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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
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URI: https://cronfa.swan.ac.uk/Record/cronfa51041
first_indexed 2019-07-09T21:39:31Z
last_indexed 2024-11-14T12:01:08Z
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spelling 2023-06-28T15:13:03.4086110 v2 51041 2019-07-09 Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT) b865b33654e99f5cbccdb11350f7b069 Mojtaba Vaismoradi Mojtaba Vaismoradi true false 2019-07-09 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. Journal Article Journal of Cardiovascular Development and Disease 6 3 25 2308-3425 cardiac rehabilitation; heart disease; health care evaluation mechanisms; treatment adherence and compliance; psychometrics properties 31 12 2019 2019-12-31 10.3390/jcdd6030025 COLLEGE NANME COLLEGE CODE Swansea University 2023-06-28T15:13:03.4086110 2019-07-09T14:41:09.9032616 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Hamedani 1 Shahsavari 2 Amaniyan 3 Sieloff 4 Vaismoradi 5 Mojtaba Vaismoradi 6 0051041-17072019105231.pdf 51041.pdf 2019-07-17T10:52:31.3530000 Output 903420 application/pdf Version of Record true 2019-07-16T00:00:00.0000000 Released under the terms of a Creative Commons Attribution License (CC-BY). true eng
title Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
spellingShingle Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
Mojtaba Vaismoradi
title_short Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
title_full Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
title_fullStr Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
title_full_unstemmed Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
title_sort Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)
author_id_str_mv b865b33654e99f5cbccdb11350f7b069
author_id_fullname_str_mv b865b33654e99f5cbccdb11350f7b069_***_Mojtaba Vaismoradi
author Mojtaba Vaismoradi
author2 Hamedani
Shahsavari
Amaniyan
Sieloff
Vaismoradi
Mojtaba Vaismoradi
format Journal article
container_title Journal of Cardiovascular Development and Disease
container_volume 6
container_issue 3
container_start_page 25
publishDate 2019
institution Swansea University
issn 2308-3425
doi_str_mv 10.3390/jcdd6030025
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description 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.
published_date 2019-12-31T13:48:47Z
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