Turk-Adawi, KaramSupervia, MartaLopez-Jimenez, FranciscoAdawi, AnfalSadeghi, MasoumehGrace, Sherry2022-02-142022-02-142021-01Turk-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.2020.01.0151443-9506https://doi.org/10.1016/j.hlc.2020.01.015http://hdl.handle.net/10315/38984BACKGROUND: 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© 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/Attribution-NonCommercial-NoDerivatives 4.0 InternationalCardiac rehabilitationWomenWomen only cardiac rehabilitationArticlehttps://doi.org/10.1016/j.hlc.2020.01.015