Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study

Shufelt, Chrisandra

doi:10.1016/j.ajpc.2022.100349

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…This gives physiotherapists more opportunity to keep abreast of the latest practice and research updates in cardiac rehabilitation. These results are consistent with those of a study conducted in the United States, which clearly demonstrated the benefits of cardiac rehabilitation training 13 . The study revealed a significant increase in the mean score for knowledge of cardiac rehabilitation, from 5.1 before the training activity to 7.0 afterwards ( P = 0.001).…”

Section: Discussionsupporting

confidence: 91%

“…CR programs provide a comprehensive intervention that includes physical training, physical activity promotion, health education, cardiovascular risk management and psychological support, all tailored to address the unique requirements of individuals with heart disease. CR is associated with several validated benefits consisting of healthy lifestyle promotion, risk factors prevention, and health-related quality of life enhancement 9,10 , as well as reducing 5year cardiovascular mortality from 25% to 46% 11,12 and hospital readmissions for cardiovascular events by 28% 13,14 . This is a Class 1, Level A recommendation in clinical practice guidelines for cardiac patients 10,15,16 .…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, attitudes, and practices of cardiac rehabilitation among physiotherapists in Morocco

Kabbadj,

El Haddaoui,

Taiek

et al. 2024

gcsp

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Cardiovascular disease is a growing challenge worldwide, and Morocco is no exception. Despite its growing popularity, cardiac rehabilitation is still largely underutilized. In order to improve the provision of cardiac rehabilitation, a study of the knowledge, attitudes, and practices of physiotherapists in Morocco, key players in cardiac rehabilitation, is described. This assessment highlights existing skill gaps and enables the necessary corrective measures to be identified. This cross-sectional study included Moroccan physiotherapists working in different institutions (public and private) in different regions of Morocco. A total of 145 valid questionnaires were collected (33% response rate). The results showed that 72.4% of respondents had a medium level of knowledge of cardiac rehabilitation, 93.8% had a positive attitude, and 73% of physiotherapists said they sometimes practiced cardiac rehabilitation. Subgroup analysis showed that the lower the level of education, the more negative the knowledge and practice of rehabilitation. The results also showed that physiotherapists working in education sector and private clinics had better practice than those working in hospitals.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practices of cardiac rehabilitation among physiotherapists in Morocco

Kabbadj,

El Haddaoui,

Taiek

et al. 2024

gcsp

View full text Add to dashboard Cite

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“…The Million Hearts Initiative, a program of the Centers for Disease Control, targets 70% CR participation, a figure that cannot be achieved without significant changes to the healthcare delivery ecosystem 4 . While behavioral and educational interventions have been developed to improve the rate of referral 5,6 , there remain significant structural challenges to overcome - availability of CR facilities, distance to CR facility, out of-pocket costs, lack of transportation, and language barriers 7 . A recent modeling study estimated that if all center-based CR facilities operating before the COVID-19 pandemic operated at maximal capacity, only 47% of eligible US patients could be accommodated 8 .…”

Section: Introductionmentioning

confidence: 99%

Retrospective Comparison of Outcomes and Cost of a Virtual vs. Center-Based Cardiac Rehabilitation Program

Shah,

Banta,

Berger

et al. 2024

Preprint

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Background: Despite robust evidence supporting an association with improved outcomes in eligible patients, cardiac rehabilitation (CR) remains underutilized, with a minority of eligible patients participating. Virtual cardiac rehabilitation (VCR) has been proposed as an alternative to traditional center-based CR (CBCR) to improve utilization rates. However, data supporting the efficacy and cost-effectiveness of VCR is limited. In the present study, we compared the outcomes and cost of a VCR vs. traditional CBCR program. Methods: Retrospective cohort study comparing VCR vs. CBCR. CBCR data were collected from a period of January 2018 to September 2023. VCR data were collected from program initiation in July 2021 to September 2023. Primary health outcomes measured were 1-year mortality rates, recurrent MI, all-cause hospital readmission, and emergency department visits. Primary cost outcomes were analyzed as cost ratios related to VCR vs. CBCR assessing total medical costs allowed, pharmacy costs, and total costs of care over the 12 months post-CR enrollment. Results: VCR was associated with a significant reduction in 1-year all-cause hospital readmission (incident rate ratio (IRR)=0.616, 95% confidence interval (CI): 0.489, 0.777, p<0.001) and ED admission (IRR=0.557, 95% CI: 0.452, 0.687, p<0.001) at 1 year. The IRR of MI and all-cause mortality did not significantly differ between VCR and CBCR. In addition, VCR was associated with significant reductions in medically related (cost ratio=0.814, 95% CI: 0.690, 0.960, p=0.0144) and total costs (cost ratio=0.838, 95% CI: 0.725, 0.970, p=0.0176). Conclusion: VCR is a viable alternative to CBCR with at least comparable efficacy and cost, and as such, represents a key mechanism for improving access to and participation in CR for eligible patients.

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Training and attitudes concerning cardiac rehabilitation in Portugal: A national survey of physician members of the Portuguese Society of Cardiology

Vilela,

Bento,

Oliveira

et al. 2024

Revista Portuguesa de Cardiologia

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Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study

Cited by 6 publications

References 23 publications

Knowledge, attitudes, and practices of cardiac rehabilitation among physiotherapists in Morocco

Knowledge, attitudes, and practices of cardiac rehabilitation among physiotherapists in Morocco

Retrospective Comparison of Outcomes and Cost of a Virtual vs. Center-Based Cardiac Rehabilitation Program

Training and attitudes concerning cardiac rehabilitation in Portugal: A national survey of physician members of the Portuguese Society of Cardiology

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