Cultural factors facilitating cardiac rehabilitation participation among Canadian South Asians: A qualitative study

Abstract

Previous research identified barriers to CR participation in the South Asian community, and this study is the first to identify facilitators. Results suggest that families should be included in patient-education sessions, CR should be reinforced by healthcare providers, and the provider team should recognize cultural preferences.

Facilitating or getting in the way? The effect of clinicians' knowledge, values and beliefs on referral and participation

“…32 Being female (39.6% versus 49.4% for men), 41 and having a lower socioeconomic status (SES) (61.4% for lower SES versus 68.1% for higher SES, p<0.01) 42 decreased this possibility (Table 1). 17,41,[43][44][45] Support for the concept that the low referral rate of female patients is due to clinician belief was found in a study of physicians' judgments of the suitability of patients for CR.…”

Predisposing, reinforcing, and enabling factors of trans-positive clinical behavior change: A summary of the literature

“…Conducting an EEA includes identifying antecedent or predisposing, enabling, and reinforcing factors that may contribute to health-behavior change and maintenance. Predisposing factors include an array of preexisting conditions that may influence behavior change in a given population, such as individual beliefs, attitudes, personal preferences, motivation, and existing skills and knowledge (Banerjee, Grace, Thomas, & Faulkner, 2010;Gielen, McDonald, Gary, & Bone, 2008). Enabling factors include variables that may facilitate, catalyze, or stimulate motivation for actually engaging in behavior change, such as available resources and new skills.…”

“…Enabling factors include variables that may facilitate, catalyze, or stimulate motivation for actually engaging in behavior change, such as available resources and new skills. Finally, reinforcing factors of behavior change and maintenance include determinants that are likely to sustain behavior change in a group of individuals, such as social support and peer influence (Banerjee, Grace, Thomas, & Faulkner, 2010;Gielen, McDonald, Gary, & Bone, 2008).…”

“…Indeed, given existing uses of this model to identify factors associated with particular health behaviors as grounds for informing public health interventions and policies (Banerjee, Grace, Thomas, & Faulkner, 2010), employment of an EEA for outlining the behavioral conditions for improved trans health care is warranted. As such, in what we hope may serve as a guide for developing trans-positive clinical practice, we organized what we found in the literature according to predisposing, reinforcing, and enabling factors associated with trans-positive behavior-change intervention for HCPs in clinical practice.…”

Impact of South Asian Ethnicity on Long‐Term Outcomes After Coronary Artery Bypass Grafting Surgery: A Large Population‐Based Propensity Matched Study

“…While literature investigating cultural influences in cardiac rehabilitation is scarce, a study by Banerjee et al showed that while SA patients were less likely to complete the entire 6‐month rehabilitation program compared to whites, they trended to a greater change in maximum metabolic equivalents, and more often reached at least 85% of their target heart rate. While important research has been recently published in this area using qualitative studies identifying enabling and reinforcing factors such as flexible rehabilitation programs and closer physician and family support, studies specifically evaluating cardiac rehabilitation practices following CABG are still lacking. Finally, dietary modifications have been shown to be effective, at least in the short term, after CABG .…”