Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment
Abstract 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 an...
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| Veröffentlicht in: | European journal of preventive cardiology 2024-11, Vol.31 (16), p.1927-1936 |
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| container_title | European journal of preventive cardiology |
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| creator | Ghisi, Gabriela Lima de Melo da Cruz, Mayara Moura Alves Vanderlei, Luiz Carlos Marques Liu, Xia Xu, Zhimin Jiandani, Mariya Prakash Cuenza, Lucky Kouidi, Evangelia Giallauria, Francesco Mohammed, Jibril Maskhulia, Lela Trevizan, Patricia Fernandes Batalik, 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 |
| description | Abstract
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.
Lay Summary
Patients need information to manage their heart diseases, such as what to do if they have chest pain, what a heart attack is, and how to take their medicine to lower the chances they will have another one, so a study of the information needs of over 1600 heart patients from around the globe was undertaken for the first time. Using the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale—which was shown to be a go |
| doi_str_mv | 10.1093/eurjpc/zwae148 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3053979882</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/eurjpc/zwae148</oup_id><sourcerecordid>3053979882</sourcerecordid><originalsourceid>FETCH-LOGICAL-c299t-1feeae35d1ea9e385c681128b9d289617549f2431d9e78fef0373d164cb07bca3</originalsourceid><addsrcrecordid>eNqFkE1P3DAQhq0KVBBw7bHysRyW9Ud2bR-rVQsrIUCoPUeOM94YJfHW44DoH-BvE5RlxY25zGjmmffwEPKNswvOjJzDkB62bv7_yQIv9BdyLFihZoXW_GA_K3lEzhAf2FhLJoTWX8mR1EoIJtQxebnDZ9fEDnIKjj7aNtQ2h9jT6GlugGITU6aPkPDDct37mLqJuwGokYaermyqg3X0HhpbhTbk6Y7OtjB-pThsGmqpDwkz3bSxsi21iIDYQZ9PyaG3LcLZrp-Qv79__Vldza5vL9ern9czJ4zJM-4BLMhFzcEakHrhlppzoStTC22WXC0K40UheW1AaQ-eSSVrvixcxVTlrDwhP6bcbYr_BsBcdgEdtK3tIQ5YSraQRhmtxYheTKhLETGBL7cpdDY9l5yVb_7LyX-58z8-fN9lD1UH9R5_tz0C5xMQh-1nYa-eG5Sn</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3053979882</pqid></control><display><type>article</type><title>Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Ghisi, Gabriela Lima de Melo ; da Cruz, Mayara Moura Alves ; Vanderlei, Luiz Carlos Marques ; Liu, Xia ; Xu, Zhimin ; Jiandani, Mariya Prakash ; Cuenza, Lucky ; Kouidi, Evangelia ; Giallauria, Francesco ; Mohammed, Jibril ; Maskhulia, Lela ; Trevizan, Patricia Fernandes ; Batalik, 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</creator><creatorcontrib>Ghisi, Gabriela Lima de Melo ; da Cruz, Mayara Moura Alves ; Vanderlei, Luiz Carlos Marques ; Liu, Xia ; Xu, Zhimin ; Jiandani, Mariya Prakash ; Cuenza, Lucky ; Kouidi, Evangelia ; Giallauria, Francesco ; Mohammed, Jibril ; Maskhulia, Lela ; Trevizan, Patricia Fernandes ; Batalik, 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</creatorcontrib><description>Abstract
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.
