Exploring uptake of cardiac rehabilitation in a minority ethnic population in England: a qualitative study

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Umesh ChauhanRichard Edwards

Abstract

In the United Kingdom ethnic minority groups from the Indian sub-continent (India, Pakistan and Bangladesh) are at increased risk of coronary heart disease related mortality and morbidity. Variation in prevalence and outcome is in part related to access to appropriate health care. This study explores the experiences of participants following an acute cardiac event; with a specific focus on reasons for the take up of cardiac rehabilitation services. Twenty participants (12 Pakistani, 6 Indian and 2 Bangladeshi) eligible for CR were interviewed using a semi-structured format. Previous negative experience of the health care service related to communication difficulties was an important factor for not engaging with cardiac rehabilitation services. The importance of interventions by professional friends and family members appeared to increase appropriate access to care. Gender and religious beliefs were also important aspects that had an impact on uptake of services. Reasons for non-attendance were also related to service provision (setting and timing of classes), practical considerations (language barrier and transport problems), and poor understanding of cardiac rehabilitation. The findings highlight significant barriers to uptake...Continue Reading

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Citations

Sep 3, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lis NeubeckJulie Redfern
May 9, 2012·Heart Failure Reviews·Stephanie TierneyMamas Mamas
Jan 5, 2011·International Journal of Cardiology·Chantal F Ski, David R Thompson
Dec 17, 2011·Journal of Clinical Nursing·Lixia ZhuJanet Wing Hung Sit
Jul 8, 2011·Journal of Clinical Nursing·Paul M GaldasJohn L Oliffe
Feb 3, 2015·Journal of Advanced Nursing·Jan E AngusAlexander M Clark
Dec 16, 2016·Disability and Rehabilitation·Codie R RouleauTavis S Campbell
Jul 11, 2012·European Journal of Preventive Cardiology·Lis NeubeckJulie Redfern
Apr 8, 2017·Journal of Women's Health·Davinia M ResurrecciónPatricia Moreno-Peral
Oct 19, 2016·Journal of Cardiopulmonary Rehabilitation and Prevention·Agathe Gerwina Elena PollmannEva Prescott
Mar 3, 2017·Medicine, Health Care, and Philosophy·Janice GullickJohn Wu
Nov 16, 2017·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Emma IacoeMartha H Mackay
Jul 17, 2018·PloS One·Davinia María ResurrecciónPatricia Moreno-Peral
May 26, 2018·Circulation·Annabelle Santos VolgmanUNKNOWN American Heart Association Council on Epidemiology and Prevention; Cardiovascular Disease and Stroke in Women and Special Po
Oct 22, 2013·Journal of Cardiopulmonary Rehabilitation and Prevention·Karam I Turk-AdawiDonald S Shepard
Sep 5, 2020·Expert Review of Cardiovascular Therapy·Shahzad ChindhyJia Shen
Oct 27, 2015·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Kathryn M King-Shier
Dec 12, 2021·European Journal of Preventive Cardiology·Nathalia Gonzalez-JaramilloMatthias Wilhelm

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Methods Mentioned

BETA
coronary
percutaneous transluminal coronary angioplasty

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