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AuthorTurk-Adawi, Karam
AuthorSupervia, Marta
AuthorLopez-Jimenez, Francisco
AuthorAdawi, Anfal
AuthorSadeghi, Masoumeh
AuthorGrace, Sherry L.
Available date2020-12-24T07:13:45Z
Publication Date2020-03-29
Publication NameHeart Lung and Circulation
Identifierhttp://dx.doi.org/10.1016/j.hlc.2020.01.015
CitationTurk-Adawi K, Supervia M, Lopez-Jimenez F, Adawi A, Sadeghi M, Grace SL. Women-Only Cardiac Rehabilitation Delivery Around the World. Heart Lung Circ. 2021 Jan;30(1):135-143. doi: 10.1016/j.hlc.2020.01.015. Epub 2020 Feb 29. PMID: 32151548.
ISSN14439506
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85081198801&origin=inward
URIhttp://hdl.handle.net/10576/17237
AbstractBackground: Women utilize cardiac rehabilitation (CR) significantly less than men. Gender-tailored CR improves adherence and mental health outcomes when compared to traditional programs. This study ascertained the availability of women-only (W-O) CR classes globally. Methods: In this cross-sectional study, an online survey was administered to CR programs globally, assessing delivery of W-O classes, among other program characteristics. Univariate tests were performed to compare provision of W-O CR by program characteristics. Results: Data were collected in 93/111 countries with CR (83.8% country response rate); 1,082 surveys (32.1% program response rate) were initiated. Globally, 38 (40.9%; range from 1.2-100.0% of programs/country) countries and 110 (11.8%) programs offered W-O CR. W-O CR was offered in 55 (7.4%) programs in high-income countries, versus 55 (16.4%) programs in low- and middle-income countries (p less than .001); it was offered most commonly in the Eastern Mediterranean region (n=5, 55.6%; p=.22). Programs that offered W-O CR were more often located in an academic or tertiary facility, served more patients/year, offered more components, treated more patients/ session, offered alternative forms of exercise, had more staff (including cardiologists, dietitians, and administrative assistants, but not mental healthcare professionals), and perceived space and human resources to be less of a barrier to delivery than programs not offering W-O CR (all p less than .05). Conclusion: W-O CR was not commonly offered. Only larger, well-resourced programs seem to have the capacity to offer it, so expanding delivery may require exploiting low-cost, less human resource-intensive approaches such as online peer support.
Languageen
PublisherElsevier
SubjectCardiac rehabilitation
Women
Women only cardiac rehabilitation
TitleWomen-Only Cardiac Rehabilitation Delivery Around the World
TypeArticle
TypeConference Proceedings
Pagination135-143
Issue Number1
Volume Number30
dc.accessType Open Access


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