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

European Journal of Preventive Cardiology, Год журнала: 2024, Номер 31(16), С. 1927 - 1936

Опубликована: Май 9, 2024

Abstract Aims Tailored education is recommended for cardiac patients, yet little known about information needs in areas of the world where it most needed. This study aims to assess (i) measurement properties Information Needs Cardiac Rehabilitation short version (INCR-S) scale and (ii) patient’s globally. Methods results In this cross-sectional study, English, simplified Chinese, Portuguese, or Korean versions INCR-S were administered in- out-patients via Qualtrics (January 2022–November 2023). Members International Council Cardiovascular Prevention community facilitated recruitment. Importance knowledge sufficiency 36 items rated. Links evidence-based lay provided warranted. A total 1601 patients from 19 middle- high-income countries across participated. Structural validity was supported upon factor analysis, with five subscales extracted: symptom response/medication, heart diseases/diagnostic tests/treatments, exercise return-to-life roles/programmes support, risk factors, healthy eating/psychosocial management. Cronbach’s alpha 0.97. Construct through significantly higher ratings all importance rehabilitation (CR) enrolees vs. non-enrolees (all P < 0.001). All rated as very important—particularly regarding events, nutrition, benefits, medications, response, control, CR—but more so Americas Western Pacific. Knowledge ranged 30.0 67.4%, varying by region income class. Ratings highest medications lowest support groups, resistance training, alternative medicine. Conclusion Identification using valid reliable can inform educational approaches optimize patients’ health outcomes globe.

Язык: Английский

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Cardiac Rehabilitation for Women with Heart Disease

Physical Medicine and Rehabilitation Clinics of North America, Год журнала: 2025, Номер unknown

Опубликована: Фев. 1, 2025

Язык: Английский

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Evidence-informed development of women-focused cardiac rehabilitation education

Heart & Lung, Год журнала: 2023, Номер 64, С. 14 - 23

Опубликована: Ноя. 18, 2023

Язык: Английский

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Looking After HER HEART; Let’s Talk About Women’s Heart Health

