ArticleFrontiers in rehabilitation sciences2025
Barriers to physical activity and patient profiling in the lifelong maintenance phase of coronary artery disease: a territorial mixed-methods pilot study.
Article in Frontiers in rehabilitation sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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3 authors.
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Abstract
Introduction: Despite proven benefits, adherence to physical activity (PA) during the lifelong maintenance phase of cardiac rehabilitation (CR) remains suboptimal. Understanding territorial-specific barriers is essential for developing targeted interventions. This pilot study aimed to (1) identify principal barriers to PA among coronary artery disease (CAD) patients in lifelong maintenance Phase CR in a specific territory of southern France, and (2) characterize distinct patient profiles using unsupervised machine learning. Methods: Socio-demographic data, completion of a full Phase II CR and behavioral characteristics related to PA during the lifelong maintenance Phase were collected with a LimeSurvey questionnaire. A modified Delphi method was employed with CAD patients ( Results: Nine barrier categories emerged, with environment (8.3 ± 1.0), motivation (7.7 ± 1.4), and exercise tolerance (6.3 ± 1.2) ranking highest. Kendall's W = 0.64 ( Conclusion: This mixed-methods approach revealed complex, interrelated barriers to PA maintenance. The identification of distinct CAD patient profiles suggests that personalized intervention strategies, rather than one-size-fits-all approaches, may enhance long-term adherence to PA in lifelong maintenance Phase CR.
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