A COMPARISON OF BARRIERS TO TRADITIONAL AND HOME-BASED CARDIOPULMONARY REHABILITATION PARTICIPATION: POTENTIAL IMPLICATIONS FOR THE MAINTENANCE PHASE
2023
- 140Usage
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
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Artifact Description
Cardiac rehabilitation provides medically supervised therapeutic exercise and multifaceted risk factor modification as a form of secondary prevention for cardiovascular disease, a persistent leading cause of morbidity and mortality in the United States and internationally. Despite robust evidence of compelling patient outcomes, decreased disease recurrence, and the indications from the ACC/AHA endorsing phase II cardiac rehabilitation (CR) as a crucial aspect of recovery from cardiac events and qualifying conditions, CR is widely underutilized. A variety of patient barriers can serve as mitigating factors to CR referral, enrollment, participation, and completion contributing to, in part, the underutilization of CR. Barriers to CR have been observed in both traditional hospital-based (TCR) and alternative home-based (HBCR) Phase II settings. Furthermore, data suggests that some barriers to exercise persist into Phase III CR, ongoing independent maintenance, following Phase II CR completion. To date, few studies have comprehensively described patient barriers to HBCR and Phase III CR.This professional paper addressed the identified common patient barriers to TCR, HBCR, and Phase III CR by conducting an extensive literature review. Within this work, identified barriers were categorized by type including intrapersonal, interpersonal, environmental, organizational, and socio-cultural barriers. Intrapersonal barriers emerged as primary mitigating factors to CR participation in TCR, HBCR, and Phase III CR, though it was unclear if certain barriers were more impactful than others. Collectively, this professional paper provided a baseline of the complex and interrelated barriers that limit TCR, HBCR, and Phase III CR participation.
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