Strategic Moments
Autor: | Susan Marilyn Fletcher, Helen McBurney |
---|---|
Rok vydání: | 2016 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Heart Diseases medicine.medical_treatment Decision Making 030204 cardiovascular system & hematology Health Services Accessibility Interviews as Topic 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Nursing Patient-Centered Care medicine Humans Healthy Lifestyle 030212 general & internal medicine Patient participation Referral and Consultation Aged Service (business) Motivation Service system Cardiac Rehabilitation Self-management Rehabilitation business.industry Attendance Middle Aged Content analysis Community health Critical Pathways Patient Compliance Female Patient Participation Cardiology and Cardiovascular Medicine business Risk Reduction Behavior Clinical psychology |
Zdroj: | Journal of Cardiopulmonary Rehabilitation and Prevention. 36:346-351 |
ISSN: | 1932-7501 |
Popis: | Purpose There has been extensive investigation of attendance rates at cardiac rehabilitation (CR) but little attention to client reasoning around attendance. This study explored decision-making drivers for attendance or nonattendance at CR programs in rural Victoria, Australia. Methods All new patients referred to the CR programs at either the local hospital or community health service over a 6-month period were invited to participate and were interviewed before, after, and at 6 months post-CR. Content analysis was used to identify and group common themes that emerged from the semistructured interviews. Results Eighty-four of the 114 patients referred agreed to participate in the study. Multiple barriers or facilitators affected the decisions of all clients. Three themes were identified that reflected the participant decision-making experience: (1) invitation and information about participation in CR; (2) person-centered approach to CR provision; and (3) ongoing support needs. Significant decision-making points identified were after the cardiac event; before and after hospital-based CR; before and after community-based CR; and at 6 months after the cardiac event. At any time there is a risk that the client can become lost or disengaged in the service system, but providing contact at these points can allow them to reengage. Conclusions This study provided the opportunity to hear participant voices, describing their decisions around CR attendance after a cardiac event. They highlighted the complexity of issues confronting them and suggested improvements to optimize their attendance and to maintain lifestyle changes. |
Databáze: | OpenAIRE |
Externí odkaz: |