Barriers to Cardiac Rehabilitation: Does Age Make a Difference?

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dc.contributor.authorGrace, Sherry L.
dc.contributor.authorShanmugasegaram, Shamila
dc.contributor.authorGravely-Witte, Shannon
dc.contributor.authorBrual, Janette
dc.contributor.authorSuskin, Neville
dc.contributor.authorStewart, Donna Eileen
dc.date.accessioned2009-11-26T19:52:08Z
dc.date.available2009-11-26T19:52:08Z
dc.date.issued2009-11-26T19:52:08Z
dc.description.abstractPURPOSE: To quantitatively investigate age differences in barriers to cardiac rehabilitation (CR) enrollment and participation. METHODS: Cardiac outpatients (N = 1,273, mean age = 65.9 ± 11.2) completed a mailed survey to discern barriers to CR enrollment and participation. Both enrollees and nonenrollees were asked to rate 18 CR barriers on a 5-point Likert scale. RESULTS: Of the respondents, 535 (43%) reported participating in CR at 1 of 40 sites, with younger patients being more likely to participate (P=.002). Older age was positively related to total CR barriers (P<.001). Older patients more strongly endorsed the following CR barriers: already exercising at home (P=.001), confidence in ability to selfmanage their condition (P=.003), perception of exercise as tiring or painful (P=.001), not knowing about CR (P=.001), lack of physician encouragement (P<.001), comorbidities (P<.001), and perception that CR would not improve their health (P<.001). CONCLUSION: Given that the benefits of CR are achieved in older patients as well as the young, interventions to overcome these modifiable barriers to enrollment and participation are needed.
dc.description.sponsorshipThis research was supported by Canadian Institutes of Health Research (CIHR) grant MOP-74431, and Dr. Grace is also supported by CIHR salary award MSH80489. In addition, Ms Shanmugasegaram and Ms Gravely-Witte are supported in their graduate studies by CIHR, and Ms Brual by the Heart and Stroke Foundation of Ontario.
dc.identifier.urihttp://hdl.handle.net/10315/2896
dc.identifier.urihttps://dx.doi.org/10.1097/HCR.0b013e3181a3333c
dc.language.isoenen
dc.rights.articlehttp://journals.lww.com/jcrjournal/Abstract/2009/05000/Barriers_to_Cardiac_Rehabilitation__DOES_AGE_MAKE.7.aspx
dc.rights.journalhttp://journals.lww.com/jcrjournal/pages/default.aspx
dc.rights.publisherhttp://www.lww.com/subscribe/
dc.subjectCardiac rehabilitation
dc.subjectbarriers
dc.subjectage
dc.titleBarriers to Cardiac Rehabilitation: Does Age Make a Difference?
dc.typeArticle

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