Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.21470/1678-9741-2021-0436 http://hdl.handle.net/11449/248555 |
Resumo: | Introduction: Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods: This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results: Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion: The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live. |
id |
UNSP_cf02d525a0793ff98b24386040269300 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/248555 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High AdherenceAttitude of Health PersonnelCardiac RehabilitationCardiovascular DiseasesChoice BehaviorHealth Services AccessibilityPatient PreferenceIntroduction: Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods: This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results: Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion: The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live.Universidade Estadual PaulistaPhysiotherapy Department Faculdade de Ciências e Tecnologia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), São PauloPhysiotherapy Department Faculdade de Ciências e Tecnologia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), São PauloUniversidade Estadual Paulista (UNESP)Santos, Lorena Altafin [UNESP]Pinheiro, Dyovana Gomes [UNESP]da Silva, Jéssica Malek [UNESP]Borges, Giovanna Lombardi Bonini [UNESP]da Silva, Paula Fernanda [UNESP]Ricci-Vitor, Ana Laura [UNESP]Vanderlei, Luiz Carlos Marques [UNESP]2023-07-29T13:47:13Z2023-07-29T13:47:13Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article235-343http://dx.doi.org/10.21470/1678-9741-2021-0436Brazilian Journal of Cardiovascular Surgery, v. 38, n. 2, p. 235-343, 2023.1678-97410102-7638http://hdl.handle.net/11449/24855510.21470/1678-9741-2021-04362-s2.0-85150742740Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Cardiovascular Surgeryinfo:eu-repo/semantics/openAccess2024-06-18T18:43:50Zoai:repositorio.unesp.br:11449/248555Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:02:22.829098Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
title |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
spellingShingle |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence Santos, Lorena Altafin [UNESP] Attitude of Health Personnel Cardiac Rehabilitation Cardiovascular Diseases Choice Behavior Health Services Accessibility Patient Preference |
title_short |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
title_full |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
title_fullStr |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
title_full_unstemmed |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
title_sort |
Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence |
author |
Santos, Lorena Altafin [UNESP] |
author_facet |
Santos, Lorena Altafin [UNESP] Pinheiro, Dyovana Gomes [UNESP] da Silva, Jéssica Malek [UNESP] Borges, Giovanna Lombardi Bonini [UNESP] da Silva, Paula Fernanda [UNESP] Ricci-Vitor, Ana Laura [UNESP] Vanderlei, Luiz Carlos Marques [UNESP] |
author_role |
author |
author2 |
Pinheiro, Dyovana Gomes [UNESP] da Silva, Jéssica Malek [UNESP] Borges, Giovanna Lombardi Bonini [UNESP] da Silva, Paula Fernanda [UNESP] Ricci-Vitor, Ana Laura [UNESP] Vanderlei, Luiz Carlos Marques [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Santos, Lorena Altafin [UNESP] Pinheiro, Dyovana Gomes [UNESP] da Silva, Jéssica Malek [UNESP] Borges, Giovanna Lombardi Bonini [UNESP] da Silva, Paula Fernanda [UNESP] Ricci-Vitor, Ana Laura [UNESP] Vanderlei, Luiz Carlos Marques [UNESP] |
dc.subject.por.fl_str_mv |
Attitude of Health Personnel Cardiac Rehabilitation Cardiovascular Diseases Choice Behavior Health Services Accessibility Patient Preference |
topic |
Attitude of Health Personnel Cardiac Rehabilitation Cardiovascular Diseases Choice Behavior Health Services Accessibility Patient Preference |
description |
Introduction: Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods: This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results: Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion: The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T13:47:13Z 2023-07-29T13:47:13Z 2023-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.21470/1678-9741-2021-0436 Brazilian Journal of Cardiovascular Surgery, v. 38, n. 2, p. 235-343, 2023. 1678-9741 0102-7638 http://hdl.handle.net/11449/248555 10.21470/1678-9741-2021-0436 2-s2.0-85150742740 |
url |
http://dx.doi.org/10.21470/1678-9741-2021-0436 http://hdl.handle.net/11449/248555 |
identifier_str_mv |
Brazilian Journal of Cardiovascular Surgery, v. 38, n. 2, p. 235-343, 2023. 1678-9741 0102-7638 10.21470/1678-9741-2021-0436 2-s2.0-85150742740 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
235-343 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128743843037184 |