Factors associated with cardiac rehabilitation attendance: a systematic review of the literature

Cooper, Andrew A.; Jackson, Graham; Weinman, John; Horne, Rob

doi:10.1191/0269215502cr524oa

Cited by 218 publications

(205 citation statements)

References 44 publications

(127 reference statements)

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“…Non-participant research suggests that non-attenders may be missing out (Hildingh and Fridlund, 2001;Cooper et al, 2002). This study found that for many interviewees non-use represented a 'missed opportunity' to aid rehabilitation, assist secondary prevention, and support families.…”

Section: Discussionmentioning

confidence: 85%

A qualitative study exploring why people do not participate in cardiac rehabilitation and coronary heart disease self-help groups, and their rehabilitation experience without these resources

Jackson

McKinstry

Gregory

et al. 2011

Prim Health Care Res Dev

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Background: Secondary prevention and self-management of coronary heart disease (CHD) are of major importance to people who survive myocardial infarction (MI). This can be facilitated by cardiac rehabilitation (CR; the formal health service programme) and informal CHD self-help groups. Non-participation is an important issue, yet it is poorly understood. Rehabilitation difficulties and prevention challenges have been identified among people following MI, but the particular experience and perspective of CR and CHD group non-participants are largely unknown. Aim: The study aimed to understand non-participation in CR and CHD self-help groups from the perspectives of the non-participants and to provide insight into their experience and that of their 'significant others' in rehabilitating in the absence of these resources. Methods: In-depth interviews were conducted with 27 people who had not participated in either hospital-based CR or a CHD group, 6-14 months post-MI, and 17 'significant others' in Lothian, Scotland. Findings: Factors influencing non-participation fell into three broad themes 'No need/no point', 'Not worth it', and 'Not possible'. In the latter two categories, non-participation in these resources was often considered a 'missed opportunity' and needs had remained unmet. Shifts between categories could occur over time. Non-participation was linked to rehabilitation difficulties for some people and family members. Recommendations to enhance post-MI support are made.

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Section: Discussionmentioning

confidence: 85%

A qualitative study exploring why people do not participate in cardiac rehabilitation and coronary heart disease self-help groups, and their rehabilitation experience without these resources

Jackson

McKinstry

Gregory

et al. 2011

Prim Health Care Res Dev

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“…While comprehensive reviews of patient-level factors affecting CR enrollment can be found in the literature [13,14,40,41], this research shows that we can no longer focus solely on the patient level without examining the broader issues affecting CR at the physician and health system level. Moreover, while there have been calls in the literature to develop means to overcome under-utilization of CR services, few interventions have been developed, tested or implemented, particularly at the physician level [49].…”

Section: Discussionmentioning

confidence: 95%

“…Factors identified in this study were marital status, CR barriers, and distance to CR. Previous research has identified these factors as important in CR utilization [40,41]. Having spousal support for instance has been shown to positively affect CR participation, and involving including spouses in referral discussions, or enlisting the support of adult children where patients do not have a partner [45] could promote greater CR enrollment.…”

Section: Discussionmentioning

confidence: 99%

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

Grace

Gravely–Witte

Brual

et al. 2008

European Journal of Cardiovascular Prevention & Rehabilitat

134

112

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“…The strength and the content of the physician's recommendation may be an important variable. Eligible patients in the general population who fail to attend cardiac rehabilitation programs are less likely to perceive that their physician recommends cardiac rehabilitation (6,30,31) and are less likely to understand how cardiac rehabilitation can help them (32).…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation and Survival of Dialysis Patients after Coronary Bypass

Kutner

Zhang

Huang

et al. 2006

Journal of the American Society of Nephrology

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Patients who are on renal dialysis are at high risk for cardiac death and have a large burden of cardiovascular disease and cardiovascular disease risk factors. Cardiac rehabilitation can promote improved survival of nondialysis patients after coronary artery bypass grafting (CABG) surgery and is covered by Medicare, but no previous studies have investigated whether dialysis patients' survival after CABG may be improved as a function of cardiac rehabilitation. A prospective cohort study was conducted using Medicare claims (1998 to 2002) for CABG and cardiac rehabilitation and patient information from the United States Renal Data System database for 6215 renal patients who initiated hemodialysis and underwent CABG between January 1, 1998, and December 31, 2002, with mortality follow-up to December 31, 2003. Cardiac rehabilitation was defined by Current Procedural Terminology codes for monitored and nonmonitored exercise in Medicare claims data. Dialysis patients who received cardiac rehabilitation after CABG had a 35% reduced risk for all-cause mortality and a 36% reduced risk for cardiac death compared with dialysis patients who did not receive cardiac rehabilitation, independent of sociodemographic and clinical risk factors, including recent hospitalization. Only 10% of patients received cardiac rehabilitation after CABG, compared with an estimated 23.4% of patients in the general population, and lower income patients of all ages as well as women and black patients who were aged 65؉ were significantly less likely to receive cardiac rehabilitation services. This observational study suggests a survival benefit of cardiac rehabilitation for dialysis patients after CABG.

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Factors associated with cardiac rehabilitation attendance: a systematic review of the literature

Abstract: A number of factors predict cardiac rehabilitation attendance and some of these are potentially modifiable.

Cited by 218 publications

References 44 publications

A qualitative study exploring why people do not participate in cardiac rehabilitation and coronary heart disease self-help groups, and their rehabilitation experience without these resources

A qualitative study exploring why people do not participate in cardiac rehabilitation and coronary heart disease self-help groups, and their rehabilitation experience without these resources

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

Cardiac Rehabilitation and Survival of Dialysis Patients after Coronary Bypass

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