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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16963

Title: Participating or not in a cardiac rehabilitation programme: factors influencing a patient's decision
Authors: De Vos, Cedric
Li, Xiao
Van Vlaenderen, Ilse
Saka, Omer
Dendale, Paul
Eyssen, Maria
Paulus, Dominique
Issue Date: 2013
Abstract: Background: International research indicates that attendance of patients to a proposed cardiac rehabilitation (CR) programme varies between 21% and 75%. Addressing the reasons why cardiac patients are not participating will improve accessibility to CR. The objective of this study was to investigate patient compliance with cardiac rehabilitation and the reasons of refusing or abandoning the programme. Methods: Twenty hospital centres were recruited to participate. Each centre was asked to recruit patients from three patient groups, namely: percutaneous coronary intervention patients, patients that underwent major cardiac surgery, and patients being admitted because of an acute myocardial infarction and not belonging to the other two groups. Patients were asked to fill out a questionnaire during a follow-up outpatient consultation after the cardiac intervention. Results: In total, 226 patients participated in the survey. Most patients were proposed (86%) and accepted (81% out of proposed) to attend a CR programme. Of those who accepted, 77% completed the programme. The main reasons that led to patients' refusal to participate in a CR programme were distance to the CR centre, patients' belief they could handle their own problems, and lack of time. The main three reasons for not completing an initiated CR programme were other physical problems, patients' belief they could handle their own problems, and the cost of rehabilitation. Conclusion: Our findings demonstrate the importance of raising patients' awareness of the benefits of CR. Addressing potential barriers to attend a CR programme should be investigated with patients individually in order to ensure compliance.
Notes: [De Vos, Cedric; Li, Xiao; Van Vlaenderen, Ilse; Saka, Omer] Deloitte Life Sci & Healthcare, Brussels, Belgium. [Dendale, Paul] Jessa Hosp, Dept Cardiol, Hasselt, Belgium. [Dendale, Paul] Hasselt Univ, Hasselt, Belgium. [Eyssen, Maria; Paulus, Dominique] Belgian Healthcare Knowledge Ctr, Brussels, Belgium.
URI: http://hdl.handle.net/1942/16963
DOI: 10.1177/2047487312437057
ISI #: 000318876700018
ISSN: 2047-4873
Category: A1
Type: Journal Contribution
Validation: ecoom, 2014
Appears in Collections: Research publications

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