scholarly journals Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe

2021 ◽  
Vol 18 (24) ◽  
pp. 13113
Author(s):  
Petr Winnige ◽  
Katerina Filakova ◽  
Jakub Hnatiak ◽  
Filip Dosbaba ◽  
Otakar Bocek ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Central Europe ◽  
Future Research ◽  
Validity And Reliability ◽  
Internal Reliability ◽  
East Central Europe ◽  
East Central ◽  
Response Options ◽  
Cardiovascular Rehabilitation ◽  
Distance Work

Cardiovascular rehabilitation (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. This prospective observational study psychometrically validated the recently translated Cardiac Rehabilitation Barriers Scale for the Czech language (CRBS-CZE) and identified the main CR barriers. Consecutive cardiac in/out-patients were approached from January 2020 for 18 months, of whom 186 (89.9%) consented. In addition to sociodemographic characteristics, participants completed the 21-item CRBS-CZE (response options 1–5, with higher scores representing greater barriers), and their CR utilization was tracked. Forty-five (24.2%) participants enrolled in CR, of whom 42 completed the CRBS a second time thereafter. Factor analysis revealed four factors, consistent with other CRBS translations. Internal reliability was acceptable for all but one factor (Cronbach’s alpha range = 0.44–0.77). Mean total barrier scores were significantly higher in non-enrollers (p < 0.001), decreased from first and second administration in these enrollers (p < 0.001), and were lower in CR completers (p < 0.001), supporting criterion validity. There were also significant differences in barrier scores by education, geography, tobacco use, among other variables, further supporting validity. The biggest barriers to enrolment were distance, work responsibilities, lack of time, transportation problems, and comorbidities; and the greatest barriers to adherence were distance and travel. Several items were considered irrelevant at first and second administration. 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.

scholarly journals Cardiac rehabilitation barriers in the Czech Republic: Determination of key barriers in East-Central Europe

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
P Winnige ◽  
L Batalik ◽  
K Filakova ◽  
J Hnatiak ◽  
F Dosbaba
Keyword(s):  
Czech Republic ◽  
Cardiac Rehabilitation ◽  
Central Europe ◽  
Conceptual Development ◽  
Patient Characteristics ◽  
University Hospital ◽  
Validity And Reliability ◽  
Long Distance ◽  
Internal Reliability ◽  
The Czech Republic

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): the Ministry of Health, Czech Republic - conceptual development of research organization (65269705) Background Cardiovascular diseases are leading causes of morbidity and mortality worldwide, including in Central Europe. Cardiac rehabilitation (CR) represents an efficient secondary prevention model, but it is highly underutilised. Barriers to CR in the Czech Republic (and in Central Europe) are not well-characterised, and therefore we present a study to define these barriers. Purpose Through this study, a reliable and valid means of assessing patient"s CR barriers will be established. Results will be used to identify ways to help patients overcome barriers to CR and potentially contribute to improving CR utilisation in this region. Methods This is a multi-method study. First, in 2019, we professionally translated and cross-culturally validated the Cardiac Rehabilitation Barriers Scale to Czech (CRBS-CZE), and piloting it in 50 cardiac patients. A prospective study was undertaken to psychometrically-validate the CRBS-CZE, where patients eligible for phase II/outpatient CR were recruited. The internal reliability of the scale was assessed with Cronbach"s alpha. In total, 143 eligible patients (target of 200-300 patients) in the University Hospital Brno was approached from January 2020 for one year. Consenting participants were informed about the CR program and their sociodemographic (age, sex, highest educational attainment, work status, travel time), clinical characteristics (diagnosis, anthropometrics, blood pressure, lipids levels, diabetes), heart-healthy behaviours (level of physical activity, tobacco use, harmful use of alcohol), and the CRBS-CZE administered. Mean CRBS-CZE scores (21-items/barriers, five-point Likert scale) were analysed to determine key barriers in this setting. To test construct validity, differences in CRBS-CZE total scores were compared by patient characteristics outlined above, using a t-test and Pearson"s correlation. Patient"s enrollment, adherence, and completion of the CR program (% of 24 prescribed sessions attended) were tracked. Results (preliminary) The CRBS-CZE had good internal consistency (Cronbach’s alpha = .74). Mean total perceived barriers were significantly greater among non-enrollers (2.1, SD = .57) than CR enrollers (1.8, SD = .53), and among rural (2.2, SD = .54) than urban inhabitants (1.7, SD = .46) (p &lt; .05). The long distance from CR facilities (mean commuting time about 50 mins), a little free time, and the transportation problems were identified as the greatest barriers. From all eligible patients, 19.6% entered and 10.5% completed the CR program. The mean completion rate was 70.6%. The main limitations of the study were a small number of participants and the COVID-19 pandemic. Conclusion The CRBS-CZE has shown adequate validity and reliability, which supports its use in future studies. Results also point to suboptimal CR availability in the Czech Republic. This finding, especially in the pandemic situation, promotes the need for CR alternatives like home-based programs and telerehabilitation.

