Publication details

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

Authors	GHISI Gabriela Lima de Melo CRUZ Mayara Moura Alves da VANDERLEI Luiz Carlos Marques LIU Xia XU Zhimin JIANDANI Mariya Prakash CUENZA Lucky KOUIDI Evangelia GIALLAURIA Francesco MOHAMMED Jibril MASKHULIA Lela TREVIZAN Patricia Fernandes BAŤALÍK Ladislav PEREIRA Danielle Gomes TOURKMANI Nidal BURAZOR Ivana VENTURINI Elio LIRA Gerlene Grudka REHFELD Manuella Bennaton Cardoso Vieira NEVES Victor Ribeiro BORGES Geovana de Jesus KIM Won-Seok CHA Seungwoo ZHANG Ling GRACE Sherry L
Year of publication	2024
Type	Article in Periodical
Magazine / Source	EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
MU Faculty or unit	Faculty of Medicine
Citation
Web	https://academic.oup.com/eurjpc/advance-article/doi/10.1093/eurjpc/zwae148/7667577?login=true
Doi	http://dx.doi.org/10.1093/eurjpc/zwae148
Keywords	Cardiac rehabilitation; Global health; Questionnaires and surveys; Patient education
Description	Aims Tailored education is recommended for cardiac patients, yet little is known about information needs in areas of the world where it is most needed. This study aims to assess (i) the measurement properties of the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale and (ii) patient's information needs globally. Methods and results In this cross-sectional study, English, simplified Chinese, Portuguese, or Korean versions of the INCR-S were administered to in- or out-patients via Qualtrics (January 2022-November 2023). Members of the International Council of Cardiovascular Prevention and Rehabilitation community facilitated recruitment. Importance and knowledge sufficiency of 36 items were rated. Links to evidence-based lay education were provided where warranted. A total of 1601 patients from 19 middle- and high-income countries across the world participated. Structural validity was supported upon factor analysis, with five subscales extracted: symptom response/medication, heart diseases/diagnostic tests/treatments, exercise and return-to-life roles/programmes to support, risk factors, and healthy eating/psychosocial management. Cronbach's alpha was 0.97. Construct validity was supported through significantly higher knowledge sufficiency ratings for all items and information importance ratings for all subscales in cardiac rehabilitation (CR) enrolees vs. non-enrolees (all P < 0.001). All items were rated as very important-particularly regarding cardiac events, nutrition, exercise benefits, medications, symptom response, risk factor control, and CR-but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ranged from 30.0 to 67.4%, varying by region and income class. Ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine. Conclusion Identification of information needs using the valid and reliable INCR-S can inform educational approaches to optimize patients' health outcomes across the globe.