Validity and reliability of the Turkish version of “cardiac rehabilitation barriers scale”

Abstract

Aims:Cardiac rehabilitation (CR) has shown to be an effective treatment, but the patientparticipation and referral rates are low both globally and in Turkey. This study aims to translateand show the consistency and validity of ‘Cardiac Rehabilitation Barriers Scale’ in Turkish.Methods:Cardiac Rehabilitation Barriers Scale has been translated into Turkish as KardiyakRehabilitasyonda Engeller Skalası’ (KRES). The translated version has been applied to 59 patientswho have been referred to the Cardiopulmonary Rehabilitation unit after acute myocardialinfarction but could not attend the sessions or missed their sessions.Results:In the statistical analyses, The Kaiser-Meyer-Olkin value was 0.668 and Barlett’s testwas significant (p<0.001). In factor analysis, 5 factors were identified: The first factor reflectsextrinsic limitations on the patients’ access. The second factor reflects problems about patients’information about CR. The third factor is logistical problems. The fourth factor reflects theperceived need for CR. The fifth factor consists of only one item ‘other health problems preventme from going’. Internal consistency of all subscales revealed satisfactory internal consistency(Cronbach’s alpha ≥0.7).Conclusions:KRES is a valid and consistent tool in evaluating barriers in CR in Turkish patients.