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AuthorGabriela Lima de Melo, Ghisi
AuthorSupervia, Marta
AuthorTurk-Adawi, Karam
AuthorBeleigoli, Alline
AuthorContractor, Aashish
AuthorMampuya, Warner M.
AuthorGrace, Sherry L.
Available date2024-03-14T10:14:13Z
Publication Date2024-02
Publication NameCJC Open
Identifierhttp://dx.doi.org/10.1016/j.cjco.2023.10.008
Citationde Melo Ghisi, G. L., Supervia, M., Turk-Adawi, K., Beleigoli, A., Contractor, A., Mampuya, W. M., & Grace, S. L. (2023). Women-Focused Cardiac Rehabilitation Delivery Around the World and Program Enablers to Support Broader Implementation. CJC Open.
URIhttps://www.sciencedirect.com/science/article/pii/S2589790X23002950
URIhttp://hdl.handle.net/10576/53081
AbstractBackgroundWomen are less likely than men to use cardiac rehabilitation (CR); thus, women-focused (W-F) CR was developed. Implementation of W-F CR globally was investigated, as well as barriers and enablers to its delivery. MethodsIn this cross-sectional study, a survey was administered to CR programs via Research Electronic Data Capture (REDCap) from May to July, 2023. Potential respondents were identified via the International Council of Cardiovascular Prevention and Rehabilitation’s network. ResultsA total of 223 responses were received from 52 of 111 countries (46.8% country response rate) in the world that have any CR, across all 6 World Health Organization regions. Thirty-three programs (14.8%) from 30 countries reported offering any W-F programming. Programs commonly did offer elements preferred by women and recommended, namely, the following: patient choice of session time (n = 151; 70.6%); invitations for informal care providers and/or partners to attend sessions (n = 121; 57.1%); CR staff that have expertise in women and heart diseases (n = 112; 53.3%); separate changerooms for women (n = 38; 52.8%); and discussion of CR referral with patients (n = 112; 52.1%). Main barriers to delivery of W-F exercise were physical resources (n = 33; 14.8%), space (n = 30; 13.5%), and staff time (n = 26; 11.7%) and expertise (n = 33; 10.3%). Main barriers to delivery of W-F education were human resources (n = 114; 51.1%), educational resources (n = 26; 11.7%), and expertise in the content (n = 74; 33.2%). Enablers of W-F education delivery were availability of materials, in multiple modalities, as well as educated staff and financial resources. ConclusionsDespite the benefits, W-F CR is not commonly offered globally. Considering the barriers and enablers identified, the International Council of Cardiovascular Prevention and Rehabilitation is developing resources to expand delivery.
SponsorThis study was funded by the Canadian Institutes of Health Research CIHR (#487149).
Languageen
PublisherElsevier
SubjectResearch Electronic Data Capture
heart diseases
TitleWomen-Focused Cardiac Rehabilitation Delivery Around the World and Program Enablers to Support Broader Implementation
TypeArticle
Issue Number2
Volume Number6
Open Access user License http://creativecommons.org/licenses/by-nc-nd/4.0/
ESSN2589-790X
dc.accessType Open Access


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