Translation, Cultural Adaptation of the Portuguese Provider Attitudes toward Cardiac Rehabilitation and Referral (PACRR-P) Scale and Assessment of Its' Measurement Properties

Translation, Cultural Adaptation of the Portuguese Provider Attitudes toward Cardiac Rehabilitation and Referral (PACRR-P) Scale and Assessment of Its' Measurement Properties

Access to cardiac rehabilitation (CR) is contingent upon physician referrals, yet these are often inadequate, particularly in low-resource settings. This multi-method study aimed to translate, culturally adapt, and validate the Portuguese version of the Provider Attitudes toward CR and Referral (PAC...

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Bibliographic Details
Published in:Healthcare (Basel) Vol. 12; no. 19; p. 1954
Main Authors: Cruz, Mayara Moura Alves da, Vanderlei, Luiz Carlos Marques, Takahashi, Carolina, Laurino, Maria Julia Lopez, Cruz, Murilo Reis Alves da, Grace, Sherry L, Ghisi, Gabriela L M
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 30-09-2024
MDPI
Subjects:
Adaptation
Attitudes
Cardiology
Cardiovascular disease
Family physicians
Medical referrals
Patients
Professionals
Rehabilitation
Translations
Validity
Brazil
health knowledge
questionnaires
physician’s practice patterns
practice
attitudes
cardiac rehabilitation
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Summary:Access to cardiac rehabilitation (CR) is contingent upon physician referrals, yet these are often inadequate, particularly in low-resource settings. This multi-method study aimed to translate, culturally adapt, and validate the Portuguese version of the Provider Attitudes toward CR and Referral (PACRR-P) scale, as well as to identify key factors influencing CR referral in a Latin American context for the first time. The PACRR was translated into Brazilian Portuguese through a rigorous process involving independent translation, back-translation, and expert panel review to ensure face, content, and cross-cultural validity. A total of 44 Brazilian physicians completed the questionnaire, allowing for an assessment of internal consistency, criterion validity, and convergent validity. The findings confirmed the face, content, and cultural validity of the 20 translated items, with a mean item clarity rating of 4.8/5. The final version included 17 of the original 19 PACRR-P items, with a Cronbach's alpha of 0.73. Referral rates were significantly associated with over one-third of the PACRR-P items, preliminarily supporting the scale's criterion validity, while correlations with the ReCaRe scores further supported its convergent validity. The most prominent barriers to referral were a lack of familiarity with CR site locations, absence of a standard referral form, and lack of automatic referral processes. The PACRR's validity and reliability among Portuguese-speaking providers are preliminarily supported.
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ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare12191954