Considerations for Implementing a Low-Intensity, Home-Based Walking Program in Older Women with Diastolic Heart Failure

Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review

“…(multidisciplinary team—y); open access materials: no; group size: 5–10; phase II Mode: NR; supervised: y; intensity: NR; session duration: 120 min; RT: no other components: pt education, psychosocial counselling; mode of delivery: f2f: y; tech: no Gender-tailoring: y (The program aimed to educate women on the importance of heart health education and awareness for its prevention which empower women to manage their own heart health. ); theoretical basis: y (mutual aid model); proportion of women in sessions: 100% Eyada et al [ 60 ] 2007, Saudi Arabia; quality: 3/5 Dose: NR; delivery: cardiologist, physiotherapist (multidisciplinary team: y); open access materials: no; group size: NR; phase: I, II, III Mode: NR; supervised: y; intensity: NR; session duration: NR; RT:NR other components: pt education, psychosocial; mode of delivery: f2f: y, tech: no Gender-tailoring: no; theoretical basis: no; proportion of women in sessions: ≥ 50% Feizi et al [ 35 ] 2012, Iran; quality: 3/5 Dose: 26 sessions (2 instructional sessions for 60–90 min then exercise at home 3 times/wk for 8 wks); delivery: nurse researcher, physician, psychologist (multidisciplinary team: y); open access materials: no; group size: NR; phase: III Mode: walking; supervised: hybrid [2 f2f, then rest are home-based]; intensity: 60–65% of maximal HR; session duration: 25–40 min; RT: NR other components: pt education, psychosocial; mode of delivery: f2f: y, tech: y (wkly phone calls, Cds to practice exercise at home) Gender-tailoring: no; theoretical basis: no; proportion of women in sessions: 100% Gary et al [ 61 – 63 ] 2003, USA; quality: 4/5 Dose: 36 sessions (3×/wk for 12 wks); delivery: nurse researcher only (multidisciplinary team: no); open access materials: no; group size: 1-1; phase: II Mode: walking; supervised: y (individual home-based); intensity: low to moderate-intensity (at 40% intensity at the beginning then gradually increase in duration and intensity up to 60%); session duration: maximum 30 min; RT: NR other components: pt education; mode of delivery: f2f: y, tech: no Gender-tailoring: y (education); theoretical basis: no; proportion of women in sessions: 100% Grace et al (CR4HER trial) [ 21 , 64 – 67 ] 2014, Canada; quality: 4/5 Dose: ~ 48 sessions (varied by program); delivery: physician, dietitian, kinesiologist, nurse (multidisciplinary team—y); open access materials: education materials; group size: varied; phase II Mode: treadmill walking; supervised: y; intensity: moderate based on st...…”