Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

Petr Winnige, Katerina Filakova, Jakub Hnatiak, Filip Dosbaba, Otakar Bocek, Garyfallia Pepera, Jannis Papathanasiou, Ladislav Batalik and Sherry L. Grace
Additional contact information
Petr Winnige: Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
Katerina Filakova: Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic
Jakub Hnatiak: Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic
Filip Dosbaba: Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic
Otakar Bocek: Department of Internal Cardiology Medicine, University Hospital Brno, 62500 Brno, Czech Republic
Garyfallia Pepera: Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, 35100 Lamia, Greece
Jannis Papathanasiou: Department of Medical Imaging, Allergology & Physiotherapy, Faculty of Dental Medicine, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria
Ladislav Batalik: Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
Sherry L. Grace: Faculty of Health, York University & KITE-Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON M3J 1P3, Canada

IJERPH, 2021, vol. 18, issue 24, 1-14

Abstract: Cardiovascular rehabilitation (CR) is an effective secondary preventive model of care. However, the use of CR is insufficient, and the reasons for this are not well-characterized in East-Central Europe. This prospective observational study psychometrically validated the recently translated Cardiac Rehabilitation Barriers Scale for the Czech language (CRBS-CZE) and identified the main CR barriers. Consecutive cardiac in/out-patients were approached from January 2020 for 18 months, of whom 186 (89.9%) consented. In addition to sociodemographic characteristics, participants completed the 21-item CRBS-CZE (response options 1–5, with higher scores representing greater barriers), and their CR utilization was tracked. Forty-five (24.2%) participants enrolled in CR, of whom 42 completed the CRBS a second time thereafter. Factor analysis revealed four factors, consistent with other CRBS translations. Internal reliability was acceptable for all but one factor (Cronbach’s alpha range = 0.44–0.77). Mean total barrier scores were significantly higher in non-enrollers ( p < 0.001), decreased from first and second administration in these enrollers ( p < 0.001), and were lower in CR completers ( p < 0.001), supporting criterion validity. There were also significant differences in barrier scores by education, geography, tobacco use, among other variables, further supporting validity. The biggest barriers to enrolment were distance, work responsibilities, lack of time, transportation problems, and comorbidities; and the greatest barriers to adherence were distance and travel. Several items were considered irrelevant at first and second administration. Other barriers included wearing a mask during the COVID-19 pandemic. The study demonstrated sufficient validity and reliability of CRBS-CZE, which supports its use in future research.

Keywords: barriers; utilization; cardiac rehabilitation; coronary artery disease; Czech Republic (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/24/13113/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/24/13113/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:24:p:13113-:d:700711

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().