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dc.contributor.authorRouleau, Codie, R.
dc.contributor.authorKing-Shier, Kathryn
dc.contributor.authorTomfohr-Madsen, Lianne M.
dc.contributor.authorAggarwal, Sandeep G.
dc.contributor.authorArena, Ross
dc.contributor.authorCampbell, Tavis, S.
dc.date.accessioned2018-11-07T19:30:50Z
dc.date.available2018-11-07T19:30:50Z
dc.date.issued2016-12-15
dc.identifier.issn0963-8288
dc.identifier.other10.1080/09638288.2016.1261417
dc.identifier.urihttp://hdl.handle.net/10027/22819
dc.descriptionPost print version of article may differ from published version. This is an electronic version of an article published in Rouleau, C. R., King-Shier, K. M., Tomfohr-Madsen, L. M., Aggarwal, S. G., Arena, R., & Campbell, T. S. (2018). A qualitative study exploring factors that influence enrollment in outpatient cardiac rehabilitation. Disability and Rehabilitation, 40(4), 469-478. Disability and Rehabilitation is available online at: http://www.informaworld.com/smpp/ DOI:10.1080/09638288.2016.1261417en_US
dc.description.abstractPurpose: This study explored patients’ decision-making about whether or not to enroll in cardiac rehabilitation (CR), an underutilized program that is associated with significantly improved health outcomes. Method: Face-to-face interviews were conducted with acute coronary syndrome patients (n = 14) after referral to a local CR center, but prior to program enrollment. Thematic analysis was used to derive themes from interview transcripts. Results: Three themes emerged including anticipated benefit, perceived ability, and contextual influences. Participants believed key benefits of CR would be access to specialist healthcare providers, improved longevity, reduced cardiovascular risk, as well as improved motivation, accountability, learning opportunities, and general fitness. Participants were concerned about their ability to engage in and travel to exercise sessions, pay the program fee, and manage scheduling conflicts. Contextual influences on decision-making included healthcare provider recommendation, first impressions of the CR center, knowledge gaps about what CR entails, input from family and peers, and psychological distress. Conclusion: The period following CR referral but prior to enrollment represents an optimal opportunity to promote in-the-moment decisions in favor of CR. Patients report both positive and negative aspects of CR, suggesting individualized efforts to resolve ambivalence may increase program participation.en_US
dc.description.sponsorshipThe authors would like to acknowledge the participants of this study for their time and honesty. The authors also thank C. Maturana and C. Hare for their assistance with data entry and interview transcription, as well as staff members at the cardiac rehabilitation center for their assistance with participant recruitment.en_US
dc.language.isoen_USen_US
dc.publisherTaylor & Francisen_US
dc.subjectcardiac rehabilitationen_US
dc.subjectqualitative studyen_US
dc.subjectenrollmenten_US
dc.subjectacute coronary syndromeen_US
dc.titleA Qualitative Study Exploring Factors That Influence Enrollment in Outpatient Cardiac Rehabilitationen_US
dc.typeArticleen_US
dc.identifier.citationRouleau, C. R., King-Shier, K. M., Tomfohr-Madsen, L. M., Aggarwal, S. G., Arena, R., & Campbell, T. S. (2018). A qualitative study exploring factors that influence enrollment in outpatient cardiac rehabilitation. Disability and Rehabilitation, 40(4), 469-478. doi:10.1080/09638288.2016.1261417en_US


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