Examinando por Autor "Sanchez-Delgado, Juan Carlos"

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  • Publicación
    Acceso abierto
    Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
    (2022-02-09) Rangel-Cubillos, Diana Marcela; Vega-Silva, Andrea Vanessa; Corzo-Vargas, Yully Fernanda; Molano-Tordecilla, Maria Camila; Peñuela-Arévalo, Yesica Paola; Lagos-Peña, Karen Mayerly; Jacome-Hortúa, Adriana Marcela; Villamizar-Jaimes, Carmen Juliana; Grace, Sherry L.; Dutra de Souza, Hugo Celso; Angarita-Fonseca, Adriana; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.
  • Publicación
    Acceso abierto
    Handgrip strength is associated with risk of falls in physically active older women
    (2022-05-13) VillamizarPita, Paula Camila; Angarita-Fonseca, Adriana; Dutra de Souza, Hugo Celso; Martínez-Rueda, Rosmary; Villamizar-García, María Constanza; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    The authors of this study inquire about the association between handgrip strength (HGS) and the risk of falls in physically active older women. A cross-sectional study was conducted on 135 women between 50 and 90 years of age who were referred for the follow-up evaluations of HGS using dynamometry and the Tinetti scale to determine the risk of falls. The mean age was 68.8 ± 8.5 years. A total of 31.9% of women had a high risk of falls, and 55% reported five or more falls in the past six months. In addition, our results indicated that grip strength decreases as risk of falls increases (minimal risk = 42.8, 95% confidence interval [CI]: 39.8, 45.8; moderate risk = 31.3, 95% CI: 29.1, 33.5; high risk = 21.9, 95% CI: 19.3, 24.6). It should be considered that in physically active women aged over 50 years, the grip strength could be a predictor of falls and risk of falls. Evaluation of grip strength is a low-cost type of assessment that can be included as a part of physical tests.