Psychometric validation of the Cardiac Rehabilitation Barriers Scale Revised (CRBS-R) for hybrid delivery DOI Creative Commons
Sherry L. Grace, Mahdieh Ghanbari-Firoozabadi, Mayara Moura Alves da Cruz

и другие.

BMJ Open, Год журнала: 2024, Номер 14(10), С. e090261 - e090261

Опубликована: Окт. 1, 2024

Objective To test the measurement properties of revised version English Cardiac Rehabilitation Barriers Scale (CRBS-R), suitable for hybrid delivery, structural validity, internal reliability, as well 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 stemmed from a programme in Iran supervised Brazil. Participants include inpatients or outpatients cardiovascular diagnosis procedure that is indicated participation CR. Measures In addition to sociodemographic CR use items, 21-item CRBS-R was administered. It assesses multilevel barriers based on literature review. Responses range 1 5, higher scores indicating greater barriers. Results 235 participated all 6 WHO regions. Items rated highly applicable, open-ended responses revealing no key omitted, supporting face cross-cultural validity. Cronbach’s α total 0.82. Principal components analysis resulted extraction 4 components, which collectively accounted 60.5% variance internally consistent. Construct supported by associations CRBS work status (p=0.04), exercise history (p=0.01) social support (p=0.03). Total significantly lower who referred enrolled versus those not (both p≤0.01), confirming Conclusions The reliable valid scale comprising four subscales, applicable across diverse settings. can serve valuable tool identification patient’s barriers, optimise secondary prevention utilisation globally.

Язык: Английский

Bridging the Gap DOI
Gabriela Lima de Melo Ghisi, Carolina Gonzaga

Journal of Cardiopulmonary Rehabilitation and Prevention, Год журнала: 2025, Номер 45(3), С. 157 - 160

Опубликована: Апрель 24, 2025

Язык: Английский

Процитировано

0
Time to re-evaluate blood pressure recommendations for exercise testing in spontaneous coronary artery dissection? A case series. DOI Creative Commons
Carolina Gonzaga, Lisa M. Cotie, Mina Madan

и другие.

CJC Open, Год журнала: 2025, Номер unknown

Опубликована: Май 1, 2025

Язык: Английский

Процитировано

0
A cross-sectional study of cardiac rehabilitation enrollment barriers in patients at risk for suboptimal outcomes from acute coronary syndrome DOI

Ayesha Kamran,

Sherry L. Grace, Ross Arena

и другие.

Contemporary Nurse, Год журнала: 2025, Номер unknown, С. 1 - 18

Опубликована: Май 12, 2025

Cardiac rehabilitation (CR) is an effective treatment to reduce the burden of cardiovascular disease (CVD) but underutilized. This study characterized CR enrollment barriers and perceived physician endorsement in patient subgroups at increased risk poor outcomes. The association between sociodemographic clinical characteristics Rehabilitation Barriers Scale (CRBS) item subscale scores were examined using secondary data analysis patients with acute coronary syndrome referred to, not yet enrolled in, a 12-week program. Participants rated strength recommendation attend on 1-5 scale. three most endorsed CRBS items inclement weather, travel, work responsibilities. Additional (e.g. time constraints, already exercising, family responsibilities) emerged certain subgroups. Perceived was high overall sample. After statistical adjustment for confounds, depressed mood positively associated logistical (b = 0.05, p 0.002), comorbidity-related 0.02, < 0.001). Female sex 0.62, 0.004), higher body mass index 0.009), diabetes 1.08, 0.001), barriers. Patients require individualized support address Given their crucial role supporting access CR, nurses are well-positioned identify

Язык: Английский

Процитировано

0
Transforming Patient Education in Cardiac Rehabilitation: A Vision for the Future DOI
Gabriela Lima de Melo Ghisi

Patient Education and Counseling, Год журнала: 2025, Номер 138, С. 109176 - 109176

Опубликована: Май 16, 2025

Язык: Английский

Процитировано

0
Effectiveness of a virtual vs. in-person group-based education curriculum to increase disease-related knowledge and change health behaviour among cardiac rehabilitation participants DOI
Gabriela Lima de Melo Ghisi,

Crystal Aultman,

Laís Manata Vanzella

и другие.

Patient Education and Counseling, Год журнала: 2023, Номер 118, С. 108021 - 108021

Опубликована: Окт. 11, 2023

Язык: Английский

Процитировано

8
Women-Focused Cardiac Rehabilitation Delivery Around the World and Program Enablers to Support Broader Implementation DOI Creative Commons
Gabriela Lima de Melo Ghisi, Marta Supervía, Karam Turk-Adawi

и другие.

CJC Open, Год журнала: 2023, Номер 6(2), С. 425 - 435

Опубликована: Окт. 14, 2023

Women are less likely than men to use cardiac rehabilitation (CR); thus, women-focused (W-F) CR was developed. Implementation of W-F globally investigated, as well barriers and enablers its delivery.

Язык: Английский

Процитировано

7
Examining the effectiveness of home-based cardiac rehabilitation programs for heart failure patients with reduced ejection fraction: a critical review DOI Creative Commons
Shahram Darvishzadehdaledari, Alexander Harrison, Fatemeh Gholami

и другие.

