Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment.

Autor: Ghisi GLM; KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, University of Toronto, 347 Rumsey Road, Room 250, Toronto, ON, M4G1R7, Canada., Cruz MMAD; University Center of Adamantina (FAI), Adamantina, Brazil., Vanderlei LCM; School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil., Liu X; Heart Centre Cardiac CCU, The Hospital for Sick Children, Toronto, Canada., Xu Z; Shanghai Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China., Jiandani MP; Physiotherapy School and Centre, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India., Cuenza L; Philippine Heart Center Comprehensive Cardiac Rehabilitation Program (CCREP) and The Medical City CARES (Cardiac Rehabilitation and Secondary Prevention) Program, Quezon City, Philippines., Kouidi E; Department of Physical Education and Sports Science, Laboratory of Sports Medicine, Thessaloniki, Greece., Giallauria F; Department of Translational Medical Sciences, Internal Medicine Unit (Precision Medicine), Federico II University of Naples, Naples, Italy., Mohammed J; Department of Physiotherapy, Bayero University Kano/Aminu-Kano, Kano, Nigeria., Maskhulia L; Cardiac Rehabilitation, Tbilisi State Medical University (TSMU) Sports Medicine and Rehabilitation Clinical Centre, Tbilisi, Georgia., Trevizan PF; Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Batalik L; Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic., Pereira DG; Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Tourkmani N; Rehabilitation Clinic 'Mons. G. Calaciura', Biancavilla, Catania, Italy.; 'Gibiino' Cardiovascular Diagnostic Center, Catania, Italy., Burazor I; Faculty of Medicine, Institute for Cardiovascular Diseases 'Dedinje' and Belgrade University, Belgrade, Serbia., Venturini E; Department of Cardiac Rehabilitation, Cecina Hospital, Cecina, Italy., Lira GG; Policlinica HU, Pernambuco University, Juazeiro, Brazil., Rehfeld MBCV; ATTIV Clinic, Sete Lagoas, Brazil., Neves VR; Pernambuco University, Petrolina, Brazil., Borges GJ; University Center for Science and Entrepreneurship (UNIFACEMP), Santo Antônio de Jesus, Brazil., Kim WS; Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea., Cha S; Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea., Zhang L; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia., Grace SL; KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, University of Toronto, 347 Rumsey Road, Room 250, Toronto, ON, M4G1R7, Canada.; Faculty of Health, York University, Bethune College, 4700 Keele Street, Toronto, ON M3J 1P3, Canada.
Jazyk: angličtina
Zdroj: European journal of preventive cardiology [Eur J Prev Cardiol] 2024 May 09. Date of Electronic Publication: 2024 May 09.
DOI: 10.1093/eurjpc/zwae148
Abstrakt: Aims: Tailored education is recommended for cardiac patients, yet little is known about information needs in areas of the world where it is most needed. This study aims to assess (i) the measurement properties of the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale and (ii) patient's information needs globally.
Methods and Results: In this cross-sectional study, English, simplified Chinese, Portuguese, or Korean versions of the INCR-S were administered to in- or out-patients via Qualtrics (January 2022-November 2023). Members of the International Council of Cardiovascular Prevention and Rehabilitation community facilitated recruitment. Importance and knowledge sufficiency of 36 items were rated. Links to evidence-based lay education were provided where warranted. A total of 1601 patients from 19 middle- and high-income countries across the world participated. Structural validity was supported upon factor analysis, with five subscales extracted: symptom response/medication, heart diseases/diagnostic tests/treatments, exercise and return-to-life roles/programmes to support, risk factors, and healthy eating/psychosocial management. Cronbach's alpha was 0.97. Construct validity was supported through significantly higher knowledge sufficiency ratings for all items and information importance ratings for all subscales in cardiac rehabilitation (CR) enrolees vs. non-enrolees (all P < 0.001). All items were rated as very important-particularly regarding cardiac events, nutrition, exercise benefits, medications, symptom response, risk factor control, and CR-but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ranged from 30.0 to 67.4%, varying by region and income class. Ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine.
Conclusion: Identification of information needs using the valid and reliable INCR-S can inform educational approaches to optimize patients' health outcomes across the globe.
Competing Interests: Conflict of interest: none declared.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze: MEDLINE