ArticlePloS one2018
Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.
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The trial behind it
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Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Patient Needs Regarding Cardiac Rehabilitation: A Systematic Review and Meta-Ethnographic Synthesis.Journal of the American Heart Association · 2025Pooled it
- The impact of sport on the physical, psychological and social wellbeing of people with chronic breathlessness: A mixed-methods systematic review.Clinical rehabilitation · 2023Pooled it
- Exploring Social Support for Women Coping with a Cardiac Rehabilitation Programme after Acute Coronary Syndrome: A Systematic Review of Qualitative Studies.Journal of rehabilitation medicine · 2022Pooled it
- A systematic review of interventions to increase physical activity and reduce sedentary behaviour following bariatric surgery.Physiotherapy · 2022Pooled it
- Fit, Female or Fifty-Is Cardiac Rehabilitation "Fit" for Purpose for All? A Systematic Review and Meta-Analysis With Meta-Regression.Frontiers in cardiovascular medicine · 2022Pooled it
- Trial
- Incongruent virtual reality attenuates breathlessness and leg fatigue during stationary cycling.Virtual reality · 2026Article
- Sex and Gender-Based Differences in Outcomes of Cardiac Rehabilitation Following Acute Myocardial Infarction.Current atherosclerosis reports · 2025Review
- Cardiovascular abnormalities of long-COVID syndrome: Pathogenic basis and potential strategy for treatment and rehabilitation.Sports medicine and health science · 2024Review
- Gender inequalities in secondary prevention of cardiovascular disease: a scoping review.International journal for equity in health · 2024Article
- Evaluating the Effects of an Enhanced Strength Training Program in Remote Cardiological Rehabilitation: A Shift from Aerobic Dominance-A Pilot Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- Opportunities for CMS to improve healthcare access and equity through advancing technology-enabled startups and digital health innovations.NPJ digital medicine · 2024Article
- Feasibility of Implementation and the Impact of a Digital Prehabilitation Service in Patients Undergoing Treatment for Oesophago-Gastric Cancer.Current oncology (Toronto, Ont.) · 2023Article
- Scoping 'sex' and 'gender' in rehabilitation: (mis)representations and effects.International journal for equity in health · 2022Article
- Article
- Review
- Implementation of an Appointment-Based Cardiac Rehabilitation Approach: A Single-Center Experience.Journal of the American Heart Association · 2022Article
- How and Why Patients Adhere to a Prescribed Cardiac Rehabilitation Program: A Longitudinal Phenomenological Study of Patients with Acute Coronary Syndrome.International journal of environmental research and public health · 2022Article
- Cardiac rehabilitation - The answer for the second chance.American heart journal plus : cardiology research and practice · 2022Review
- Factors Predicting the Utilization of Center-Based Cardiac Rehabilitation Program.Geriatrics (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmpirical evidence has shown that cardiac rehabilitation programs are effective in reducing morbidity and mortality, improving quality of life in patients with cardiovascular disease. Despite the benefits, women have a high cardiac rehabilitation dropout rate. Our aim was to explore women's perceptions about the reasons they faced for dropout from these programs.
methodsSemi-structured interviews were conducted with women (n = 10) after dropping out from three different cardiac rehabilitation centers in Spain. In addition, a focus group and a semi-structured interview with cardiovascular professionals were conducted. From a grounded theory perspective, thematic analysis was used to derive themes from interview transcripts.
resultsThe women were between 41 and 70 years. We identified five general themes that illustrated reasons for cardiac rehabilitation dropout: intrapersonal reasons (self-reported health, self-reported mental health, health beliefs); interpersonal reasons (family caregiver role, work conflicts); logistical reasons (transport, distance); cardiac rehabilitation program characteristics (perception of the objective of cardiac rehabilitation, exercise component, inconvenient timing, cardiac rehabilitation equipment); and health system reasons (financial assistance for transport, long waiting list). The cardiovascular professionals found barriers to cardiac rehabilitation completion similar to those found by the women.
conclusionsIn order to prevent cardiac rehabilitation dropout in women, modular and flexible programs are needed. In addition, the inclusion of primary care centers or community resources could improve cardiac rehabilitation completion in women. Psychological assessment and counseling during cardiac rehabilitation should be included as an essential part of the programs and recommended for those women with depressive symptoms. Finally, improved financial assistance for transport from the health system is essential.
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Registered trials
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