BMC Cardiovascular Disorders, Год журнала: 2023, Номер 23(1)

Опубликована: Дек. 5, 2023

Abstract Background Heart failure (HF) is the most common cardiovascular reason for hospital admission, particularly among patients older than 60 years old. with reduced ejection fraction (HFrEF) comprises approximately 50% of all heart cases. Home-based cardiac rehabilitation (HBCR) an alternative option to enhance participation rate in (CR) interventions who are not able attend center-based (CBCR). The purpose this review clarify extent which present studies HBCR align core components defined by both European Society Cardiology (ESC) and British Association Cardiac Prevention Rehabilitation (BACPR). Methods A critical was conducted through four databases, MEDLINE, Embase, Cochrane Central Register Controlled Trials, Database Systematic Reviews, identify randomized controlled trials up until June 2022. We scrutinized commonalities between BACPR ESC developed a list standards. risk bias assessed using RoB 2 tool. Results Among 87 papers selected full-text screening, 11 met inclusion criteria. Six possessed high proportion fidelity essential standards, had medium alliance, one intervention low level alliance. Conclusion Overall, majority included alignment standards components. However, need more attention long-term strategy as important standard revealed. Rapid identification initial assessment standards; however, lifestyle factor management outcomes were recognized least

Язык: Английский

Процитировано

7
Targeting behavioral factors with digital health and shared decision-making to promote cardiac rehabilitation—a narrative review DOI Creative Commons
Isabel Höppchen,

Daniela Wurhofer,

Alexander Meschtscherjakov

и другие.

Frontiers in Digital Health, Год журнала: 2024, Номер 6

Опубликована: Фев. 23, 2024

Cardiac rehabilitation (CR) represents an important steppingstone for many cardiac patients into a more heart-healthy lifestyle to prevent premature death and improve quality of life years. However, CR is underutilized worldwide. In order support the development targeted digital health interventions, this narrative review (I) provides understandings factors influencing utilization from behavioral perspective, (II) discusses potential technologies (DHTs) address barriers reinforce facilitators CR, (III) outlines how DHTs could incorporate shared decision-making utilization. A search reviews in Web Science PubMed was conducted summarize evidence on The were grouped according Behaviour Change Wheel . Patients' Capability participating influenced by their disease knowledge, awareness benefits information received, interactions with healthcare professionals (HCP). Opportunity attend impacted system such as referral processes HCPs' awareness, well personal resources including logistical challenges comorbidities. Motivation engage affected emotions, gender, age, self-perception fitness control over condition, peer comparisons. Based factors, identified intervention functions that increase uptake: Future aiming may benefit incorporating HCP education, enabling management collaboration along patient pathway, enhancing social relatives peers. To conclude, considerations are made future innovations functions.

Язык: Английский

Процитировано

2
Impact of mHealth application on adherence to cardiac rehabilitation guidelines after a coronary event: Randomised controlled clinical trial protocol DOI Creative Commons
Celia Cruz‐Cobo, María Ángeles Bernal-Jiménez,

Germán Calle-Pérez

и другие.

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Background Coronary disease is the main cause of death around world. mHealth technology considered attractive and promising to promote behavioural changes aimed at healthy lifestyle habits among coronary patients. The purpose this study evaluate efficacy an intervention regarding improved results in secondary prevention patients after acute myocardial infarction (AMI) or angina terms lifestyle, clinical variables therapeutic compliance. Methods Randomised trial with 300 who underwent a percutaneous (PCI) stent implant. They will be assigned either group, subject self-monitored educational involving internet application installed on their mobile phone tablet, control group receiving standard healthcare (150 each arm). primary outcome adherence Mediterranean diet, physical activity, smoking, compliance, knowledge acquired, user-friendliness satisfaction application. Measurements blood pressure, heart rate, body weight, waist circumference (WC) 6-min walk test taken. Furthermore, lipid profile, glucose HbA1c evaluated. Clinical interview conducted, validated questionnaires completed. quantitative compared using analysis covariance adjusted for age sex. A multivariate performed examine association habits, cardiovascular risk factors (CDRFs) hospital discharge (major adverse events, treatment compliance lifestyle). Conclusions provide evidence about effectiveness improving participants could offered complement existing services. Trial registration NCT05247606. [ https://ClinicalTrials.gov ]. 21/02/2022

Язык: Английский

Процитировано

2
Sex and gender specific pitfalls and challenges in cardiac rehabilitation: a working hypothesis towards better inclusivity in cardiac rehabilitation programmes DOI Creative Commons
Alberto M. Marra, Federica Giardino, Andrea Salzano

и другие.

European Heart Journal Open, Год журнала: 2024, Номер 4(5)

Опубликована: Авг. 31, 2024

Abstract Notwithstanding its acknowledged pivotal role for cardiovascular prevention, cardiac rehabilitation (CR) is still largely under prescribed, in almost 25% of patients owing an indication for. In addition, when considering differences concerning the two sexes, female individuals are underrepresented CR programmes with lower referral rates, participation, and completion as compared to male counterpart. This picture becomes even more tangled reference gender, a complex socio-cultural construct characterized by four domains (gender identity, relation, role, institutionalized gender). Indeed, each them reveals several obstacles that considerably penalize adherence different categories people, especially those who not identifiable non-binary gender. Aim present review identify sex- (i.e. biological) gender- socio-cultural) specific related biological sex sociocultural gender then envision likely viable solution through tailored treatments towards patients’ well-being.

Язык: Английский

Процитировано

1