Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Netto, Almir Schmitt; Araujo, Pablo Bertasso de; Lima, Daiane Pereira; Sties, Sabrina Weiss; Gonzáles, Ana Inês; Aranha, Eduardo Eugênio; Carvalho, Tales de

doi:10.17058/cinergis.v17i2.7552

Cited by 2 publications

(6 citation statements)

References 22 publications

(35 reference statements)

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“…Also, part of the participants works regularly, which may have influenced the “of time constraints” question. These results contradict other studies [ 2 , 4 , 17 ] that pointed out the lack of orientation and knowledge about the beneficial effects of CR as the highest barriers within this subscale. The divergence observed may be related to educational classes that occur monthly and with high participation in the evaluated programs, which minimize these barriers [ 18 ] .…”

Section: Discussioncontrasting

confidence: 99%

“…In the subscale “perceived need”, which includes a lack of knowledge and orientation about CR, PHA in the public service exhibited a higher barrier concerning PLA and PHA in the private service, and these same participants also presented a higher “access” barrier than PHA in the private service. Domain related to logistical factors can influence adherence whereas the members attend the sessions more when the place is more accessible and does not require long distance traveling [ 2 , 4 , 15 ] . These results are similar to other studies that demonstrated that the main barriers in the public program are “perceived need” and “access” [ 2 , 4 , 6 , 15 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Domain related to logistical factors can influence adherence whereas the members attend the sessions more when the place is more accessible and does not require long distance traveling [ 2 , 4 , 15 ] . These results are similar to other studies that demonstrated that the main barriers in the public program are “perceived need” and “access” [ 2 , 4 , 6 , 15 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Although the benefits of cardiac rehabilitation (CR) programs [ 1 - 3 ] are clear, participation and adherence to these programs are major challenges that need to be studied in Brazil and worldwide [ 2 , 4 - 6 ] . To obtain the beneficial effects of these programs, a minimum attendance of 70% to sessions is required [ 7 ] , which is a great challenge because the participants present several barriers to adherence such as travel, work conflicts, program costs, distance, personal problems, family responsibilities, comorbidities, access, and perceived needs [ 2 , 4 - 6 ] . Also, the type of financing of the CR programs, public or private health system, seems to influence these barriers [ 4 , 5 , 8 ] .…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence

Santos¹,

Pinheiro²,

Silva³

et al. 2023

Braz J Cardiovasc Surg

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Introduction Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence

Santos¹,

Pinheiro²,

Silva³

et al. 2023

Braz J Cardiovasc Surg

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“…Other strategies have emerged and may positively influence patients' adherence to CVR. An example is the home-based CVR program cited by Netto et al 17 In this study, the adherence of individuals participating in conventional and home-based CVR programs was compared. The home-based group showed a higher participation.…”

Section: Discussionmentioning

confidence: 99%

Barriers to cardiovascular rehabilitation care in a northeast city of Brazil

Santos¹,

Gomes²,

Vilaronga³

et al. 2017

Acta Fisiátrica

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Identifying barriers by regions of Brazil can be a valuable strategy to improve the insertion and adherence of patients with cardiopathy to cardiovascular rehabilitation programs. Objective: To identify and describe the reasons that lead to the non-inclusion of individuals with cardiopathy in cardiovascular rehabilitation programs. Methods: Descriptive cross-sectional study with 79 individuals of both sexes, aged over 50 years, with cardiopathy from five private cardiology clinics. To identify the factors that interfered with the inclusion of patients in cardiovascular rehabilitation programs, the scale of barriers for cardiac rehabilitation was applied. This instrument is composed of 22 items, 21 of which are closed and objective questions. Individuals were instructed to tick "YES" or "NO" for each target item on the scale if they identified the item as a barrier to inclusion / adherence. Results: 64 (81%) of the sample did not know about the existence of cardiovascular rehabilitation and its benefits. For 50 (63%) the distance from the residence to the rehabilitation center was a barrier. In addition, the cost of urban mobility 37 (47%) and the lack of indication of the physician as unnecessary 32 (40%) were also pointed as barriers. Conclusion: The results of this study indicate that the main reasons for non-insertion in cardiovascular rehabilitation programs were the lack of knowledge about the benefits of this type of program, the distance of the patients' residence to the nearest center and the displacement cost.

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Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Cited by 2 publications

References 22 publications

Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence

Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence

Barriers to cardiovascular rehabilitation care in a northeast city of Brazil

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