Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorSantos, Lorena Altafin-
Autor(es): dc.creatorPinheiro, Dyovana Gomes-
Autor(es): dc.creatorda Silva, Jéssica Malek-
Autor(es): dc.creatorBorges, Giovanna Lombardi Bonini-
Autor(es): dc.creatorda Silva, Paula Fernanda-
Autor(es): dc.creatorRicci-Vitor, Ana Laura-
Autor(es): dc.creatorVanderlei, Luiz Carlos Marques-
Data de aceite: dc.date.accessioned2025-08-21T17:44:07Z-
Data de disponibilização: dc.date.available2025-08-21T17:44:07Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.21470/1678-9741-2021-0436-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/248555-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/248555-
Descrição: dc.descriptionIntroduction: Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods: This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results: Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion: The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live.-
Descrição: dc.descriptionUniversidade Estadual Paulista-
Descrição: dc.descriptionPhysiotherapy Department Faculdade de Ciências e Tecnologia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), São Paulo-
Descrição: dc.descriptionPhysiotherapy Department Faculdade de Ciências e Tecnologia Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), São Paulo-
Formato: dc.format235-343-
Idioma: dc.languageen-
Relação: dc.relationBrazilian Journal of Cardiovascular Surgery-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAttitude of Health Personnel-
Palavras-chave: dc.subjectCardiac Rehabilitation-
Palavras-chave: dc.subjectCardiovascular Diseases-
Palavras-chave: dc.subjectChoice Behavior-
Palavras-chave: dc.subjectHealth Services Accessibility-
Palavras-chave: dc.subjectPatient Preference-
Título: dc.titleAnalysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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