Healthcare Administrator Cardiac Rehabilitation Attitudes Scale
(by healthcare administrators, we are referring to those in charge of planning, directing, and coordinating health services; see PACRR for scale assessing attitudes in healthcare providers or clinicians)
There are now numerous publications where healthcare administrator attitudes toward CR are assessed (see below; see also: https://globalcardiacrehab.com/Validated-CR-Surveys). Given healthcare administrators are often responsible for resourcing CR appropriately, knowing their attitudes and where they could be improved is key.
USING THE HACRA
We have recently more formally developed a HACRA-R scale, at the link below. I would be delighted if you wanted to use it in your research. Kindly email me to let me know at sgrace@yorku.ca. I would also be delighted to share any outputs of your work with the HACRA on this website, and/or to collaborate with you to attempt to mitigate identified issues that block CR use.
If you use the scale, ensure this citation appears on surveys, publications and presentations: Chaves, G.S.S., Ghisi, G.L.M.G., Britto, R.R., Servio, T.C., Cribbie, R., Pack, Q., & Grace S.L. (2020). Healthcare administrators’ cardiac rehabilitation attitudes (HACRA) in North and South America, & the development of a scale to assess them. Heart, Lung & Circulation;29(7):e111-120. July.
PROPOSED SCALE (to be psychometrically tested): HACRA-R
SCORING: From left to right, response options are scored from 5 to 1, such that higher scores reflect more positive CR attitudes.
TRANSLATIONS:
If you wish to translate the scale to another language: Please reach out as there may be others working on translations or available translations to which I could point you. If not, there are best practices for translation, cross-cultural adaptation and validation that should be used; I could point you to some resources if requested. Ultimately, I could post your translation to this website as well, giving you credit if you are agreeable, in case others wish to use it. However, often policy-makers are educated in -and hence sufficiently proficient in - English, and therefore use of the English version is not an issue. Moreover, there is an open-ended item at the end of the scale, so that any factors specific to local context can also be captured.
OTHER PUBLICATIONS USING THE HACRA:
Grace SL, Scarcello S, Newton J, O'Neill B, Kingsbury K, Rivera T, & Chessex C. How do hospital administrators perceive cardiac rehabilitation in a publicly-funded health care system? BMC Health Serv Res 2013 Mar 28;13:120. doi: 10.1186/1472-6963-13-120.
Ghisi GLM, Britto R, Servio TC, Anchique Santos C, Fernandez R, Rivas-Estany E, Santibanez C, Gonzalez G, Burdiat G, Lopez-Jimenez F., Herdy AH & Grace SL. Perceptions of Cardiology Administrators About Cardiac Rehabilitation in South America and the Caribbean. J Cardiopulm Rehabil Prev 2017 Jul;37(4):268-273.
Servio, T.C., Ghisi, G.L.M., da Silva, L.P., Silva, L.D.N., Lima, M.M.O., Gomes, D.A., Britto, R.R., & Grace, S.L. (2019). Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers and cardiac patients. BMC Health Services Research;19: September. https://rdcu.be/bP9VR
Soares, M., Ponciano, I., Britto, R., Silva, L., Silva, E., Espinosa, O., Spíndola, R., Cobbuci, M., Gattas, L., & Sérvio, T. (2023). Identificação de facilitadores e barreiras para reabilitação cardíaca na cidade de Juiz de Fora - Minas Gerais. Seven; capitulo27. 10.56238/ciemedsaudetrans-027.
