Publicación:
Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives

Página de artículo simple
dc.contributor.authorRangel-Cubillos, Diana Marcela
dc.contributor.authorVega-Silva, Andrea Vanessa
dc.contributor.authorCorzo-Vargas, Yully Fernanda
dc.contributor.authorMolano-Tordecilla, Maria Camila
dc.contributor.authorPeñuela-Arévalo, Yesica Paola
dc.contributor.authorLagos-Peña, Karen Mayerly
dc.contributor.authorJacome-Hortúa, Adriana Marcela
dc.contributor.authorVillamizar-Jaimes, Carmen Juliana
dc.contributor.authorGrace, Sherry L.
dc.contributor.authorDutra de Souza, Hugo Celso
dc.contributor.authorAngarita-Fonseca, Adriana
dc.contributor.authorSanchez-Delgado, Juan Carlos
dc.contributor.researchgroupFisioterapia Integralspa
dc.date.accessioned2022-08-05T21:27:58Z
dc.date.available2022-08-05T21:27:58Z
dc.date.issued2022-02-09
dc.descriptionDigitalspa
dc.description.abstractCardiac 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.eng
dc.description.researchareaCiencias Médicas y de la Saludspa
dc.format.extent11 pspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.3390/ijerph19041911
dc.identifier.eissn1660-4601spa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/7351
dc.language.isoengspa
dc.publisher.placeSuizaspa
dc.relation.citationendpage11spa
dc.relation.citationissue4spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume19spa
dc.relation.citesRangel-Cubillos, D.M.; Vega-Silva, A.V.; Corzo-Vargas, Y.F.; Molano-Tordecilla, M.C.; Peñuela-Arévalo, Y.P.; Lagos-Peña, K.M.; Jácome-Hortúa, A.M.; Villamizar-Jaimes, C.J.; Grace, S.L.; Dutra de Souza, H.C.; Angarita-Fonseca, A.; Sánchez-Delgado, J.C. Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives. Int. J. Environ. Res. Public Health 2022, 19, 1911. https://doi.org/10.3390/ijerph19041911
dc.relation.indexedScopusspa
dc.relation.ispartofjournalInternational Journal of Environmental Research and Public Healthspa
dc.rightsCopyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución 4.0 Internacional (CC BY 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/spa
dc.sourcehttps://www.mdpi.com/1660-4601/19/4/1911spa
dc.subject.proposalCardiac Rehabilitationeng
dc.subject.proposalSecondary Preventioneng
dc.subject.proposalHeart Diseaseseng
dc.subject.proposalExerciseeng
dc.subject.proposalPhysical Activityeng
dc.subject.proposalHealth Services Accessibility;eng
dc.subject.proposalTreatment Adherence And Complianceeng
dc.titleExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectivesspa
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dcterms.audienceTodas las Audienciasspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
Archivos
Paquete original
Mostrando 1 - 1 de 1
Imagen en miniatura
Nombre:
Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdf
Tamaño:
226.58 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Paquete de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
59 B
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar
Colecciones
AGBFA. Artículos de Investigación