Contribution of patient and physician factors to cardiac                     rehabilitation enrollment: a prospective multilevel study

Grace, Sherry L.; Gravely–Witte, Shannon; Brual, Janette; G, Monette; Suskin, Neville; Higginson, Lyall; Alter, David A.; Stewart, Donna E.

doi:10.1097/hjr.0b013e328305df05

Cited by 134 publications

(129 citation statements)

References 44 publications

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“…CR involves structured exercise training, education, risk factor reduction and behavior change counseling. Participation in CR programs have been shown to reduce mortality by about 25%-30% and to have favorable effects on re-hospitalization and functional capacity (Grace et al, 2008). Emerging evidence supports the feasibility, safety and benefits of CR for transient ischemic attack/mild non-disabling stroke patients as well (Lennon et al, 2008;Prior et al, 2011;Tang et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

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Cardiovascular rehabilitation (CR) has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-healthcare provider (HCP) interactions regarding CR, and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their HCPs. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 HCPs and 50 patients were recorded. CR referral was related to greater HCP interactivity (Odds Ratio [OR]=2.82, 95% CI 1.01-7.86), and less patient concern and worry (OR=0.64, 95% CI 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.

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Section: Introductionmentioning

confidence: 99%

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

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“…20 the uK is the only country to establish targets for Cr utilization, where the aim is to achieve an 85% referral rate. 21 reasons for low rates of Cr utilization are multifactorial, and include health-system, [22][23][24][25] health-care provider, 7,[26][27][28][29][30][31][32][33][34] and patient level 20,22,26,29,30,[35][36][37] factors. lack of Cr referral is the most common reason given by patients when they are asked why they did not attend Cr after a cardiac event or procedure.…”

Section: Introductionmentioning

confidence: 99%

Effects of cardiac rehabilitation referral strategies on referral and enrollment rates

et al. 2009

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| Despite recommendations in clinical practice guidelines, evidence suggests that utilization of cardiac rehabilitation (CR) following indicated cardiac events is low. Referral strategies, such as automatic referral, have been advocated to improve CR utilization. In this Review, we evaluate the effects of referral strategies on rates of CR referral and enrollment. Referral strategies are categorized as 'automatic' (the use of electronic health records or systematic discharge order sets), as 'liaison' (discussions with allied healthcare providers), or as 'other' (for example, the use of motivational letter to patients). The highest rates of CR referral have been achieved in studies implementing automatic referral orders, whereas the highest rates of CR enrollment have resulted from a combination of automatic and liaison methods. Overall, innovative referral strategies significantly increase CR utilization. While further investigation is needed, institutions should evaluate their CR referral practice in light of these findings.

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“…[22] Our findings about referral to CR programmes are somewhat higher than the EuroAspire study (45%) including patients from 22 countries, and with significant differences between the countries. [23] Two US studies [19,23] also reported lower referral rates (43% and 59%). The total CR attendance in our study was similar to the Swedish results in the EuroAspire study (between 40% and 50%) but somewhat higher than other reports.…”

Section: Discussionmentioning

confidence: 99%

Physical activity in women after an acute myocardial infarction

Løvlien

Mundal

Hall‐Lord

2015

JNEP

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Citation for the original published paper (version of record):Løvlien, M., Mundal, L., Hall-Lord, M-L. (2015) Physical activity in women after an acute myocardial infarction.. ABSTRACT Background: Physical activity is recognized as being important in reducing mortality after an acute myocardial infarction. The study aimed to describe younger and older women's leisure time physical activity after an acute myocardial infarction, their motivations and barriers for engaging in physical activity and to assess aspects associated with referral and attendance in cardiac rehabilitation programmes. Methods: Women diagnosed with an acute myocardial infarction were consecutively recruited and answered a questionnaire 2-3 months after hospital discharge. Journal of Nursing Education andResults: The majority of the respondents (86%) were physically active after their acute myocardial infarction and 34% were physically active ≥ 4 days a week for ≥ 30 minutes. Respondents ≥ 66 years were less likely than respondents < 66 years to report moderate physical activity (39% vs. 58%, p = .03) and more likely to report low physical activity (27% vs. 8%, p < .01). No differences were found between these age groups reporting high physical activity (34% vs. 34%). Respondents ≥ 66 years were also less likely than younger respondents to maintain or increase their physical activity after the acute event (59% vs. 76%, p < .01), to be informed about the significance of physical activity while in hospital (61% vs. 80%, p = .01), to be referred to a cardiac rehabilitation programme (49% vs. 75%, p ≤ .01) and to attend such a programme (30% vs. 65%, p < .01). Conclusions: Women's age was associated with physical activity as well as their possibilities regarding cardiac rehabilitation after an acute myocardial infarction.

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Contribution of patient and physician factors to cardiac rehabilitation enrollment: a prospective multilevel study

Cited by 134 publications

References 44 publications

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Effects of cardiac rehabilitation referral strategies on referral and enrollment rates

Physical activity in women after an acute myocardial infarction

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