TY - JOUR
T1 - Factors influencing participation in cardiac rehabilitation programmes after referral and initial attendance
T2 - Qualitative systematic review and meta-synthesis
AU - Clark, Alexander M.
AU - King-Shier, Kathryn M.
AU - Spaling, Melisa A.
AU - Duncan, Amanda S.
AU - Stone, James A.
AU - Jaglal, Susan B.
AU - Thompson, David R.
AU - Angus, Jan E.
N1 - Funding Information:
This work was supported by the Canadian Institutes of Health Research (CIHR) Knowledge Synthesis Grant (91784). AMC is supported by career awards from CIHR and with KK by Alberta Innovates Health Solutions (AIHS). SJ holds the Toronto Rehabilitation Institute Chair at the University of Toronto.
PY - 2013/10
Y1 - 2013/10
N2 - Background: Greater participation in cardiac rehabilitation improves morbidity and mortality in people with coronary heart disease, but little is understood of patients?f decisions to participate. Methods: To develop interventions aimed at increasing completion of programmes, we conducted a qualitative systematic review and meta-synthesis to explore the complex factors and processes influencing participation in cardiac rehabilitation programmes after referral and initial access. To be included in the review, studies had to contain a qualitative research component, population specific data on programme participation in adults ≤18 years, and be published .1995 as full articles or theses. Ten databases were searched (31 October 2011) using 100+ search terms. Results: Of 2264 citations identified, 62 studies were included involving: 1646 patients (57% female; mean age 64.2), 143 caregivers, and 79 professionals. Patients?f participation was most strongly influenced by perceptions of the nature, suitability and scheduling of programmes, social comparisons made possible by programmes, and the degree to which programmes, providers, and programme users met expectations. Women?fs experiences of these factors rendered them less likely to complete. Comparatively, perceptions of programme benefits had little influence on participation.
AB - Background: Greater participation in cardiac rehabilitation improves morbidity and mortality in people with coronary heart disease, but little is understood of patients?f decisions to participate. Methods: To develop interventions aimed at increasing completion of programmes, we conducted a qualitative systematic review and meta-synthesis to explore the complex factors and processes influencing participation in cardiac rehabilitation programmes after referral and initial access. To be included in the review, studies had to contain a qualitative research component, population specific data on programme participation in adults ≤18 years, and be published .1995 as full articles or theses. Ten databases were searched (31 October 2011) using 100+ search terms. Results: Of 2264 citations identified, 62 studies were included involving: 1646 patients (57% female; mean age 64.2), 143 caregivers, and 79 professionals. Patients?f participation was most strongly influenced by perceptions of the nature, suitability and scheduling of programmes, social comparisons made possible by programmes, and the degree to which programmes, providers, and programme users met expectations. Women?fs experiences of these factors rendered them less likely to complete. Comparatively, perceptions of programme benefits had little influence on participation.
KW - Secondary prevention
KW - behavioural treatment
KW - cardiac rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84883477198&partnerID=8YFLogxK
U2 - 10.1177/0269215513481046
DO - 10.1177/0269215513481046
M3 - Review article
C2 - 23798748
AN - SCOPUS:84883477198
SN - 0269-2155
VL - 27
SP - 948
EP - 959
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
IS - 10
ER -