Objective
To translate and culturally adapt the Information Needs in Cardiac Rehabilitation (INCR) questionnaire into Korean and perform psychometric validation.
Methods
The original English version of the INCR, in which patients are asked to rate the importance of 55 topics, was translated into Korean (INCR-K) and culturally adapted. The INCR-K was tested on 101 cardiac rehabilitation (CR) participants at Kangwon National University Hospital and Seoul National University Bundang Hospital in Korea. Structural validity was assessed using principal component analysis, and Cronbach’s alpha of the areas was computed. Criterion validity was assessed by comparing information needs according to CR duration and knowledge sufficiency according to receipt of education. Half of the participants were randomly selected for 1 month of re-testing to assess their responsiveness.
Results
Following cognitive debriefing, the number of items was reduced to 41 and ratings were added to assess participants’ sufficient knowledge of each item. The INCR-K structure comprised eight areas, each with sufficient internal consistency (Cronbach’s alpha>0.7). Criterion validity was supported by significant differences in mean INCR-K scores based on CR duration and knowledge sufficiency ratings according to receipt of education (p<0.05). Information needs and knowledge sufficiency ratings increased after 1 month of CR, thus supporting responsiveness (p<0.05).
Conclusion
The INCR-K demonstrated adequate face, content, cross-cultural, structural, and criterion validities, internal consistency, and responsiveness. Information needs changed with CR, such that multiple assessments of information needs may be warranted as rehabilitation progresses to facilitate patient-centered education.

Citations

• Identification of patient-reported core information needs and associated factors in hospitalized patients with heart failure: A network analysis
  Mei Yang, Yilin Zhang, Wenjie Fang, Wenjie Sun, Ziwei Geng, Xiuzhen Fan
  Heart & Lung.2025; 74: 27.     CrossRef

Objective
To investigate the effect of a rehabilitation program in terms of De Morton Mobility Index (DEMMI) score, in hematologic cancer patients after chemotherapy.
Methods
Hematologic cancer patients admitted for chemotherapy were reviewed. They received a rehabilitation program during their hospital stay. DEMMI score measurement was performed, before and after rehabilitation. Demographics, diagnosis, chemotherapy information, rehabilitation program duration, mortality, body mass index (BMI), and laboratory test results were collected. For analysis, patients were classified according to diagnosis (multiple myeloma, leukemia, and others), mortality, and additional chemotherapy.
Results
There was statistically significant improvement in DEMMI score of 10.1 points (95% confidence interval, 5.9–14.3) after rehabilitation. It was more evident in the multiple myeloma group, and they revealed less mortality. When patients were divided according to mortality, survivors received the program earlier, and in a shorter period than in mortality cases. Although survivors revealed higher initial DEMMI score, improvement after rehabilitation did not differ significantly.
Conclusion
In hematologic cancer patients, rehabilitation program was effective for recovery from deconditioning, revealing significant increase in DEMMI score. Multiple myeloma patients may be good candidates for rehabilitation. Rehabilitation could be sustained during chemotherapy and for high-risk patients.

Citations

• Effects of a self-managed return to work intervention for colorectal cancer survivors: A prospective randomized controlled trial
  Soo Yeun Park, Myung Kyung Lee
  European Journal of Oncology Nursing.2024; 70: 102593.     CrossRef
• Deconditioning in Hospitalized Patients with Cancer
  Savanna Gilson
  Seminars in Oncology Nursing.2024; 40(4): 151676.     CrossRef
• Effectiveness of Physical Activity Interventions on Return to Work After a Cancer Diagnosis: A Systematic Review and Meta-analysis
  Têtê Norbert Wilson, Aboubakari Nambiema, Bertrand Porro, Alexis Descatha, Agnès Aublet-Cuvelier, Bradley Evanoff, Yves Roquelaure
  Journal of Occupational Rehabilitation.2023; 33(1): 4.     CrossRef
• Relevant parameters for recommendations of physical activity in patients suffering from multiple myeloma
  Fadime Cenik, Mohammad Keilani, Timothy Hasenöhrl, Dominikus Huber, Bianca Stuhlpfarrer, Anna Pataraia, Richard Crevenna
  Wiener klinische Wochenschrift.2020; 132(5-6): 124.     CrossRef
• Cancer Rehabilitation and Palliative Care—Exploring the Synergies
  Rabeya A. Chowdhury, Frank P. Brennan, Matthew D. Gardiner
  Journal of Pain and Symptom Management.2020; 60(6): 1239.     CrossRef