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Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)

Hamedani, Shahsavari, Amaniyan, Sieloff, Vaismoradi, Mojtaba Vaismoradi

Journal of Cardiovascular Development and Disease, Volume: 6, Issue: 3, Start page: 25

Swansea University Author: Mojtaba Vaismoradi

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DOI (Published version): 10.3390/jcdd6030025

Abstract

Patients with cardiac diseases can achieve the greatest benefit from cardiac rehabilitation through modification of their unhealthy behaviors. This study aimed to develop and examine the psychometric properties of the Cardiac Rehabilitation Adherence Tool (CRAT), which was designed to assess patient...

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Published in: Journal of Cardiovascular Development and Disease
ISSN: 2308-3425
Published: 2019
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa51041
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Abstract: Patients with cardiac diseases can achieve the greatest benefit from cardiac rehabilitation through modification of their unhealthy behaviors. This study aimed to develop and examine the psychometric properties of the Cardiac Rehabilitation Adherence Tool (CRAT), which was designed to assess patients’ adherence to cardiac rehabilitation. In this instrument development study, the items of the CRAT were extracted through a comprehensive literature review. The CRAT was assessed in terms of validity and reliability. Exploratory factor analysis was conducted to assess its construct validity, which led to the development of a tool containing 57 items and five dimensions including “acceptance of the rehabilitation center,” “being interested in health,” “feeling a need,” “personal control over the situation,” and “encouragement and advice.” These five factors accounted for 45.23% of the observed variance. The Cronbach’s alpha was 0.935. The test-retest method supported the stability of the instrument (r = 0.95). Health care professionals can use the CRAT to examine factors influencing the patient’s decision to leave cardiac rehabilitation and design strategies for improving their adherence to the rehabilitation program.
Keywords: cardiac rehabilitation; heart disease; health care evaluation mechanisms; treatment adherence and compliance; psychometrics properties
College: Faculty of Medicine, Health and Life Sciences
Issue: 3
Start Page: 25