealing no key barriers were omitted, supporting face and cross-cultural validity. Cronbach's α for the total CRBS-R was 0.82. Principal components analysis resulted in the extraction of 4 components, which collectively accounted for 60.5% of the variance and were all internally consistent. Construct validity was supported by associations of total CRBS scores with work status (p = 0.04), exercise history (p = 0.01) and social support (p = 0.03). Total CRBS-R scores were significantly lower in patients who were referred and enrolled versus those who were not (both p≤0.01), confirming criterion validity. Conclusions The CRBS-R is a reliable and valid scale comprising four subscales, applicable to hybrid CR across diverse settings. It can serve as a valuable tool to support identification of patient's CR barriers, to optimise secondary prevention utilisation globally.-
Descrição: dc.descriptionFaculty of Health York University-
Descrição: dc.descriptionKITE Research Institute University Health Network-
Descrição: dc.descriptionYazd Cardiovascular Research Center Non-communicable Diseases Research Institute Shahid Sadoughi University of Medical Sciences-
Descrição: dc.descriptionAdamantina University Center, Adamantina-
Descrição: dc.descriptionSchool of Technology and Sciences São Paulo State University (UNESP), Presidente Prudente-
Descrição: dc.descriptionDepartment pf Physical Therapy University of Toronto-
Descrição: dc.descriptionSchool of Technology and Sciences São Paulo State University (UNESP), Presidente Prudente-
Idioma: dc.languageen-
Relação: dc.relationBMJ Open-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCardiovascular Disease-
Palavras-chave: dc.subjectHealth Services Accessibility-
Palavras-chave: dc.subjectPsychometrics-
Palavras-chave: dc.subjectSurveys and Questionnaires-
Título: dc.titlePsychometric validation of the Cardiac Rehabilitation Barriers Scale Revised (CRBS-R) for hybrid delivery-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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