Health Care Administrators' Cardiac Rehabilitation Attitudes (HACRA) in North and South America and the development of a scale to assess them

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dc.creatorGabriela Suéllen da Silva Chaves
dc.creatorGabriela Lima de Melo Ghisi
dc.creatorRaquel Rodrigues Britto
dc.creatorThaianne Cavalcante Sérvio
dc.creatorRobert Cribbie
dc.creatorQuinn Pack
dc.creatorSherry Grace
dc.date.accessioned2022-05-31T16:35:57Z
dc.date.accessioned2025-09-08T23:06:29Z
dc.date.available2022-05-31T16:35:57Z
dc.date.issued2020-07
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1016/j.hlc.2019.09.006
dc.identifier.issn1444-2892
dc.identifier.urihttps://hdl.handle.net/1843/42118
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofHeart, Lung and Circulation
dc.rightsAcesso Restrito
dc.subjectArteriosclerose coronária
dc.subjectCuidados médicos
dc.subjectAtitudes
dc.subjectQuestionários
dc.subjectReabilitação cardíaca
dc.subject.otherCoronary artery disease
dc.subject.otherPatient care management
dc.subject.otherAttitudes
dc.subject.otherQuestionnaires
dc.subject.otherPsychometric validation
dc.subject.otherReferral
dc.subject.otherCardiac rehabilitation
dc.titleHealth Care Administrators' Cardiac Rehabilitation Attitudes (HACRA) in North and South America and the development of a scale to assess them
dc.typeArtigo de periódico
local.citation.epagee120
local.citation.issue7
local.citation.spagee111
local.citation.volume29
local.description.resumoBackground: Cardiac rehabilitation (CR) is insufficiently available; even less so in low-resource settings. Health care administrators (HAs) are responsible for ensuring CR programs are offered and resourced. This study compared HA CR attitudes in North and South America, the contextual factors associated with these attitudes, and developed a scale/survey to assess them with global applicability. Methods: Data were retrospectively analysed from three cross-sectional studies: in (1) 195 HAs from Canada (i.e., North America), (2) 44 HAs from seven South American countries, and (3) 43 HAs from Brazil (all South America). Contextual and perceptual/attitudinal items (five-point Likert scale, with higher scores indicating more positive attitudes) were compared by region. Psychometric properties of items were tested. A literature review was performed, and items generated for content validation by experts. Results: The most negative CR attitudes related to government funding models (mean=2.46±1.14/5), and that patients have responsibility for their disease management (3.03±1.25). North American HAs rated their institutions’ perceptions of the importance of CR (p<0.001) and quality of the local program (p<0.001) higher than their South American counterparts, but rated the utility of CR in lowering length of stay (p<0.001), promoting behaviour change (p<0.05) and the need for more government funding (p<0.05) lower, among others. Total attitude scores were positively associated with CR knowledge/awareness in both cohorts (all p<0.01). North American HAs more often perceived CR should be funded by hospitals (p<0.001) than South Americans. A 39-item HA CR Attitudes (HACRA-R) scale was developed. Conclusions: Health care administrators’ perceptions vary by context, which could impact CR resourcing.
local.identifier.orcidhttps://orcid.org/ 0000-0002-7737-8015
local.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718
local.identifier.orcidhttp://orcid.org/0000-0002-9533-3654
local.identifier.orcidhttps://orcid.org/ 0000-0002-9247-497X
local.identifier.orcidhttp://orcid.org/0000-0001-7063-3610
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S1443950619314520?via%3Dihub#!

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