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Barriers to Cardiac Rehabilitation: DOES AGE MAKE A DIFFERENCE?

Overview
Journal J Cardiopulm Rehabil Prev
Specialties Cardiology & Vascular Diseases
Pulmonary Medicine
Rehabilitation Medicine
Date 2009 May 28
PMID 19471138
Citations 41
Authors
Sherry L Grace
Shamila Shanmugasegaram
Shannon Gravely-Witte
Janette Brual
Neville Suskin
Donna E Stewart
Affiliations
Soon will be listed here.
Abstract

Purpose: To quantitatively investigate age differences in barriers to cardiac rehabilitation (CR) enrollment and participation.

Methods: Cardiac outpatients (N = 1,273, mean age = 65.9 +/- 11.2) completed a mailed survey to discern barriers to CR enrollment and participation. Both enrollees and nonenrollees were asked to rate 18 CR barriers on a 5-point Likert scale.

Results: Of the respondents, 535 (43%) reported participating in CR at 1 of 40 sites, with younger patients being more likely to participate (P = .002). Older age was positively related to total CR barriers (P < .001). Older patients more strongly endorsed the following CR barriers: already exercising at home (P = .001), confidence in ability to self-manage their condition (P = .003), perception of exercise as tiring or painful (P = .001), not knowing about CR (P = .001), lack of physician encouragement (P < .001), comorbidities (P < .001), and perception that CR would not improve their health (P < .001).

Conclusion: Given that the benefits of CR are achieved in older patients as well as the young, interventions to overcome these modifiable barriers to enrollment and participation are needed.

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Feasibility and effectiveness of cardiac telerehabilitation for older adults with coronary heart disease: A pilot randomized controlled trial.

Su J, Wong A, He X, Zhang L, Cheng J, Lu L Contemp Clin Trials Commun. 2024; 42:101365.

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Editorial: Reviews in cardiac rehabilitation.

Tracy M, Mancusi C, Salzano A Front Cardiovasc Med. 2024; 11:1371750.

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Exploratory analysis of the effectiveness of virtual reality in cardiovascular rehabilitation.

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Thompson M, Hou H, Stewart 2nd J, Pagani F, Hawkins R, Keteyian S Circ Cardiovasc Qual Outcomes. 2023; 16(11):e010148.

PMID: 37855157 PMC: 10953712. DOI: 10.1161/CIRCOUTCOMES.123.010148.

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