A Multisite Examination of Sex Differences in Cardiac Rehabilitation Barriers by Participation Status

Grace, Sherry L.; Gravely–Witte, Shannon; Kayaniyil, Sheena; Brual, Janette; Suskin, Neville; Stewart, Donna E.

doi:10.1089/jwh.2007.0753

Cited by 115 publications

(127 citation statements)

References 46 publications

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“…Cinergis [23][24][25][26] Sabe-se que os programas de RCPM se concentram em promover comportamentos saudáveis e modificações dos fatores de risco, oferecendo além da prescrição de EF a educação em saúde com aconselhamento de um estilo de vida saudável. Neste sentido, este fator tende a ser minimizado com a participação do paciente.…”

Section: Análise Da Aderência Em Diferentes Programas De Reabilitaçãounclassified

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

et al. 2016

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. RESUMOUltimamente tem se optado por exercícios de reabilitação baseada em domicílio como alternativa para a reabilitação cardiopulmonar e metabólica (RCPM). Objetivo: verificar e comparar a aderência a um programa de reabilitação, baseado a domicilio e identificar as barreiras que interferem na adesão. Método: ensaio clí-nico controlado -estudo preliminar. Foram recrutados 11 pacientes diagnosticados com doença arterial coronariana (DAC), sedentários a pelo menos três meses e clinicamente estáveis, sendo estes divididos em dois grupos de intervenção, grupo RCPM convencional (GC) e grupo de RCPM baseada em domicílio (GD). Os pacientes ingressaram no estudo, em momentos distintos, ao longo de 21 meses de coleta de dados. Foram avaliados os resultados referentes à aderência aos diferentes protocolos de intervenção e as barreiras, através da Escala de Barreiras para Reabilitação Cardíaca (EBRC). Os dados foram analisados por meio da estatística descritiva (média, desvio padrão e frequência), utilizando o programa estatístico Statistical Package for the Social Sciences -SPSS versão 20.0. Resultados: dos 11 pacientes, 5 foram alocados no GC e 6 no GD. Foi observada aderência superior no GD (106,3%) e o GC apresentou 86,1%. As principais barreiras encontradas no GD e GC foram "comorbidades/estado funcional" e "necessidades percebidas", respectivamente. Considerações Finais: a aderência ao programa de RCPM baseado em domicílio foi superior quando comparado ao grupo que realizou RCPM convencional supervisionada. Adicionalmente, as barreiras que mais influenciaram na obtenção destes resultados foram igualmente relatadas por ambos os grupos.Palavras-chave: Reabilitação; Exercício; Doenças Coronarianas. ABSTRACT Lately the home-based rehabilitation exercises has emerged as an alternative to the Cardiopulmonary and Metabolic Rehabilitation (CPMR

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Section: Análise Da Aderência Em Diferentes Programas De Reabilitaçãounclassified

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

et al. 2016

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“…In fact, it is well established that lack of transportation is a prominent barrier for female cardiac patients (Oldridge, Rogowski & Gottlieb 1992, Lieberman, Meana & Stewart 1998, Halm et al 1999, Allen et al 2004, Grace et al 2009a). For instance, in a multi-site study of 226 female and 507 male CR non-attendees, participants were asked to rate the importance of transportation problems as a barrier to CR utilization (Grace et al 2009a). Ratings were made on a five-point Likert scale, with higher scores indicating greater agreement that transportation serves as a CR barrier.…”

Section: Studies Showing No Relationship Between Cr Utilization and Gmentioning

confidence: 99%

“…Evenson et al (2000) reported that participants who attended more than one session reported distance and transportation were no longer reasons for dropping-out. Finally, in another study 1222 CHD outpatients were asked to rate the importance of almost 20 CR barriers including distance and transportation problems (Grace et al 2009a). As outlined above, ratings were made on a 5-point Likert scale, with higher scores indicating greater agreement that the factor serves as a CR barrier.…”

Section: Studies Reporting Mixed Effects On Cr Utilizationmentioning

confidence: 99%

Geographic issues in cardiac rehabilitation utilization: A narrative review

et al. 2010

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Objective-The purpose of this study was to review the current evidence regarding the relationship between geographic indicators and cardiac rehabilitation (CR) utilization among coronary heart disease (CHD) patients.Results-Seventeen articles were identified for inclusion, where nine studies assessed rurality, 10 studies assessed travel time/distance, and two of these studies assessed both. Nine of the 17 studies (52.9%) showed a significant negative relationship between geographic barrier and CR use. Four of the 17 studies (23.5%) showed a null relationship, while four studies (23.5%) showed mixed findings. Inconsistent findings identified appeared to be related to restricted geographic range, regional density, and socioeconomic status.Conclusions-Overall, 52.9% of the identified studies reported a significant negative relationship between geographic indicators and CR utilization. This relationship appeared to be particularly consistent in North American and Australian settings, but somewhat less so in the United Kingdom where there is greater population density and availability of public transport.

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“…A low level has been shown of CR application in women post-cardiac surgery and hospitalized for extended periods [20]. Grace et al [21] showed that, in comparison with men, women are less willing to participate in CR and more frequently consider physical exercise to be tiring and painful. Women are significantly more likely than men to resign from CR due to greater health problems, particularly concerning skeletal muscles, and for other medical reasons [22].…”

Section: Discussionmentioning

confidence: 99%

Gender and age-dependent differences in body composition changes in response to cardiac rehabilitation exercise training in patients after coronary artery bypass grafting

Socha¹,

Wronecki²,

Sobiech³

2017

Ann Agric Environ Med.

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A Multisite Examination of Sex Differences in Cardiac Rehabilitation Barriers by Participation Status

Abstract: BACKGROUND-Despite its proven benefits and need, women are significantly less likely to participate in and complete cardiac rehabilitation (CR) than men. The purpose of this study was to quantitatively investigate sex differences in CR barriers by participation status.

Cited by 115 publications

References 46 publications

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Geographic issues in cardiac rehabilitation utilization: A narrative review

Gender and age-dependent differences in body composition changes in response to cardiac rehabilitation exercise training in patients after coronary artery bypass grafting

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