Evidence map›Paper›PMID 41579100›Full record

ReviewPublic health nursing (Boston, Mass.)

Understanding Barriers and Facilitators to Cardiovascular Rehabilitation Participation Among Rural Residents With Cardiovascular Disease in Brazil.

Mayara Moura Alves da Cruz, Lívia Tino de Roide, Anielle Brito de Oliveira Manzatto, Luiz Carlos Marques Vanderlei, José Vitor Barbosa Boro, Marcia Rodrigues Franco, Lais Manata Vanzella, Gabriela Lima de Melo Ghisi

Abstract readReview
In one paragraph

Review in Public health nursing (Boston, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mayara Moura Alves da CruzDepartment of Physiotherapy, University Center of Adamantina (FAI), Adamantina, Brazil.ORCID https://orcid.org/0000-0002-3955-9149
Lívia Tino de RoideDepartment of Physiotherapy, University Center of Adamantina (FAI), Adamantina, Brazil.
Anielle Brito de Oliveira ManzattoDepartment of Physiotherapy, University Center of Adamantina (FAI), Adamantina, Brazil.
Luiz Carlos Marques VanderleiDepartment of Physiotherapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil.ORCID https://orcid.org/0000-0002-1891-3153
José Vitor Barbosa BoroDepartment of Physiotherapy, University Center of Adamantina (FAI), Adamantina, Brazil.
Marcia Rodrigues FrancoDepartment of Physiotherapy, Centro Universitario UNA, Contagem, Brazil.
Lais Manata VanzellaDepartment of Physiotherapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil.ORCID https://orcid.org/0000-0002-9494-3143
Gabriela Lima de Melo GhisiKITE Research Institute, University Health Network, Toronto, Canada.ORCID https://orcid.org/0000-0001-7946-3718

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored barriers to cardiovascular rehabilitation (CR) participation among individuals with cardiovascular disease (CVD) and risk factors in a rural, low-resource setting.

designA qualitative study using focus groups. SAMPLE: 21 individuals (76% women, 71% with CVD risk factors, 48% with incomplete elementary education) were recruited from a public health system. MEASUREMENTS: Data were collected through six focus groups and analyzed using thematic analysis.

interventionNone.

resultsSix overarching themes emerged. Participants had limited awareness of CR, with lack of knowledge being the primary barrier. Technological challenges hindered engagement with telerehabilitation programs. Medication was the most common treatment strategy, but patients expressed a need for more information. While physical exercise was recognized as important, barriers such as lack of time and motivation prevented participation. Perceptions of health status varied, with some reporting improvements and others experiencing deterioration. Family support and access to virtual programs were identified as facilitators of CR participation.

conclusionsStrategies to improve CR awareness, enhance virtual access, and strengthen patient education are needed to increase participation in rural populations.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesHealth Services AccessibilityRural PopulationAdultAgedBrazilFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedQualitative Researchcardiac rehabilitationhealthcare accessqualitative researchtreatment adherence

Identifiers

PMID41579100
PMCPMC12968503

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.