Title Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies
Authors RESURRECCIÓN MENA, DAVINIA MARÍA, Moreno-Peral, Patricia , Gomez-Herranz, Marta , Rubio-Valera, Maria , Pastor, Luis , Caldas de Almeida, Jose Miguel , MOTRICO MARTINEZ, EMMA
External publication No
Means Eur J Cardiovasc Nurs
Scope Review
Nature Científica
JCR Quartile 1
SJR Quartile 1
JCR Impact 2.296
SJR Impact 0.708
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048893668&doi=10.1177%2f1474515118783157&partnerID=40&md5=4be39189f9118e51c6b964ad99345fff
Publication date 01/01/2019
ISI 000454516900006
Scopus Id 2-s2.0-85048893668
DOI 10.1177/1474515118783157
Abstract Background: Although evidence exists for the efficacy of cardiac rehabilitation programmes to reduce morbidity and mortality among patients with cardiovascular disease, cardiac rehabilitation programmes are underused. We aimed systematically to review the evidence from prospective cohort studies on factors associated with non-participation in and/or dropping out from cardiac rehabilitation programmes. Methods: MedLine, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications from inception to February 2018. Search terms included (a) coronary heart disease and other cardiac conditions; (b) cardiac rehabilitation and secondary prevention; and (c) non-participation in and/or dropout. Databases were searched following the PRISMA statement. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results: We selected 43 studies with a total of 63,425 patients from 10 different countries that met the inclusion criteria. Factors associated with non-participation in and dropout from cardiac rehabilitation were grouped into six broad categories: intrapersonal factors, clinical factors, interpersonal factors, logistical factors, cardiac rehabilitation programme factors and health system factors. We found that clinical factors, logistical factors and health system factors were the main factors assessed for non-participation in cardiac rehabilitation. We also found differences between the factors associated with non-participation and dropout. Conclusions: Several factors were determinant for non-participation in and dropout from cardiac rehabilitation. These findings could be useful to clinicians and policymakers for developing interventions aimed at improving participation and completion of cardiac rehabilitation, such as E-health or home-based delivery programmes. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) identifier: CRD42016032973.
Keywords Cardiac rehabilitation; associated factors; systematic review; participation; dropout; adherence
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