Lay Summary
Patients need information to manage their heart diseases, such as what to do if they have chest pain, what a heart attack is, and how to take their medicine to lower the chances they will have another one, so a study of the information needs of over 1600 heart patients from around the globe was undertaken for the first time. Using the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale—which was shown to be a good measurement tool through the study and hence may improve patient education—patients reported they most wanted information about heart events, heart-healthy eating, exercise benefits, their pills, symptom response, risk factor control, and cardiac rehabilitation—but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ratings for each item ranged from 30.0 to 67.4%, also varying by region and income class; perceived knowledge sufficiency ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine.</description><identifier>ISSN: 2047-4873</identifier><identifier>ISSN: 2047-4881</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1093/eurjpc/zwae148</identifier><identifier>PMID: 38722027</identifier><language>eng</language><publisher>UK: Oxford University Press</publisher><subject>Adult ; Aged ; Cardiac Rehabilitation - methods ; Cardiac Rehabilitation - standards ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Heart Diseases - diagnosis ; Heart Diseases - psychology ; Heart Diseases - rehabilitation ; Humans ; Male ; Middle Aged ; Needs Assessment ; Patient Education as Topic ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires</subject><ispartof>European journal of preventive cardiology, 2024-11, Vol.31 (16), p.1927-1936</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c299t-1feeae35d1ea9e385c681128b9d289617549f2431d9e78fef0373d164cb07bca3</citedby><cites>FETCH-LOGICAL-c299t-1feeae35d1ea9e385c681128b9d289617549f2431d9e78fef0373d164cb07bca3</cites><orcidid>0000-0002-5175-7738 ; 0000-0001-7063-3610 ; 0000-0001-7001-8132 ; 0000-0002-5023-2542 ; 0000-0001-7946-3718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38722027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghisi, Gabriela Lima de Melo</creatorcontrib><creatorcontrib>da Cruz, Mayara Moura Alves</creatorcontrib><creatorcontrib>Vanderlei, Luiz Carlos Marques</creatorcontrib><creatorcontrib>Liu, Xia</creatorcontrib><creatorcontrib>Xu, Zhimin</creatorcontrib><creatorcontrib>Jiandani, Mariya Prakash</creatorcontrib><creatorcontrib>Cuenza, Lucky</creatorcontrib><creatorcontrib>Kouidi, Evangelia</creatorcontrib><creatorcontrib>Giallauria, Francesco</creatorcontrib><creatorcontrib>Mohammed, Jibril</creatorcontrib><creatorcontrib>Maskhulia, Lela</creatorcontrib><creatorcontrib>Trevizan, Patricia Fernandes</creatorcontrib><creatorcontrib>Batalik, Ladislav</creatorcontrib><creatorcontrib>Pereira, Danielle Gomes</creatorcontrib><creatorcontrib>Tourkmani, Nidal</creatorcontrib><creatorcontrib>Burazor, Ivana</creatorcontrib><creatorcontrib>Venturini, Elio</creatorcontrib><creatorcontrib>Lira, Gerlene Grudka</creatorcontrib><creatorcontrib>Rehfeld, Manuella Bennaton Cardoso Vieira</creatorcontrib><creatorcontrib>Neves, Victor Ribeiro</creatorcontrib><creatorcontrib>Borges, Geovana de Jesus</creatorcontrib><creatorcontrib>Kim, Won-Seok</creatorcontrib><creatorcontrib>Cha, Seungwoo</creatorcontrib><creatorcontrib>Zhang, Ling</creatorcontrib><creatorcontrib>Grace, Sherry L</creatorcontrib><title>Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment</title><title>European journal of preventive cardiology</title><addtitle>Eur J Prev Cardiol</addtitle><description>Abstract
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.
