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Table 4 Items which need to be measured during the needs assessment procedure according to recommendations in the Cardiac Rehabilitation Guidelines[26],[38]

From: Evaluating the effect of a web-based quality improvement system with feedback and outreach visits on guideline concordance in the field of cardiac rehabilitation: rationale and study protocol

Domain

Item

Clinical algorithm cardiac rehabilitation 2012

1. Physical functioning

Objective exercise capacity

Maximal symptom limited exercise tolerance test.

For patients with heart failure: completed with a spiroergometry (VO2max) test [43].

Subjective exercise capacity

MacNew Quality-of-Life questionnaire (27 questions) [44],[45]

2. Psychological functioning

Emotional function

MacNew Quality-of-Life questionnaire (27 questions) [44],[45]

Anxiety and Depression

Option 1: Generalized Anxiety Disorder scale (GAD-7, 7 questions) [46] in combination with the Patient Health Questionnaire (PHQ-9, 9 questions) [47]

Option 2: Beck Anxiety Inventory (BAI, 21 questions) [48] in combination with the Beck Depression Inventory (BDI, 21 questions) [49]

Option 3: Hospital Anxiety and Depression Scale (HADS, 14 questions) [50]

3. Social functioning

Social function

MacNew Quality-of-Life questionnaire (27 questions) [44],[45]

Social support

Option 1: Multidimensional Perceived Social Support Scale (MPSSS, 12 questions) [51],[52]

Option 2: ENRICHD Social Support Inventory (ESSI, 7 questions) [53]

Life Partner

Clinical interview (3 questions)

Resumption of work

Clinical interview (10 to 18 questions)

4. Cardiovascular risk profile

Cardiovascular risk profile

Physical examination (obesity, blood pressure), blood testing (cholesterol and diabetes)

5. Lifestyle factors

Smoking status

Clinical interview (1 to 4 questions) and specific treatment advice

Physical activity

Monitor ‘Physical activity and Health’ (4 questions) [54]

Dietary habits

Individual screening by dietician (in case of hypertension, hypercholesterolemia, obesity, or diabetes)

Alcohol consumption

Five Shot questionnaire (5 questions) [55],[56]