Multilevel Factors Predicting Cardiac Rehabilitation Attendance and Adherence in Underserved Patients at a Safety-Net Hospital

Journal of Cardiopulmonary Rehabilitation and Prevention
Kymberley K BennettElizabeth J Wilson

Abstract

This study examined multilevel factors as predictors of cardiac rehabilitation (CR) attendance and adherence among underserved patients at a safety-net hospital (SNH). Participants were recruited during hospitalization for a cardiac procedure or event. Participants responded to a questionnaire, and outcome data (including CR attendance and adherence) were extracted from medical records at baseline and 6 mo post-discharge. Data were collected from 171 participants, 92 (53.8%) of whom attended CR. On average, participants completed 24 CR sessions (66.7% adherence) and 40 (43.5%) participants fully adhered to the 36 prescribed sessions. Bivariate comparisons showed that participants who attended CR were more likely to have insurance (P = .002), perceive CR as important (P = .008), believe they needed CR (P = .005), and endorsed fewer barriers to CR (P = .005) than their nonattending counterparts. After controlling for insurance status, a regression analysis to predict attendance revealed only 1 predictor; perceived lack of time (P = .04). Bivariate analyses showed that only 1 clinical factor, treatment during hospitalization, was significantly related to adherence (P = .03). Patients with medical management alone (no revasculariza...Continue Reading

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Citations

Jan 31, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Jeroen HendriksTiny Jaarsma
Apr 3, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Thijs VonkMaria T E Hopman
Sep 19, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·Quinn R PackTara Lagu
Aug 31, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Cemal OzemekLeonard A Kaminsky
Nov 3, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Lena Mathews, LaPrincess C Brewer

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