Barriers to cardiac rehabilitation in the Czech Republic.

Not Applicable

• Conditions: Coronary artery disease; Physical Medicine / Rehabilitation - Physiotherapy; Cardiovascular - Coronary heart disease

• Registration Number: ACTRN12619001181190
• Lead Sponsor: niversity Hospital Brno

Brief Summary

1. Research objectives The objective of this study was to psychometrically validate the Czech version of Cardiac Rehabilitation Barriers Scale (CRBS-CZE). A second aim was to identify the key Cardiac rehabilitation (CR) barriers in the Czech Republic. 2. Background information CR is an effective secondary preventive model of care. However, the use of CR is insufficient, and the reasons for this are not well-characterized in East-Central Europe. 3. Participant characteristics Consecutive cardiac in/out-patients were approached from January 2020 for 18 months, of whom 186 (89.9%) consented. Forty-five (24.2%) participants enrolled in CR, of whom 42 completed the CRBS a second time thereafter. 4. Key results Factor analysis revealed four factors, consistent with other CRBS translations. Internal reliability was acceptable for all but one factor. Mean total barrier scores were higher in non-enrollers, supporting validity. The biggest barriers to enrolment were distance, work responsibilities, lack of time, transportation problems, and comorbidities. Other barriers included wearing a mask during the COVID-19 pandemic. The study demonstrated sufficient validity and reliability of CRBS-CZE, which supports its use in future research. 5. Limitations The limitations of this study include generalizability and low internal reliability of the Comorbidities/Health System Factors subscale.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-08-20
• Study Completion: 2021-09-01
• Last Update Posted: 21 February 2022

Recruitment & Eligibility

• Status: Stopped early
• Sex: All
• Target Recruitment: 186

Inclusion Criteria

Patients
- of University Hospital Brno
- with coronary artery disease
- indicated to II. phase of CR
- without significant cardiovascular risk
- signed written informed consent

Exclusion Criteria

Patients
- with contraindication to CR
- with potencialy high cardiovascular risk
- with implanted cardioverter-defibrilator or pacemaker
- with orthopedic or neurological disability to exercise
- with mental disadvantage making cooperation impossible

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mean score of each CRBS-CZE item (from the highest to the lowest), compare among the enrollers and non-enrollers (composite primary outcome).[Baseline]