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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]