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Factors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Check

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dc.contributor.authorGiannoccaro, Justin
dc.contributor.authorAggarwal, Sandeep
dc.contributor.authorGrace, Sherry
dc.contributor.authorCampbell, Tavis S.
dc.contributor.authorHauer, Trina
dc.contributor.authorArena, Ross
dc.contributor.authorRouleau, Codie R.
dc.date.accessioned2021-07-05T15:50:22Z
dc.date.available2021-07-05T15:50:22Z
dc.date.issued2020-05
dc.description.abstractPurpose: Patients with coronary artery disease (CAD) often fail to maintain secondary prevention gains after completing cardiac rehabilitation (CR). Follow-up appointments aimed at assessing cardiac status and encouraging maintenance of health behaviors after CR completion are generally offered, but not well-attended. This study explored patient characteristics and barriers associated with non-attendance at a one-year follow-up visit following CR completion. Methods: Forty-five patients with CAD who completed a 12-week outpatient CR program but did not attend the one-year follow-up appointment were included. Participants responded to a survey consisting of open-ended questions about follow-up attendance, a modified version of the Cardiac Rehabilitation Barriers Scale, and self-report items regarding current health practices and perceived strength of recommendation to attend. Thematic analysis was used to derive categories from open-ended questionnaire responses. Linear regression was used to assess characteristics associated with appointment attendance barriers. Results: Barrier themes were: 1) lack of awareness, 2) perception of appointment as unnecessary, 3) practical or scheduling issues, 4) comorbid health issues, and 5) anticipated an unpleasant experience at the appointment. Greater self-reported barriers (M=1.97/5.00 ± 0.57) were significantly associated with lower perceived strength of recommendation to attend the follow-up appointment (M=2.82/5.00 ± 1.45), p=.005. Conclusions: Providing a stronger recommendation to attend, enhancing patient awareness, highlighting potential benefits, and supporting self-efficacy might increase one-year follow-up appointment attendance and, in turn, support long-term adherence to cardiovascular risk reduction behaviors.en_US
dc.identifier.citationGiannoccaro, Justin D. BSc; Aggarwal, Sandeep MD; Grace, Sherry L. PhD; Campbell, Tavis S. PhD; Hauer, Trina MSc; Arena, Ross PhD; Rouleau, Codie R. PhD; for the TotalCardiologyTM Research Network Factors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Check, Journal of Cardiopulmonary Rehabilitation and Prevention: May 2020 - Volume 40 - Issue 3 - p E22-E25 doi: 10.1097/HCR.0000000000000486en_US
dc.identifier.issn1932-7501
dc.identifier.urihttps://doi.org/10.1097/HCR.0000000000000486en_US
dc.identifier.urihttp://hdl.handle.net/10315/38403
dc.language.isoenen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.rightsThis is a non-final version of an article published in final form in: Giannoccaro, Justin D. BSc; Aggarwal, Sandeep MD; Grace, Sherry L. PhD; Campbell, Tavis S. PhD; Hauer, Trina MSc; Arena, Ross PhD; Rouleau, Codie R. PhD; for the TotalCardiologyTM Research Network Factors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Check, Journal of Cardiopulmonary Rehabilitation and Prevention: May 2020 - Volume 40 - Issue 3 - p E22-E25 doi: 10.1097/HCR.0000000000000486 .en_US
dc.rights.articlehttps://journals.lww.com/jcrjournal/Abstract/2020/05000/Factors_Associated_With_Attendance_at_a_1_yr.13.aspxen_US
dc.rights.journalhttps://journals.lww.com/jcrjournal/pages/default.aspxen_US
dc.rights.publisherhttps://www.wolterskluwer.com/enen_US
dc.subjectadherenceen_US
dc.subjectattendanceen_US
dc.subjectbarriersen_US
dc.subjectcardiac rehabilitationen_US
dc.subjectexercise maintenanceen_US
dc.titleFactors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Checken_US
dc.typeArticleen_US

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