CJC Open, Год журнала: 2024, Номер 6(2), С. 139 - 141

Опубликована: Янв. 11, 2024

The 2023 Heart & Stroke (H&S) report, describe that in half the women who experience a myocardial infarction (MI), symptoms are not recognized, with sobering outcome every 16 minutes woman Canada dies as result of heart disease or stroke. 1Heart Canada. System failure:Healthcare inequities continue to leave women's and brain health behind, 2023Google Scholar It comes no surprise then, cardiovascular is leading cause premature death women.1Heart These statistics part attributed lack public understanding and/or awareness female specific risks associated issues, but also on clinicians labeling "atypical" "low-risk" based risk stratification models evidence developed validated primarily men. In her book "Doing Harm; truth about how bad medicine lazy science dismissed, misdiagnosed sick", Maya Dusenbery, editor award-winning site feministing.com notes myths being "man's disease" still prevalent when interact healthcare providers whose perceptions be singularly influenced only by male paradigm viewed through sex gender lens, unfortunate less likely appropriately diagnosed treated. 2Dusenbery M. Doing harm: misdiagnosed, sick: HarperCollins; 2018.Google Furthermore, considerable body research, including trials used create clinical practice guidelines frame presentation issues within dominant paradigm, results lived "stopped at gate" 3Colella T.J. Hardy Hart D. et al.The Canadian Women's Health Alliance atlas epidemiology, diagnosis, management women—Chapter 3: patient perspectives.CJC open. 2021; 229-235Abstract Full Text PDF PubMed Scopus (10) Google accessing care, labelled having anxiety noncardiac disorders, turned away from further evaluation investigations. reasons for this multifactorial, unconscious conscious bias, education awareness. disparities compounded ethnic, racialized elderly women, where racism ageism enter into intersectional dynamic failure access receive appropriate, evidence-based care. Our own recent study reported had experienced event were attempting navigate care system "embarrassed" point hiding due belief they stigmatized held responsible "not taking their heart- eating too much wrong foods exercising enough". 4Oliphant T, Berry Norris CM. 'In perfect world doctors medical profession would accept people are': information practices. 2022.Google Recently, epidemiological has identified MIs increase under 65 years age, especially those eventually non-obstructive coronary arteries (MINOCA), which more than twice compared men.1Heart Similarly, angina, characteristic symptom ischemic (IHD), younger ischemia (INOCA).1Heart Moreover artery spasm microvascular dysfunction represent major IHD middle age women5Maas A.H. Rosano G. Cifkova R. al.Cardiovascular after menopause transition, pregnancy other gynaecologic conditions: consensus document European cardiologists, gynaecologists, endocrinologists.European Journal. 42: 967-984Crossref (110) these entities difficult diagnose, requiring additional specialized testing limited availability. As well, spontaneous dissection (SCAD), common MI's 90% SCAD patients women,6Saw J. Sedlak T. Ganesh S.K. Isserow S. Mancini G.B.J. Spontaneous Coronary Artery Dissection (SCAD).Circulation. 2015; 131: e3-e5Crossref (13) Scholar,7Krittanawong C. Saw Olin J.W. Updates dissection.Current Cardiology Reports. 2020; 22: 1-11Crossref was previously thought rare until large registries North America, now globally, have demonstrated otherwise. accounts 25% 30% all 60 over 40% 40 age,6Saw most peripartum.8Hayes S.N. Tweet M.S. Adlam al.Spontaneous dissection: JACC state-of-the-art review.Journal American College Cardiology. 76: 961-984Crossref (176) From life stage perspective, influences hormones regulation biological physiological processes translated development, collection analyses data treatments outcomes (CVD) women. result, gap mechanistic relationship between (biological) (psychosociocultural) factors CVD means under-researched, underdiagnosed, undertreated, under-supported, aware. Scholar,9Heart Foundation. Ms.Understood. hearts victims ill-equipped treat support them: 2018 Report, Henry Ford once said 'If everyone moving forward together then success takes itself' CJCO special edition focused clearly demonstrates we truly using available inform well demonstrate yet need health. Evidence Inform Practice 2018, (CWHHA; website: https://www.cwhha.ca ) established network experts advocates develop disseminate evidence-informed strategies transform enhance collaborative action 'superpower' CWHHA membership inclusive, consisting 200 members across includes clinicians, scientists, allied professionals, program administrators, partners goal improving span. mission 'to decision-makers working collaboratively implement evidence, impact policy related health" actioned establishing four groups addressing Advocacy, Training Education, Knowledge Translation Mobilization (KTM), Systems Policy (HSP) (website: cwhha.ca). Early on, following establishment development group projects, our HSP KTM (which we, CMN, SLM, each respectively led), perceived value collaboration, sought received committed Dr. Michelle Graham (editor CJCO) co-create THE ATLAS ON EPIDEMIOLOGY, DIAGNOSIS, AND MANAGEMENT OF CARDIOVASCULAR DISEASES IN WOMEN, Collection Tab (https://www.cjcopen.ca/womens_heart_health_alliance) project its roots seminal "State Science Cardiovascular Disease: A Perspective Influence Sex Gender" publication Go Red Issue JAHA 2020.10Norris C.M. Yip C.Y. Nerenberg K.A. al.Introducing diseases women.CJC 2: 145-150Abstract presenting "deep dives" 'under studied, treated' aspects health, creating multi-chapter in-depth, contemporary reviews current lifespan. fitting final two chapters ATLAS, CHP 8: Gaps Status Existing Research Programs Canada, 9 Challenges, Opportunities, Recommendations, published CJC Open #HerHeartMatters issue during Month highlight programs research undertaken summarize opportunities recommendations forward. addition, number manuscripts provide state areas disproportionately predominant conditions, such as: What's new (SCAD)?; Pathophysiology Myocardial Infarction Non-Obstructive Contemporary Systematic Review; Antithrombotic anterior STEMI; Female-specific considerations aortic disease. unique lifespan addressed including: Prevalence Sex-specific Disease Risk Factors; Medical Risk, Engagement Health-Promoting Behaviours Premenopausal Females; importance non-traditional sex-specific young vasomotor versus obstructive syndromes (MI, INOCA); Increased Outcomes Across Lifespan Those Affected Polycystic Ovary Syndrome: Population Cohort Study; Menopausal Transition – Two faces same coin. Unique hypertension renal factor explored in: Awareness Hypertension Reproductive-Aged Women Living Chronic Kidney Disease, Testosterone Not Associated Vascular Function Females We fortunate able include existing context perspectives preferences delivery, order identify contribute successful foundation standards spectrum local, regional, national global reports, again woman's lifespan: Understanding specialized, longitudinal postpartum reduction clinics; Nutritional interventions lowering hypertensive disorders pregnancy; Women-focused cardiac rehabilitation delivery around enablers broader implementation. Finally, conclude an optimistic note, report How address Gaps. essence, celebrating continued move dial advancing internationally11Vogel B. Acevedo Appelman Y. Lancet Commission: reducing burden 2030.The Lancet. 397: 2385-2438Abstract (402) Scholar. More importantly it 'call action' challenging us work identifying, diagnosing, treating, build evidence-base, strive towards guideline-directed diagnoses treatments, improve Dr holds Cavarzan Chair Mature funded WCHRI Alberta Mulvagh consultant NovoNordisk Lantheus Medical.

