{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:01:14Z","timestamp":1783947674839,"version":"3.55.0"},"reference-count":46,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T00:00:00Z","timestamp":1562630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004484","name":"Tehran University of Medical Sciences and Health Services","doi-asserted-by":"publisher","award":["9111196056"],"award-info":[{"award-number":["9111196056"]}],"id":[{"id":"10.13039\/501100004484","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Patients with cardiac diseases can achieve the greatest benefit from cardiac rehabilitation through modification of their unhealthy behaviors. This study aimed to develop and examine the psychometric properties of the Cardiac Rehabilitation Adherence Tool (CRAT), which was designed to assess patients\u2019 adherence to cardiac rehabilitation. In this instrument development study, the items of the CRAT were extracted through a comprehensive literature review. The CRAT was assessed in terms of validity and reliability. Exploratory factor analysis was conducted to assess its construct validity, which led to the development of a tool containing 57 items and five dimensions including \u201cacceptance of the rehabilitation center\u201d, \u201cbeing interested in health\u201d, \u201cfeeling a need\u201d, \u201cpersonal control over the situation\u201d, and \u201cencouragement and advice.\u201d These five factors accounted for 45.23% of the observed variance. The Cronbach\u2019s alpha was 0.935. The test-retest method supported the stability of the instrument (r = 0.95). Health care professionals can use the CRAT to examine factors influencing the patient\u2019s decision to leave cardiac rehabilitation and design strategies for improving their adherence to the rehabilitation program.<\/jats:p>","DOI":"10.3390\/jcdd6030025","type":"journal-article","created":{"date-parts":[[2019,7,10]],"date-time":"2019-07-10T03:05:26Z","timestamp":1562727926000},"page":"25","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT)"],"prefix":"10.3390","volume":"6","author":[{"given":"Behzad","family":"Hamedani","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Tehran University of Medical Sciences, 1419733171 Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooman","family":"Shahsavari","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Tehran University of Medical Sciences, 1419733171 Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Amaniyan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Tehran University of Medical Sciences, 1419733171 Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Sieloff","sequence":"additional","affiliation":[{"name":"College of Nursing, Montana State University, Bozeman, MT 59717, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5157-4886","authenticated-orcid":false,"given":"Mojtaba","family":"Vaismoradi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Sciences, Nord University, 8049 Bod\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2019, June 04). 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