Psychometric Properties and Cross-cultural Adaptation of the Turkish Version of Physcian Attitudes Toward Cardiac Rehabilitation and Referral Scale-Revised (PACRR-R)

Karamanoğlu Mehmetbey University100 enrolled

Overview

Research has reported that the reasons for low implementation of CR are multifactorial at the health system, physician and patient levels. It has also been found that patients are more likely to initiate CR if physicians strongly and positively promote the importance of CR participation. Unfortunately, there are insufficient and ineffective data on CR, referral to CR and both clinical and cost-effectiveness outcomes of CR in Turkey. In this context, it is important to examine more objectively from the perspective of physicians who play a key role in referring patients to CR. However, in our country, there is no relatively objective measurement tool to evaluate physicians' attitudes towards CR. Therefore, this study aims to adapt the original "Physician Attitudes towards Cardiac Rehabilitation and Referral Scale-Revised (PACRR-R)" into Turkish and to examine its psychometric properties.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Physician's Role

Interventions

Physcian Attitudes toward Cardiac Rehabilitation and Referral Scale-Revised (PACRR-R)OTHER

The PACRR comprises 20 items and 1 open ended item to assess physicians' attitudes and beliefs about CR and referral (includes instructions for scale completion to respondents). Response options were 1 = strongly disagree, 2 = agree, 3 = neutral, 4 = agree, and 5 = strongly agree. Five (5) items are reverse-scored to mitigate acquiescence bias (denoted with \*), such that higher scores reflect more positive atti- tudes toward CR and referral. A mean score is computed for the total (where at least 80% of items were completed; i.e., 15/19) scale and subscales.

Eligibility

Sex: ALLMin age: 25 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * To be a physician, * Providing active service in patient diagnosis and treatment Exclusion Criteria: * Not providing active service in patient diagnosis and treatment despite being a physician (administrative position, etc.).

Outcomes

Primary Outcomes

Physician Attitudes toward Cardiac Rehabilitation and Referral (PACRR)-Revised Scale Score

The Physician Attitudes toward Cardiac Rehabilitation and Referral (PACRR)-Revised Scale comprises 20 items to assess physicians' attitudes and beliefs about CR and referral. Response options were 1 = strongly disagree, 2 = agree, 3 = neutral, 4 = agree, and 5 = strongly agree. Five (5) items are reverse-scored to mitigate acquiescence bias (denoted with \*), such that higher scores reflect more positive attitudes toward CR and referral. A mean score is computed for the total (where at least 80% of items were completed; i.e., 15/19) scale and subscales. A final open-ended item asks physicians to list the most important factors that influence their decision to refer a patient to CR.

Time frame: 10-15 minutes