Lay Summary
Patients need information to manage their heart diseases, such as what to do if they have chest pain, what a heart attack is, and how to take their medicine to lower the chances they will have another one, so a study of the information needs of over 1600 heart patients from around the globe was undertaken for the first time. Using the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale—which was shown to be a good measurement tool through the study and hence may improve patient education—patients reported they most wanted information about heart events, heart-healthy eating, exercise benefits, their pills, symptom response, risk factor control, and cardiac rehabilitation—but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ratings for each item ranged from 30.0 to 67.4%, also varying by region and income class; perceived knowledge sufficiency ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine.</description><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Rehabilitation - methods</subject><subject>Cardiac Rehabilitation - standards</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - psychology</subject><subject>Heart Diseases - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Patient Education as Topic</subject><subject>Psychometrics</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><issn>2047-4873</issn><issn>2047-4881</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNqFkE1P3DAQhq0KVBBw7bHysRyW9Ud2bR-rVQsrIUCoPUeOM94YJfHW44DoH-BvE5RlxY25zGjmmffwEPKNswvOjJzDkB62bv7_yQIv9BdyLFihZoXW_GA_K3lEzhAf2FhLJoTWX8mR1EoIJtQxebnDZ9fEDnIKjj7aNtQ2h9jT6GlugGITU6aPkPDDct37mLqJuwGokYaermyqg3X0HhpbhTbk6Y7OtjB-pThsGmqpDwkz3bSxsi21iIDYQZ9PyaG3LcLZrp-Qv79__Vldza5vL9ern9czJ4zJM-4BLMhFzcEakHrhlppzoStTC22WXC0K40UheW1AaQ-eSSVrvixcxVTlrDwhP6bcbYr_BsBcdgEdtK3tIQ5YSraQRhmtxYheTKhLETGBL7cpdDY9l5yVb_7LyX-58z8-fN9lD1UH9R5_tz0C5xMQh-1nYa-eG5Sn</recordid><startdate>20241118</startdate><enddate>20241118</enddate><creator>Ghisi, Gabriela Lima de Melo</creator><creator>da Cruz, Mayara Moura Alves</creator><creator>Vanderlei, Luiz Carlos Marques</creator><creator>Liu, Xia</creator><creator>Xu, Zhimin</creator><creator>Jiandani, Mariya Prakash</creator><creator>Cuenza, Lucky</creator><creator>Kouidi, Evangelia</creator><creator>Giallauria, Francesco</creator><creator>Mohammed, Jibril</creator><creator>Maskhulia, Lela</creator><creator>Trevizan, Patricia Fernandes</creator><creator>Batalik, Ladislav</creator><creator>Pereira, Danielle Gomes</creator><creator>Tourkmani, Nidal</creator><creator>Burazor, Ivana</creator><creator>Venturini, Elio</creator><creator>Lira, Gerlene Grudka</creator><creator>Rehfeld, Manuella Bennaton Cardoso Vieira</creator><creator>Neves, Victor Ribeiro</creator><creator>Borges, Geovana de Jesus</creator><creator>Kim, Won-Seok</creator><creator>Cha, Seungwoo</creator><creator>Zhang, Ling</creator><creator>Grace, Sherry L</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5175-7738</orcidid><orcidid>https://orcid.org/0000-0001-7063-3610</orcidid><orcidid>https://orcid.org/0000-0001-7001-8132</orcidid><orcidid>https://orcid.org/0000-0002-5023-2542</orcidid><orcidid>https://orcid.org/0000-0001-7946-3718</orcidid></search><sort><creationdate>20241118</creationdate><title>Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment</title><author>Ghisi, Gabriela Lima de Melo ; da Cruz, Mayara Moura Alves ; Vanderlei, Luiz Carlos Marques ; Liu, Xia ; Xu, Zhimin ; Jiandani, Mariya Prakash ; Cuenza, Lucky ; Kouidi, Evangelia ; Giallauria, Francesco ; Mohammed, Jibril ; Maskhulia, Lela ; Trevizan, Patricia Fernandes ; Batalik, 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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299t-1feeae35d1ea9e385c681128b9d289617549f2431d9e78fef0373d164cb07bca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Rehabilitation - methods</topic><topic>Cardiac Rehabilitation - standards</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - psychology</topic><topic>Heart Diseases - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Patient Education as Topic</topic><topic>Psychometrics</topic><topic>Reproducibility of Results</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghisi, Gabriela Lima de Melo</creatorcontrib><creatorcontrib>da Cruz, Mayara Moura Alves</creatorcontrib><creatorcontrib>Vanderlei, Luiz Carlos Marques</creatorcontrib><creatorcontrib>Liu, Xia</creatorcontrib><creatorcontrib>Xu, Zhimin</creatorcontrib><creatorcontrib>Jiandani, Mariya