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The Impact of Socio-environmental Barriers on the Process of Engagement in Cardiac Rehabilitation Programs
BEHAVIOUR CHANGE ( IF 1.355 ) Pub Date : 2020-08-11 , DOI: 10.1017/bec.2020.8
Sepideh Jahandideh , Elizabeth Kendall , Samantha Low-Choy , Kenneth Donald , Rohan Jayasinghe , Ebrahim Barzegari

Cardiac rehabilitation (CR) is a multi-disciplinary intervention designed to stabilise, slow, or reverse CVD, restore health following a cardiac event and facilitate the prevention of further events. The Model of Therapeutic Engagement (MTE) is a comprehensive conceptual model for explaining the process of engagement in rehabilitation. Of concern is that the role of socio-environmental factors is absent from explaining individual engagement in the MTE. There is also a lack of prospective studies investigating the impact of socio-environmental barriers on engagement in CR programs over time. This study aimed to expand the MTE, by illuminating the role of socio-environmental barriers in a three-stage process of engagement in CR programs. A prospective study was conducted, with 217 individuals recruited from the Cardiology Ward in the Gold Coast University Hospital (GCUH) and the Robina Cardiac Rehabilitation Centre. The collected data were examined using a structural equation model that added socio-environmental factors into the MTE, using multi-group analyses. In this study, we found that socio-environmental factors were not associated with intention to engage in the CR program, but were related to actual attendance and maintenance of participation in CR programs. Knowing how these socio-environmental barriers affect the process of engagement at different stages may help to tailor more accessible CR programs for the population.

中文翻译:

社会环境障碍对参与心脏康复计划过程的影响

心脏康复 (CR) 是一种多学科干预措施,旨在稳定、减缓或逆转 CVD,在心脏事件后恢复健康并促进预防进一步的事件。治疗参与模型 (MTE) 是一个综合概念模型,用于解释参与康复的过程。值得关注的是,社会环境因素的作用在解释个人参与 MTE 时是缺失的。随着时间的推移,也缺乏调查社会环境障碍对参与 CR 计划的影响的前瞻性研究。本研究旨在通过阐明社会环境障碍在参与 CR 计划的三个阶段过程中的作用来扩展 MTE。进行了一项前瞻性研究,从黄金海岸大学医院 (GCUH) 的心脏病病房和 Robina 心脏康复中心招募的 217 人。使用多组分析,使用结构方程模型检查收集的数据,该模型将社会环境因素添加到 MTE 中。在本研究中,我们发现社会环境因素与参与 CR 计划的意愿无关,但与实际参与和维持参与 CR 计划有关。了解这些社会环境障碍如何影响不同阶段的参与过程可能有助于为人们量身定制更容易获得的 CR 计划。使用多组分析。在本研究中,我们发现社会环境因素与参与 CR 计划的意愿无关,但与实际参与和维持参与 CR 计划有关。了解这些社会环境障碍如何影响不同阶段的参与过程可能有助于为人们量身定制更容易获得的 CR 计划。使用多组分析。在本研究中,我们发现社会环境因素与参与 CR 计划的意愿无关,但与实际参加和维持参与 CR 计划有关。了解这些社会环境障碍如何影响不同阶段的参与过程可能有助于为人们量身定制更容易获得的 CR 计划。
更新日期:2020-08-11
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