Barriers to participation in and adherence to cardiac rehabilitation programs: a critical literature review.
John Daly, Andrew P Sindone, David R Thompson, Karen Hancock, Esther Chang, Patricia Davidson
Prog Cardiovasc Nurs | Published : 2002
Despite the documented evidence of the benefits of cardiac rehabilitation (CR) in enhancing recovery and reducing mortality following a myocardial infarction, only about one third of patients participate in such programs. Adherence to these programs is an even bigger problem, with only about one third maintaining attendance in these programs after 6 months. This review summarizes research that has investigated barriers to participation and adherence to CR programs. Some consistent factors found to be associated with participation in CR programs include lack of referral by physicians, associated illness, specific cardiac diagnoses, reimbursement, self-efficacy, perceived benefits of CR, dista..View full abstract