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

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    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; 0.271.0), 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
    Original languageEnglish
    JournalHeart and Lung
    Journal publication date14 May 2019
    Early online date14 May 2019
    Publication statusEarly online date - 14 May 2019

    ID: 169353899