Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives

Digital

Autores:
Rangel-Cubillos, Diana Marcela
Vega-Silva, Andrea Vanessa
Corzo-Vargas, Yully Fernanda
Molano-Tordecilla, Maria Camila
Peñuela-Arévalo, Yesica Paola
Lagos-Peña, Karen Mayerly
Jacome-Hortúa, Adriana Marcela
Villamizar-Jaimes, Carmen Juliana
Grace, Sherry L.
Dutra de Souza, Hugo Celso
Angarita-Fonseca, Adriana
Sanchez-Delgado, Juan Carlos
Tipo de recurso:
Article of journal
Fecha de publicación:
2022
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/7351
Acceso en línea:
https://doi.org/10.3390/ijerph19041911
https://repositorio.udes.edu.co/handle/001/7351
Palabra clave:
Cardiac Rehabilitation
Secondary Prevention
Heart Diseases
Exercise
Physical Activity
Health Services Accessibility;
Treatment Adherence And Compliance
Rights
openAccess
License
Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
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dc.title.spa.fl_str_mv Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
title Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
spellingShingle Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
Cardiac Rehabilitation
Secondary Prevention
Heart Diseases
Exercise
Physical Activity
Health Services Accessibility;
Treatment Adherence And Compliance
title_short Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
title_full Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
title_fullStr Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
title_full_unstemmed Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
title_sort Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
dc.creator.fl_str_mv Rangel-Cubillos, Diana Marcela
Vega-Silva, Andrea Vanessa
Corzo-Vargas, Yully Fernanda
Molano-Tordecilla, Maria Camila
Peñuela-Arévalo, Yesica Paola
Lagos-Peña, Karen Mayerly
Jacome-Hortúa, Adriana Marcela
Villamizar-Jaimes, Carmen Juliana
Grace, Sherry L.
Dutra de Souza, Hugo Celso
Angarita-Fonseca, Adriana
Sanchez-Delgado, Juan Carlos
dc.contributor.author.none.fl_str_mv Rangel-Cubillos, Diana Marcela
Vega-Silva, Andrea Vanessa
Corzo-Vargas, Yully Fernanda
Molano-Tordecilla, Maria Camila
Peñuela-Arévalo, Yesica Paola
Lagos-Peña, Karen Mayerly
Jacome-Hortúa, Adriana Marcela
Villamizar-Jaimes, Carmen Juliana
Grace, Sherry L.
Dutra de Souza, Hugo Celso
Angarita-Fonseca, Adriana
Sanchez-Delgado, Juan Carlos
dc.contributor.researchgroup.spa.fl_str_mv Fisioterapia Integral
dc.subject.proposal.eng.fl_str_mv Cardiac Rehabilitation
Secondary Prevention
Heart Diseases
Exercise
Physical Activity
Health Services Accessibility;
Treatment Adherence And Compliance
topic Cardiac Rehabilitation
Secondary Prevention
Heart Diseases
Exercise
Physical Activity
Health Services Accessibility;
Treatment Adherence And Compliance
description Digital
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-08-05T21:27:58Z
dc.date.available.none.fl_str_mv 2022-08-05T21:27:58Z
dc.date.issued.none.fl_str_mv 2022-02-09
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.none.fl_str_mv https://doi.org/10.3390/ijerph19041911
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dc.identifier.uri.none.fl_str_mv https://repositorio.udes.edu.co/handle/001/7351
url https://doi.org/10.3390/ijerph19041911
https://repositorio.udes.edu.co/handle/001/7351
identifier_str_mv 1660-4601
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationendpage.spa.fl_str_mv 11
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dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationvolume.spa.fl_str_mv 19
dc.relation.cites.none.fl_str_mv Rangel-Cubillos, D.M.; Vega-Silva, A.V.; Corzo-Vargas, Y.F.; Molano-Tordecilla, M.C.; Peñuela-Arévalo, Y.P.; Lagos-Peña, K.M.; Jácome-Hortúa, A.M.; Villamizar-Jaimes, C.J.; Grace, S.L.; Dutra de Souza, H.C.; Angarita-Fonseca, A.; Sánchez-Delgado, J.C. Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives. Int. J. Environ. Res. Public Health 2022, 19, 1911. https://doi.org/10.3390/ijerph19041911
