Development, piloting and validation of the Recommending Cardiac Rehabilitation (ReCaRe) instrument

Ski, Chantal F.; Jones, Martin; Astley, Carolyn; Neubeck, Lis; Thompson, David R.; Gallagher, Robyn; Du, Huiyun; Clark, Robyn A.

Abstract

Background: Health practitioners’values, attitudes and beliefs largely determine their referrals to cardiac rehabilitation (CR).Objective:To develop and test the Recommending Cardiac Rehabilitation scale (ReCaRe), designed to assess health professionals attitudes, values and beliefs to CR referral. Methods: ReCaRe was appraised for: content validity (Delphi method, expert panel); interpretability and face validity (interview, health professionals); factor structure and internal consistency (survey, health professionals); and test-retest reliability (survey, health professionals). Normative scores were collated. Results: ReCaRe initially comprised 75 items. Initially, a Content Validity Index (CVI) was calculated for ratings of item relevance (CVI range; 0.27
1.0), which resulted in the removal of 19 items. After preliminary validation and psychometric testing, 34 items were factor-analysed (n= 24) providing a 17-item, four-factor scale: perceived severity and susceptibility (a= 0.93,k= 0.37); perceived service accessibility (a= 0.91,k= 0.67); perceived benefit(a= 0.97,k= 0.47); perceived barriers and attitudes (a= 0.82,k= 0.49). ReCaRe normative scores (n= 75) are reported.Conclusions:This psychometric analysis found ReCaRe to demonstrate good face validity, internal consistency and fair to substantial test-retest reliability. The next step is to validate these initial findings on a larger sample size to confirm whether ReCaRe can enable identification of factors impacting CR referral

Citation

Ski, C. F., Jones, M., Astley, C., Neubeck, L., Thompson, D. R., Gallagher, R., …Clark, R. A. (2019). Development, piloting and validation of the Recommending Cardiac Rehabilitation (ReCaRe) instrument. Heart and Lung, 48(5), 405-413. https://doi.org/10.1016/j.hrtlng.2019.04.008

• Journal Article Type: Article
• Acceptance Date: Apr 18, 2019
• Online Publication Date: May 14, 2019
• Publication Date: 2019-09
• Deposit Date: Jun 5, 2019
• Publicly Available Date: Jun 12, 2019
• Journal: Heart & Lung
• Print ISSN: 0147-9563
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 48
• Issue: 5
• Pages: 405-413
• DOI: https://doi.org/10.1016/j.hrtlng.2019.04.008
• Keywords: Critical Care and Intensive Care Medicine; Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular Medicine
• Public URL: http://researchrepository.napier.ac.uk/Output/1853445