Listening to Patients: Choice in Cardiac Rehabilitation

Wingham, Jenny; Dalal, Hasnain M; Sweeney, Kieran; Evans, Philip

doi:10.1016/j.ejcnurse.2006.02.002

Cited by 72 publications

(85 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is supported by others who have reported that patients learning needs vary according to their stage of recovery [31][32][33] and that the optimum time for realistic learning is during early convalescence [33]. The rapid throughput of patients and emotional shock experienced by them meant that the ability to absorb information during hospitalisation is somewhat limited.…”

Section: Discussionmentioning

confidence: 53%

“…Other studies have shown similarly varied responses [25,[32][33]. The fact that cardiac patients are not always aware of who might be best placed to provide them with health information [33] may explain these results. In addition participants' preferences were influenced by their underlying beliefs and expectations of practitioners' roles.…”

Section: Discussionmentioning

confidence: 92%

“…Some report that physicians were preferred over nurses as information givers [10,25] whilst others state that cardiac rehabilitation staff are preferred [32]. One explanation for discrepancies across studies is that cardiac patients are not always aware of which health professional might be best placed to provide health information [33]. The provision of written information and verbal information combined, compared to verbal information alone, supports the provision of standardised care information to patients and their families and also appears to improve levels of knowledge and satisfaction [34].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The information needs of patients treated with primary angioplasty for heart attack: An exploratory study

Astin¹,

Closs²,

McLenachan³

et al. 2008

Patient Education and Counseling

114

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The information needs of patients treated with primary angioplasty for heart attack: An exploratory study

Astin¹,

Closs²,

McLenachan³

et al. 2008

Patient Education and Counseling

114

View full text Add to dashboard Cite

“…Other than distance/travel time and rurality status, the following barriers were often self-reported: heavy traffic (Stokes 2008), parking problems, inconvenient program locations (Grace et al 2002), cost of traveling, not having a driver's license or inability to drive (Dunlay et al 2009, Winberg 2002, Jones et al 2007, Dalal, Evans 2003, Wingham et al 2006, and inclement weather leading to hazardous or congested traffic conditions (Blanchard et al 2003, Fleury et al 2004). Indeed, for rural patients, factors other than proximity to a program may influence attendance, such as the quality of roads and harsh weather in particular for northern-residing outpatients (Curnier, Savage & Ades 2005, Pell, Morrison 1998).…”

Section: Other Geographic Barriers To Cr Utilizationmentioning

confidence: 99%

Geographic issues in cardiac rehabilitation utilization: A narrative review

et al. 2010

View full text Add to dashboard Cite

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.

show abstract

“…50,51 They noted that patients benefited from group camaraderie and the opportunity to compare their progress with that of others, as has been found in other studies. 52,53 Patients may tend to view cardiac rehabilitation as being predominantly about exercise, 50,54 but other components of cardiac rehabilitation perceived as important by patients include advice, reassurance, and psychological support. [55][56][57] However, a number of barriers to patients attending cardiac rehabilitation have been found, of which transport difficulties are a commonly cited barrier.…”

Section: Patient Perspectives On Cardiac Rehabilitation Programsmentioning

confidence: 99%

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

View full text Add to dashboard Cite

This paper reviews the effectiveness of public health and education programs for creating awareness of, preventing and managing cardiovascular disease (CVD), with a particular focus on their impact on people's behavior. Evidence-based guidance recommends that such programs, eg, cardiac rehabilitation, should include risk assessment, modification of lifestyle risk factors and, where appropriate, medication. However, despite substantial evidence of cardiac rehabilitation being beneficial, a significant proportion of eligible patients fail to receive cardiac rehabilitation and numerous barriers to attendance remain, particularly because cardiac rehabilitation service provision continues to be patchy and of variable quality. Evidence suggests that educational programs to prevent CVD may achieve favorable reductions in mortality and overall CVD risk. However, whilst people tend to have significant knowledge of the modifiable risk factors for CVD, this does not necessarily lead to action to reduce risk, because lay epidemiology appears to play a significant role in sophisticated determinations of CVD causation, amongst other factors. Some people, but not all, make and maintain some lifestyle changes, but not necessarily all of the changes recommended, because they may only change aspects of lifestyle that are perceived to have been likely causes of their CVD. In addition, many people experience difficulty in making and maintaining lifestyle changes. There appears to be considerable disquiet among patients about taking medicines prescribed for CVD, particularly concerning side effects, which in some instances may affect medicine-taking. New developments and patient approaches recognize the wider societal issues that influence the lifestyle choices people make. Initiatives to increase attendance and widen access to cardiac rehabilitation have included home-based and technological innovations as alternatives to hospital-based cardiac rehabilitation programs. Effective future approaches are likely to build on these developments, and offer even greater choice in accessing preventative services.

show abstract

Listening to Patients: Choice in Cardiac Rehabilitation

Abstract: Understanding the factors that influence patient's choices may help professionals guide them to the most appropriate CR method and hence improve uptake.

Cited by 72 publications

References 25 publications

The information needs of patients treated with primary angioplasty for heart attack: An exploratory study

The information needs of patients treated with primary angioplasty for heart attack: An exploratory study

Geographic issues in cardiac rehabilitation utilization: A narrative review

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Contact Info

Product

Resources

About