School of Kinesiology and Health Science
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Browsing School of Kinesiology and Health Science by Subject "attendance"
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Item Open Access Community-Based Cardiac Rehabilitation Maintenance Programs: Use and Effects(https://www.heartlungcirc.org/, 2015-07) Mandic, Sandra; Body, Dianne; Barclay, Leanne; Walker, Robert; Nye, Edwin R; Grace, Sherry; Williams, Michael JABackground: Cardiac rehabilitation (CR) graduates are encouraged to attend maintenance programs to promote long-term physical activity and preserve gains in function. This study describes the characteristics, attendance and physical function of community-based maintenance CR participants, compared to primary prevention participants. Methods: In this cross-sectional study, participants from two programs in New Zealand completed an interview, anthropometry, functional assessments(walking tests, chair stand test, handgrip strength), a 12-month physical activity recall, and a cardiopulmonary exercise test (subsample only).Attendance was ascertained from club records. Results: Participants (n=56, 55.4% Secondary Prevention)attended 37.4±27.9% of sessions annually. Participants were predominately New Zealand-European(93.5%),retired (80.2%),married (68.3%) elderly individuals, with musculoskeletal problems (60.0%), who lived proximate to the clubs. In Secondary but not Primary Prevention participants, first-year attendance was strongly correlated with attendance in subsequent years (p<0.001). In all participants, greater attendance in the previous 12 months was significantly associated with lower waist circumference, and greater shuttle walk test duration, chair stands and balance (p<.05). Session attendance was positively correlated to peak oxygen consumption (p=0.041)in Secondary Prevention participants only. Conclusion: Participation in community-based CR maintenance programs is associated with health benefits but these programs are not accessed by a diversity of patients.Item Open Access Factors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Check(Lippincott, Williams & Wilkins, 2020-05) Giannoccaro, Justin; Aggarwal, Sandeep; Grace, Sherry; Campbell, Tavis S.; Hauer, Trina; Arena, Ross; Rouleau, Codie R.Purpose: Patients with coronary artery disease (CAD) often fail to maintain secondary prevention gains after completing cardiac rehabilitation (CR). Follow-up appointments aimed at assessing cardiac status and encouraging maintenance of health behaviors after CR completion are generally offered, but not well-attended. This study explored patient characteristics and barriers associated with non-attendance at a one-year follow-up visit following CR completion. Methods: Forty-five patients with CAD who completed a 12-week outpatient CR program but did not attend the one-year follow-up appointment were included. Participants responded to a survey consisting of open-ended questions about follow-up attendance, a modified version of the Cardiac Rehabilitation Barriers Scale, and self-report items regarding current health practices and perceived strength of recommendation to attend. Thematic analysis was used to derive categories from open-ended questionnaire responses. Linear regression was used to assess characteristics associated with appointment attendance barriers. Results: Barrier themes were: 1) lack of awareness, 2) perception of appointment as unnecessary, 3) practical or scheduling issues, 4) comorbid health issues, and 5) anticipated an unpleasant experience at the appointment. Greater self-reported barriers (M=1.97/5.00 ± 0.57) were significantly associated with lower perceived strength of recommendation to attend the follow-up appointment (M=2.82/5.00 ± 1.45), p=.005. Conclusions: Providing a stronger recommendation to attend, enhancing patient awareness, highlighting potential benefits, and supporting self-efficacy might increase one-year follow-up appointment attendance and, in turn, support long-term adherence to cardiovascular risk reduction behaviors.