Business Risk from Governmental Corruption in East Central Europe, the Baltic Countries, and Russia

2014 ◽  
pp. 119-148 ◽  
Author(s):  
Duane Windsor
Keyword(s):  
Central Europe ◽  
Geographic Region ◽  
Future Research ◽  
Business Risk ◽  
Framework Analysis ◽  
Regional Competitiveness ◽  
East Central Europe ◽  
East Central ◽  
Baltic Countries ◽  
The Baltic

This chapter places in a comparative, cross-country framework analysis of selected secondary information about business risk from governmental corruption in the region comprised of East Central Europe (including the Balkans), the Baltic Countries, and Russia. The region is an important setting for understanding corruption and anticorruption reform. What defines this geographic region is that all the countries are transitioning from monopoly-party rule and typically Soviet economic and political domination. Globalization is drawing the region into world economic integration through increasing Foreign Direct Investment (FDI). Key information from several sources provides an analytically consistent picture. Corruption increases business risk for multinational and domestic enterprises. Corruption deters inward FDI, undermines corporate integrity, and reduces country and regional competitiveness. The chapter provides information and examples about corruption in 21 political entities. These entities range from reasonably clean to endemic corruption, with varying patterns of corruption and anticorruption reform effectiveness. The chapter discusses possible solutions and recommendations and proposes future research directions.

scholarly journals Illiberal Trends and Anti-EU Politics in East Central Europe: Major Findings and Avenues for Future Research

2020 ◽  
pp. 323-347
Author(s):  
Astrid Lorenz ◽  
Lisa H. Anders
Keyword(s):  
Central Europe ◽  
Future Research ◽  
East Central Europe ◽  
East Central ◽  
Subject Areas ◽  
The Individual

Abstract This concluding chapter summarises central findings of the volume and discusses avenues for future research. It first presents the insights of the individual chapters and demonstrates for each part of the book how the chapters speak to each other. It then highlights selected key findings, discusses theoretical implications more generally and identifies questions and subject areas for future research.

Reconceptualizing the Social: East Central Europe and the New Sociocultural History

2008 ◽  
Vol 34-35 (1-2) ◽  
pp. 1-35 ◽  
Author(s):  
Constantin Iordachi
Keyword(s):  
Social History ◽  
Central Europe ◽  
Western Europe ◽  
Future Research ◽  
East Central Europe ◽  
East Central ◽  
Catching Up ◽  
The Social ◽  
History Of ◽  
History Of Europe