Prakash</creatorcontrib><creatorcontrib>Cuenza, Lucky</creatorcontrib><creatorcontrib>Kouidi, Evangelia</creatorcontrib><creatorcontrib>Giallauria, Francesco</creatorcontrib><creatorcontrib>Mohammed, Jibril</creatorcontrib><creatorcontrib>Maskhulia, Lela</creatorcontrib><creatorcontrib>Trevizan, Patricia Fernandes</creatorcontrib><creatorcontrib>Batalik, Ladislav</creatorcontrib><creatorcontrib>Pereira, Danielle Gomes</creatorcontrib><creatorcontrib>Tourkmani, Nidal</creatorcontrib><creatorcontrib>Burazor, Ivana</creatorcontrib><creatorcontrib>Venturini, Elio</creatorcontrib><creatorcontrib>Lira, Gerlene Grudka</creatorcontrib><creatorcontrib>Rehfeld, Manuella Bennaton Cardoso Vieira</creatorcontrib><creatorcontrib>Neves, Victor Ribeiro</creatorcontrib><creatorcontrib>Borges, Geovana de Jesus</creatorcontrib><creatorcontrib>Kim, Won-Seok</creatorcontrib><creatorcontrib>Cha, Seungwoo</creatorcontrib><creatorcontrib>Zhang, Ling</creatorcontrib><creatorcontrib>Grace, Sherry L</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghisi, Gabriela Lima de Melo</au><au>da Cruz, Mayara Moura Alves</au><au>Vanderlei, Luiz Carlos Marques</au><au>Liu, Xia</au><au>Xu, Zhimin</au><au>Jiandani, Mariya Prakash</au><au>Cuenza, Lucky</au><au>Kouidi, Evangelia</au><au>Giallauria, Francesco</au><au>Mohammed, Jibril</au><au>Maskhulia, Lela</au><au>Trevizan, Patricia Fernandes</au><au>Batalik, Ladislav</au><au>Pereira, Danielle Gomes</au><au>Tourkmani, Nidal</au><au>Burazor, Ivana</au><au>Venturini, Elio</au><au>Lira, Gerlene Grudka</au><au>Rehfeld, Manuella Bennaton Cardoso Vieira</au><au>Neves, Victor Ribeiro</au><au>Borges, Geovana de Jesus</au><au>Kim, Won-Seok</au><au>Cha, Seungwoo</au><au>Zhang, Ling</au><au>Grace, Sherry L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Prev Cardiol</addtitle><date>2024-11-18</date><risdate>2024</risdate><volume>31</volume><issue>16</issue><spage>1927</spage><epage>1936</epage><pages>1927-1936</pages><issn>2047-4873</issn><issn>2047-4881</issn><eissn>2047-4881</eissn><abstract>Abstract
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.
Lay Summary
Patients need information to manage their heart diseases, such as what to do if they have chest pain, what a heart attack is, and how to take their medicine to lower the chances they will have another one, so a study of the information needs of over 1600 heart patients from around the globe was undertaken for the first time. Using the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale—which was shown to be a good measurement tool through the study and hence may improve patient education—patients reported they most wanted information about heart events, heart-healthy eating, exercise benefits, their pills, symptom response, risk factor control, and cardiac rehabilitation—but more so in high-income countries in the Americas and Western Pacific. Knowledge sufficiency ratings for each item ranged from 30.0 to 67.4%, also varying by region and income class; perceived knowledge sufficiency ratings were highest for medications and lowest for support groups, resistance training, and alternative medicine.</abstract><cop>UK</cop><pub>Oxford University Press</pub><pmid>38722027</pmid><doi>10.1093/eurjpc/zwae148</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5175-7738</orcidid><orcidid>https://orcid.org/0000-0001-7063-3610</orcidid><orcidid>https://orcid.org/0000-0001-7001-8132</orcidid><orcidid>https://orcid.org/0000-0002-5023-2542</orcidid><orcidid>https://orcid.org/0000-0001-7946-3718</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2047-4873 |
| ispartof | European journal of preventive cardiology, 2024-11, Vol.31 (16), p.1927-1936 |
| issn | 2047-4873 2047-4881 2047-4881 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3053979882 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult Aged Cardiac Rehabilitation - methods Cardiac Rehabilitation - standards Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Heart Diseases - diagnosis Heart Diseases - psychology Heart Diseases - rehabilitation Humans Male Middle Aged Needs Assessment Patient Education as Topic Psychometrics Reproducibility of Results Surveys and Questionnaires |
| title | Psychometric validation of the short version of the Information Needs in Cardiac Rehabilitation scale through a first global assessment |
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