Original Article Patients’ perspective of barriers to participating in Supervised Exercise-based Cardiac Rehabilitation Program: A Qualitative Study
Patients’ perspective of barriers to participating in Supervised Exercise-based Cardiac Rehabilitation Program: A Qualitative Study
Keywords:
Cardiovascular Diseases, Chronic Diseases, Health Systems Reform,Abstract
Background: Benefits of the cardiac rehabilitation program are well documented in the literature. Despite proven benefits, enrollment rates in cardiac rehab programs remain low. Patient perceived barriers influencing the enrollment rates in cardiac rehab programs remain unclear.
Purpose: Underutilization of cardiac rehab facilities remains a major problem. Identification of patients' perceived barriers to participating in supervised exercise-based outpatient cardiac rehabilitation programs, will help in developing strategies to improve the enrollment rates and to increase the utilization of cardiac rehabilitation services. This study aims to record the barriers faced by patients by conducting focused group discussions.
Methods: We conducted five focused group discussions (FGD’s) until we reached the saturation point. FGDs were conducted as per the standard guidelines. Discussions were recorded by the note keeper and later transcribed. Thematic analysis was done to identify the barriers perceived by the patients to attend the supervised outpatient cardiac rehabilitation programs.
Results: After analyzing the verbatims, we identified seven different themes as patient-perceived barriers to participating in supervised exercise-based outpatient cardiac rehab programs. 1. Transport distance, time & cost 2. Lack of Family support 3. Lack of Interest, 4. Work timings 5. Financial constraints 6.Comorbid Conditions 7.Willingness
Conclusion: Reaching the cardiac rehab facility, lack of family support to reach and undergo rehab, lack of interest in joining the program, unsuitable work timings, financial constraints, disabling comorbid conditions, and willingness to join the program are the patient-perceived barriers to participate in supervised exercise-based outpatient cardiac rehab programs
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