Women-only cardiac rehabilitation delivery around the world
| dc.contributor.author | Turk-Adawi, Karam | |
| dc.contributor.author | Supervia, Marta | |
| dc.contributor.author | Lopez-Jimenez, Francisco | |
| dc.contributor.author | Adawi, Anfal | |
| dc.contributor.author | Sadeghi, Masoumeh | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2022-02-14T21:55:12Z | |
| dc.date.available | 2022-02-14T21:55:12Z | |
| dc.date.issued | 2021-01 | |
| dc.description.abstract | BACKGROUND: 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<.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<.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. | en_US |
| dc.description.sponsorship | This project was supported by a research grant from York University’s Faculty of Health. | en_US |
| dc.identifier.citation | Turk-Adawi, K., Supervia, M., Lopez-Jimenez, F., Adawi, A., Sadeghi, M., & Grace, S. L. (2021). Women-Only Cardiac Rehabilitation Delivery Around the World. Heart, Lung & Circulation, 30(1), 135–143. https://doi.org/10.1016/j.hlc.2020.01.015 | en_US |
| dc.identifier.issn | 1443-9506 | |
| dc.identifier.uri | https://doi.org/10.1016/j.hlc.2020.01.015 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38984 | |
| dc.language.iso | en | en_US |
| dc.publisher | Heart, Lung and Circulation | en_US |
| dc.rights | © 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
| dc.rights.article | https://doi.org/10.1016/j.hlc.2020.01.015 | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
| dc.subject | Cardiac rehabilitation | en_US |
| dc.subject | Women | en_US |
| dc.subject | Women only cardiac rehabilitation | en_US |
| dc.title | Women-only cardiac rehabilitation delivery around the world | en_US |
| dc.type | Article | en_US |