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv International Journal of Environmental Research and Public Health
dc.rights.spa.fl_str_mv Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.creativecommons.spa.fl_str_mv Atribución 4.0 Internacional (CC BY 4.0)
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Atribución 4.0 Internacional (CC BY 4.0)
https://creativecommons.org/licenses/by/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 11 p
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dc.publisher.place.spa.fl_str_mv Suiza
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institution Universidad de Santander
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spelling Rangel-Cubillos, Diana Marcela332d4b12-75fa-4788-9372-cdf486691fe3-1Vega-Silva, Andrea Vanessa5f5baa4d-bd7b-4ecc-b3ca-76532d565d49-1Corzo-Vargas, Yully Fernanda10bd2def-f677-4a8a-881f-ce0ca19334d0-1Molano-Tordecilla, Maria Camilae9ec7464-6038-4b96-a5ac-a8ca382866e6-1Peñuela-Arévalo, Yesica Paolaa5e6650b-5d09-44b9-8cd7-14e1d5522982-1Lagos-Peña, Karen Mayerlyc0107492-1a53-4550-8d86-51ef52706c7a-1Jacome-Hortúa, Adriana Marcela2734a1ce-b621-43ee-bad5-816f954a0501-1Villamizar-Jaimes, Carmen Juliana4fa5ea99-65ba-45b1-99bb-0df6f8a67cd4-1Grace, Sherry L.60897b59-10b3-408f-bcb8-256e84da06f4-1Dutra de Souza, Hugo Celso4db7452a-ace3-451d-b3f6-36a470251bba-1Angarita-Fonseca, Adrianacc09eddd-62ac-4be2-a577-9d029de10bfd-1Sanchez-Delgado, Juan Carloseb4d4702-10b0-4120-bd7d-a18f6021bfc6-1Fisioterapia Integral2022-08-05T21:27:58Z2022-08-05T21:27:58Z2022-02-09DigitalCardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.Ciencias Médicas y de la Salud11 papplication/pdfhttps://doi.org/10.3390/ijerph190419111660-4601https://repositorio.udes.edu.co/handle/001/7351engSuiza114119Rangel-Cubillos, D.M.; Vega-Silva, A.V.; Corzo-Vargas, Y.F.; Molano-Tordecilla, M.C.; Peñuela-Arévalo, Y.P.; Lagos-Peña, K.M.; Jácome-Hortúa, A.M.; Villamizar-Jaimes, C.J.; Grace, S.L.; Dutra de Souza, H.C.; Angarita-Fonseca, A.; Sánchez-Delgado, J.C. Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives. Int. J. Environ. Res. Public Health 2022, 19, 1911. https://doi.org/10.3390/ijerph19041911ScopusInternational Journal of Environmental Research and Public HealthCopyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.info:eu-repo/semantics/openAccessAtribución 4.0 Internacional (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2https://www.mdpi.com/1660-4601/19/4/1911Cardiac RehabilitationSecondary PreventionHeart DiseasesExercisePhysical ActivityHealth Services Accessibility;Treatment Adherence And ComplianceExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple PerspectivesArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdfExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdfapplication/pdf232021https://repositorio.udes.edu.co/bitstreams/9198a27c-3ab5-4e34-9a0b-302dc0603cb1/download9e92f06071ff5a971b2b2eb1101c8517MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/5b6da8b9-b424-4352-ad99-aa6457589f5a/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdf.txtExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/f9481006-705c-41a0-ae86-12e894c05501/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdf.jpgExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives.pdf.jpgGenerated Thumbnailimage/jpeg12041https://repositorio.udes.edu.co/bitstreams/b8886eba-9a79-4877-a0fb-c0fe79913ebf/downloadbd35e2e2d2fea435d4b071ce538f65c9MD54001/7351oai:repositorio.udes.edu.co:001/73512023-10-10 12:39:41.962https://creativecommons.org/licenses/by/4.0/Copyright: © 2022 by the authors. 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