Язык: Английский

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Promoting cardiac rehabilitation program quality in low-resource settings: Needs assessment and evaluation of the International Council of Cardiovascular Prevention and Rehabilitation's registry quality improvement supports

International Journal of Cardiology, Год журнала: 2024, Номер 404, С. 131962 - 131962

Опубликована: Март 12, 2024

Background Cardiac rehabilitation (CR) registries have the potential to support quality improvement (QImp). This study investigated QImp needs of International CR Registry-participating programs and their evaluation its' supports. Methods ICRR offers comparative outcome dashboards sessions, among other features. In this qualitative study, data stewards from 17 active on-boarded were invited a focus group held in November 2023 via Teams; not sufficiently-proficient English provide written input. Deductive-thematic analysis using NVIVO was undertaken by 2 researchers; member-checking ensued. Results Nine participated, four provided input, six countries. Three themes emerged; saturation achieved. First, facilitators included training, institutional requirements, dedicated staff, resources academic centres Second, barriers staffing issues, global nature ICRR, structural challenges low-resource settings. Finally, supports for didactic webinars, hearing programs, 1–1 offered assessing minimum Certification standards. Conclusion ICRR-participating are satisfied with but encounter challenges, including related language, resources. should be leveraged optimized assess improve care quality.

Язык: Английский

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Effectiveness of Cardiac Rehabilitation in Enhancing Clinical Outcomes for Coronary Artery Disease: A Systematic Analysis

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Сен. 11, 2024

Cardiac rehabilitation (CR) is a structured intervention aimed at improving the clinical outcomes for patients with coronary artery disease (CAD). This systematic review assesses how well different types of CR, such as high-intensity interval training (HIIT), moderate-intensity continuous (MICT), Nordic walking (NW), and home-based cardiac (HBCR), improve exercise capacity, quality life, lower death illness rates. The objective to assess effectiveness cardiovascular programs in enhancing diagnosed CAD. A comprehensive literature search was conducted using Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) model across Google Scholar, EMBASE, PubMed, Medline, web browsers. Keywords "cardiac rehabilitation," "coronary disease," "exercise testing," "VO2 peak," "physical activity" were used combinations. Studies included if they randomized controlled trials, observational studies, or longitudinal studies published after 2013 English, focus on impact CR Articles excluded reviews, meta-analyses, did not meet keyword requirements. total 375 articles initially identified relevant citations. After further screening, 10 met inclusion criteria analysis. reviewed demonstrated that all forms including HIIT, MICT, NW, HBCR, significantly improved capacity reduced depression severity among CAD patients. showed marked improvements functional while HIIT resulted higher VO2 peak levels compared exercise. Home-based greater adherence rates, especially older those strong family support. results also highlighted importance individualized enhance outcomes. vital component secondary prevention patients, outcomes, mortality findings underscore maintaining expanding access tailoring interventions patient needs optimize long-term health Future research should explore comparative modalities strategies increase adherence.

Язык: Английский

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Predictors of Cardiac Rehabilitation Attendance and Completion: Analysis of 33,055 Patients from the Queensland Cardiac Outcomes Registry (2020–2022)

Heart Lung and Circulation, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 1, 2024

Язык: Английский

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