Title Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study
Authors RESURRECCIÓN MENA, DAVINIA MARÍA, MOTRICO MARTINEZ, EMMA, Rubio-Valera, Maria , Antonio Mora-Pardo, Jose , Moreno-Peral, Patricia
External publication No
Means PLoS ONE
Scope Article
Nature Científica
JCR Quartile 2
SJR Quartile 1
JCR Impact 2.776
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050006814&doi=10.1371%2fjournal.pone.0200636&partnerID=40&md5=0332feaa76d89018a9ee17cfff53ca7a
Publication date 16/07/2018
ISI 000438829800037
Scopus Id 2-s2.0-85050006814
DOI 10.1371/journal.pone.0200636
Abstract Background\n Empirical evidence has shown that cardiac rehabilitation programs are effective in reducing morbidity and mortality, improving quality of life in patients with cardiovascular disease. Despite the benefits, women have a high cardiac rehabilitation dropout rate. Our aim was to explore women\'s perceptions about the reasons they faced for dropout from these programs.\n Methods\n Semi-structured interviews were conducted with women (n = 10) after dropping out from three different cardiac rehabilitation centers in Spain. In addition, a focus group and a semistructured interview with cardiovascular professionals were conducted. From a grounded theory perspective, thematic analysis was used to derive themes from interview transcripts.\n Results\n The women were between 41 and 70 years. We identified five general themes that illustrated reasons for cardiac rehabilitation dropout: intrapersonal reasons (self-reported health, self-reported mental health, health beliefs); interpersonal reasons (family caregiver role, work conflicts); logistical reasons (transport, distance); cardiac rehabilitation program characteristics (perception of the objective of cardiac rehabilitation, exercise component, inconvenient timing, cardiac rehabilitation equipment); and health system reasons (financial assistance for transport, long waiting list). The cardiovascular professionals found barriers to cardiac rehabilitation completion similar to those found by the women.\n Conclusions\n In order to prevent cardiac rehabilitation dropout in women, modular and flexible programs are needed. In addition, the inclusion of primary care centers or community resources could improve cardiac rehabilitation completion in women. Psychological assessment and counseling during cardiac rehabilitation should be included as an essential part of the programs and recommended for those women with depressive symptoms. Finally, improved financial assistance for transport from the health system is essential.
Keywords absenteeism; adult; aged; anhedonia; Article; attitude to illness; cardiovascular disease; caregiver; clinical article; conflict; controlled study; depression; female; financial management; health bel
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