This introductory essay reviews recent debates on social history, with a focus on the revival of this field of studies in post-communist East Central Europe and its potential impact on rejuvenating approaches to the social history of Europe. The first part of the essay provides a brief overview of the emergence of social history as a reaction to the dominant political history of the nineteenth century and its crystallization in different national schools, and highlights recent responses to the poststructuralist and postmodern critiques of “the social.” The second part focuses on traditions of social history research in East Central Europe, taking Poland and Romania as main examples. The third part summarizes the main claims of the articles included in this issue and evaluates their implications for future research. It is argued that, at first glance, post-communist historiography in East Central Europe provides the picture of a discipline in transformation, still struggling to break up with the past and to rebuild its institutional framework, catching up with recent trends and redefining its role in continental and global historiography. The recent attempts to invigorate research in traditional fields of social history might seem largely obsolete, not only out of tune with international developments but also futile reiterations of vistas that have been for long experimented with and superseded in Western Europe. At closer scrutiny, however, historiography in East Central Europe appears—unequal and variegated as it is—as a laboratory for historical innovation and a field of experimentation, and interaction of scholars from various disciplines and scholarly traditions, in which old and new trends amalgamate in peculiar ways. It is suggested that the tendency to reconceptualize the “social” that we currently witness in humanities and social sciences worldwide could be not only reinforced but also cross-fertilized by the “social turn” in East Central Europe, potentially leading to novel approaches.

Business Risk from Governmental Corruption in East Central Europe, the Baltic Countries, and Russia

2015 ◽  
pp. 869-890
Author(s):  
Duane Windsor
Keyword(s):  
Central Europe ◽  
Geographic Region ◽  
Future Research ◽  
Business Risk ◽  
Framework Analysis ◽  
Regional Competitiveness ◽  
East Central Europe ◽  
East Central ◽  
Baltic Countries ◽  
The Baltic

This chapter places in a comparative, cross-country framework analysis of selected secondary information about business risk from governmental corruption in the region comprised of East Central Europe (including the Balkans), the Baltic Countries, and Russia. The region is an important setting for understanding corruption and anticorruption reform. What defines this geographic region is that all the countries are transitioning from monopoly-party rule and typically Soviet economic and political domination. Globalization is drawing the region into world economic integration through increasing Foreign Direct Investment (FDI). Key information from several sources provides an analytically consistent picture. Corruption increases business risk for multinational and domestic enterprises. Corruption deters inward FDI, undermines corporate integrity, and reduces country and regional competitiveness. The chapter provides information and examples about corruption in 21 political entities. These entities range from reasonably clean to endemic corruption, with varying patterns of corruption and anticorruption reform effectiveness. The chapter discusses possible solutions and recommendations and proposes future research directions.

Considering the Sub-Regional Cooperation in East-Central Europe – Some Conclusions on Integrating and Disintegrating Tendencies in the Sub-Regional Dialogue

2016 ◽  
Author(s):  
Jacek Wieclawski
Keyword(s):  
Central Europe ◽  
Regional Cooperation ◽  
The European Union ◽  
East Central Europe ◽  
East Central ◽  
New Ideas ◽  
Ukrainian Crisis ◽  
Regional Interests ◽  
Visegrad Group ◽  
East Central European

This article discusses the problems of the sub-regional cooperation in East-Central Europe. It formulates the general conclusions and examines the specific case of the Visegrad Group as the most advanced example of this cooperation. The article identifies the integrating and disintegrating tendencies that have so far accompanied the sub-regional dialogue in East-Central Europe. Yet it claims that the disintegrating impulses prevail over the integrating impulses. EastCentral Europe remains diversified and it has not developed a single platform of the sub-regional dialogue. The common experience of the communist period gives way to the growing difference of the sub-regional interests and the ability of the East-Central European members to coordinate their positions in the European Union is limited. The Visegrad Group is no exception in this regard despite its rich agenda of social and cultural contacts. The Russian-Ukrainian conflict confirms a deep divergence of interests among the Visegrad states that seems more important for the future of the Visegrad cooperation than the recent attempts to mark the Visegrad unity in the European refugee crisis. Finally, the Ukrainian crisis and the strengthening of the NATO’s “Eastern flank” may contribute to some new ideas of the sub-regional cooperation in East-Central Europe, to include the Polish-Baltic rapprochement or the closer dialogue between Poland and Romania. Full text available at: https://doi.org/10.22215/rera.v10i1.251  

Sign in / Sign up

Export Citation Format

Share Document