{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T19:48:44Z","timestamp":1770320924025,"version":"3.49.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,5,7]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Optimal self\u2010management is the key to home\u2010based cardiac rehabilitation for patients with heart disease. At present, there is a lack of a specific assessment tool to evaluate the home\u2010based cardiac rehabilitation self\u2010management behavior in patients with heart disease. Therefore, the aim of this study was to develop the Home\u2010Based Cardiac Rehabilitation Self\u2010Management Scale and validate its psychometric properties among patients with coronary heart disease.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">A multiphase cross\u2010sectional study was conducted that study covered 3 phases: (1) item generation and revision, (2) item evaluation and preliminary exploration, and (3) assessment of the psychometric properties of the scale. A scale with 21 items was developed to measure the home\u2010based cardiac rehabilitation self\u2010management behavior. The content validity index of the scale was 0.980. In exploratory factor analysis, the 5\u2010factor structure supported by eigenvalues and screen plot explained 74.326% of the total variation. In confirmatory factor analysis, all fitting indicators were acceptable, further supporting the construct validity of the scale. The criterion validity of the scale was 0.783. In the reliability analysis, the Cronbach's \u03b1 coefficient of the scale was 0.882, with a dimensionality range of 0.780 to 0.936. The split\u2010half reliability coefficient and test\u2013retest reliability coefficient were 0.774 and 0.770, respectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">This study is the first to develop and validate a practical tool. This scale can comprehensively and accurately assess the self\u2010management behavior of patients with heart disease in a home\u2010based cardiac rehabilitation environment.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.034486","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T11:15:33Z","timestamp":1713525333000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["A Practical Tool for Measuring Home\u2010Based Cardiac Rehabilitation Self\u2010Management Behavior: A Multiphase Cross\u2010Sectional Study"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6197-6168","authenticated-orcid":false,"given":"Zhen","family":"Yang","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital of China Medical University Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5916-0143","authenticated-orcid":false,"given":"Na","family":"Hu","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of China Medical University Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0423-2235","authenticated-orcid":false,"given":"Fengpei","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of China Medical University Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2830-8150","authenticated-orcid":false,"given":"Yu","family":"Gao","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Jinzhou Medical University Jinzhou Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7846-7591","authenticated-orcid":false,"given":"Chunqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Jinzhou Medical University Jinzhou Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2175-0081","authenticated-orcid":false,"given":"Aiping","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of China Medical University Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5000"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.85a.17037"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001062"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad195"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihv047"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwab106"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020972"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199901000-00003"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000777"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3321\/j.issn:1000-5404.2009.11.026"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000663"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcps.2009.09.003"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1891\/jnum.10.2.135.52552"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01426-2"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2017.e1498"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13867"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770140211"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2020.07.027"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2018.03.066"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr0403_8"},{"key":"e_1_3_2_22_2","first-page":"53","article-title":"Structural equation modeling: guidelines for determining model fit","volume":"6","author":"Hooper D","year":"2007","unstructured":"Hooper D, Coughlan J, Mullen M. 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