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Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation.

Publication ,  Journal Article
Harlan, WR; Sandler, SA; Lee, KL; Lam, LC; Mark, DB
Published in: Am J Cardiol
July 1, 1995

Enrollment in cardiac rehabilitation has been reported to improve exercise capacity, psychological well-being, and survival. However, participation rates are low and the reasons for nonparticipation have not been adequately defined. The purpose of this study was to evaluate the major correlates of nonparticipation and to examine the level of participation of patients who stand to benefit most on the basis of preenrollment functional status and health behaviors. Three hundred ninety-three patients undergoing coronary artery bypass surgery (1) had baseline functional status and quality-of-life data collected, and (2) were recruited for participation in the Duke Center for Living comprehensive 3-week post-coronary bypass surgery rehabilitation program. Baseline demographic, clinical, catheterization, functional status, psychological status, and health behavior descriptors were analyzed to identify univariate and multivariable correlates of a patient's decision to participate in the program. At baseline, most clinical factors were similar in participants (n = 52) and nonparticipants (n = 341), but the nonparticipants were more often women (26% vs 12%, p = 0.02). Participants were also more likely to be employed (63% vs 45%, p = 0.02) and had a higher education and income distribution than nonparticipants (both p = 0.001). On 2 separate scales, nonparticipants had significantly more baseline functional impairment than participants (both p = 0.001). In multivariable analysis, the independent correlates of higher participation rates were: higher education (college graduates 71% more likely to participate than high school graduates) and better baseline Duke Activity Status Index (patients with mild functional impairment were at least 42% more likely to participate than patients with moderate impairment).(ABSTRACT TRUNCATED AT 250 WORDS)

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

July 1, 1995

Volume

76

Issue

1

Start / End Page

36 / 39

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Quality of Life
  • Patient Compliance
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Female
  • Coronary Disease
  • Coronary Artery Bypass
 

Citation

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ICMJE
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Harlan, W. R., Sandler, S. A., Lee, K. L., Lam, L. C., & Mark, D. B. (1995). Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation. Am J Cardiol, 76(1), 36–39. https://doi.org/10.1016/s0002-9149(99)80797-8
Harlan, W. R., S. A. Sandler, K. L. Lee, L. C. Lam, and D. B. Mark. “Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation.Am J Cardiol 76, no. 1 (July 1, 1995): 36–39. https://doi.org/10.1016/s0002-9149(99)80797-8.
Harlan WR, Sandler SA, Lee KL, Lam LC, Mark DB. Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation. Am J Cardiol. 1995 Jul 1;76(1):36–9.
Harlan, W. R., et al. “Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation.Am J Cardiol, vol. 76, no. 1, July 1995, pp. 36–39. Pubmed, doi:10.1016/s0002-9149(99)80797-8.
Harlan WR, Sandler SA, Lee KL, Lam LC, Mark DB. Importance of baseline functional and socioeconomic factors for participation in cardiac rehabilitation. Am J Cardiol. 1995 Jul 1;76(1):36–39.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

July 1, 1995

Volume

76

Issue

1

Start / End Page

36 / 39

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Quality of Life
  • Patient Compliance
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Female
  • Coronary Disease
  • Coronary Artery Bypass