{"title":"Predicting attendance at cardiac rehabilitation: a review and recommendations","authors":"S. Wyer , S. Joseph , L. Earll","doi":"10.1054/chec.2001.0139","DOIUrl":"10.1054/chec.2001.0139","url":null,"abstract":"<div><p>Attending a cardiac rehabilitation programme is of proven benefit to those recovering from a myocardial infarction, resulting in a reduction of risk factors, distress, morbidity and mortality. But despite proven benefits, uptake of services can be low. To understand why attendance can be low, there is a growing body of research investigating factors that may influence and predict attendance. These research studies, which have found various factors such as age, gender, social deprivation and distance from a programme to influence attendance, will be reviewed. Given that sociodemographic and medical factors influence attendance, recent research has focused on investigating the role of factors which may be more amenable to change. These studies have found that psychological factors, such as the way a patient understands their illness, influence attendance. Psychological models such Leventhal's Self-regulatory Model and The Theory of Planned Behaviour have been used to guide this research. Each of these models will be presented here in relation to cardiac rehabilitation (CR), in addition to the research studies which have investigated their usefulness in predicting who attends CR. Research implications for service provision will be discussed and recommendations for increasing attendance will be presented.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 4","pages":"Pages 171-177"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86377138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Deciding whether to attend a cardiac rehabilitation programme: an interpretative phenomenological analysis","authors":"S.J. Wyer , L. Earll , S. Joseph , J. Harrison","doi":"10.1054/chec.2001.0136","DOIUrl":"10.1054/chec.2001.0136","url":null,"abstract":"<div><p>Despite proven benefits of reducing mortality and morbidity (Dusseldorp et al. 1999; Linden et al. 1996), attendance at cardiac rehabilitation (CR) is low (King & Teo 1998). The aim of this research was to explore beliefs held on recovery and CR by attenders and non-attenders; and to examine the usefulness of the Self Regulatory Model and the Theory of Planned Behaviour when interpreting the results. Semi-structured interviews were carried out with a total of 21 people, 3 months after they had been admitted to a district hospital with myocardial infarction (MI). Nine people had attended a CR programme, six people had originally accepted an offer to attend, but then did not attend, and six people who declined the offer and did not attend. The transcripts were subjected to interpretative phenomenological analysis (IPA). Several key differentiating themes were identified: use of medical versus psychological model; illness perception; control; causal attribution; coping strategies; and attitude to CR. Attenders were more likely to see themselves in control of their recovery and to view the programme as a way of taking responsibility for improving their health and reducing their chances of recurrence. Attenders were also more likely to use information seeking ways of coping whilst non-attenders used avoidance/minimizing coping strategies. The technique of IPA proved useful in allowing an abstraction of the factors affecting the decision-making process.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 4","pages":"Pages 178-188"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87422110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Serotonin reuptake inhibitors and cardiovascular disease","authors":"P.R. Belcher , A.J. Drake-Holland","doi":"10.1054/chec.2001.0129","DOIUrl":"10.1054/chec.2001.0129","url":null,"abstract":"<div><p>Selective serotonin re-uptake inhibiting drugs (SSRIs) are widely taken for endogenous depression. In addition to depleting the nerve terminals of serotonin they also lower blood platelet serotonin levels. Platelet aggregation is a major component of acute coronary syndromes and platelet-released serotonin causes constriction of diseased blood vessels. Hypertensive subjects possess abnormally responsive blood vessels, thus arecent study in <em>Coronary Health Care</em>, which demonstrated better hypertensive control in patientstaking SSRIs, prompted an examination of the effects of these drugs on the cardiovascular disease process. The effects of serotonin and serotonin depletion upon intracoronary thrombosis, diseased blood vessels, blood platelets and bleeding are discussed with recommendations for future research into the potential cardiovascular benefits of these agents.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 141-147"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86043803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac care and rehabilitation: married, separated or just living together?","authors":"H. Stokes","doi":"10.1054/chec.2001.0126","DOIUrl":"10.1054/chec.2001.0126","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 118-120"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74799781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is there a need for cardiac rehabilitation for patients admitted to hospital with angina pectoris?","authors":"J. McCallum , G. Lindsay","doi":"10.1054/chec.2001.0132","DOIUrl":"10.1054/chec.2001.0132","url":null,"abstract":"<div><p>Coronary heart disease (CHD) risk factors are important to modify due to their association with CHD. Cardiac rehabilitation providing secondary prevention aims to reduce these CHD risk factors. This study was undertaken to explore the need for change in the management of secondary prevention in the patient admitted to hospital with angina pectoris and the patient's learning needs of the modifiable CHD risk factors. A small scale descriptive survey design was utilized using triangulation methodology with a convenience sample of 40 patients admitted with angina pectoris to a 12 bedded Coronary Care Unit (CCU) in Crosshouse Hospital, Kilmarnock. Ethical approval was granted from Ayrshire and Arran research ethics committee. A questionnaire was utilized for collecting quantitative data on the patient's modifiable CHD risk factors and a semi-structured interview schedule for collecting qualitative data on the patient's learning needs of their modifiable CHD risk factors.<em>Results</em> : Many patients with angina pectoris still have modifiable risk factors not yet modified just prior to discharge (<em>n</em> = 37; 92.5%). Many patients wish further information on how to modify these risk factors.<em>Conclusion</em> : There is potential to improve the modification of the CHD risk factors that patients with angina pectoris have when admitted to hospital. The patients themselves wish further information on how to modify these risk factors and cardiac rehabilitation can offer this.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 126-132"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80249296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Summaries of research projects and reviews on a range of issues relating to coronary heart disease","authors":"B. Linden (Cardiac Nurse)","doi":"10.1054/chec.2001.0130","DOIUrl":"10.1054/chec.2001.0130","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81235612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palliative care approaches for heart failure patients: an unmet need?","authors":"J. Scott","doi":"10.1054/chec.2001.0138","DOIUrl":"10.1054/chec.2001.0138","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 115-117"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80835928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk factor management after short-term versus long-term cardiac rehabilitation program","authors":"P. Boulay , D. Prud'homme","doi":"10.1054/chec.2001.0127","DOIUrl":"10.1054/chec.2001.0127","url":null,"abstract":"<div><p>The purpose of this study was to determine the efficacy of a short-term cardiac rehabilitation program (ST-CRP) and a long-term cardiac rehabilitation program (LT-CRP) in patients who had an acute myocardial infarction regarding coronary artery disease (CAD) risk factor management 1 year post-event. For this purpose, 74 patients participated in either a short-term (3 months) cardiac rehabilitation program (ST-CRP; <em>n</em> = 37) or a long-term (12 months) cardiac rehabilitation program (LT-CRP; <em>n</em> = 37). Both interventions were effective for management of CAD risk factors by improving lipoprotein-lipid profile, exercise capacity and smoking cessation. However, no significant reduction was observed in body weight and body fat distribution index at 1 year post-event in both intervention groups. Furthermore, improvements in CAD risk factors, such as lipoprotein-lipid profile and smoking habits were significantly greater in the LT-CRP group. Also, significantly more patients attained the recommended target values of ≤2.5 mmol/L for plasma low-density lipoprotein levels (46% vs 22%; <em>P</em> < 0.01) and a ratio of ≤4 for total plasma cholesterol/high density lipoprotein (46% vs 19%; <em>P</em> < 0.01) of the Canadian Working group on hypercholesterolemia. Both intervention program produced beneficial effects regarding CAD risk factor management, nonetheless, long-term participation in a cardiac rehabilitation program had a greater impact on the CAD risk factor profile of patients at 1 year post-event.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79775781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}