Document Detail


Multivariate models for compliance with phase 3 cardiac rehabilitation services in Johannesburg.
MedLine Citation:
PMID:  1590645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The efficacy of an exercise cardiac rehabilitation programme depends on an adequate compliance of its participants. A 50% dropout rate after 12 months has been reported by most rehabilitation programmes. Compliance with attendance and the exercise prescription are monitored daily at the Johannesburg Cardiac Rehabilitation Centre. This study evaluated the attendance of 711 patients admitted to the programme between June 1986 and March 1990 and looked at possible differences in attendance and intensity rates of compliers and dropouts prior to dropout. Multiple regression analyses were performed on all patients using different measures of exercise compliance as dependent variables and patient characteristics on admission as explanatory variables in order to establish possible associations which could identify potential dropouts at an early stage. We found that 36% of patients dropped out by 12 months and that 50% managed to complete our 18 month programme. Dropouts complied less than compliers in terms of attendance and intensity before dropping out. Significant associations were found between the measures of compliance and patient characteristics. Age, smoking, peak oxygen uptake and a measure of hostility were identified as predictive factors. With the exception of the energy expended per session the variation in the other measures of compliance was poorly explained by the explanatory variables suggesting that other factors could be related to compliance at the Johannesburg Cardiac Rehabilitation Centre and need to be further evaluated.
Authors:
A G Digenio; N Padayachee; H Groeneveld
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  21     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-06-23     Completed Date:  1992-06-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  121-7     Citation Subset:  IM    
Affiliation:
Cardiac Rehabilitation Centre, Johannesburg City Health Department.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Care Facilities* / statistics & numerical data
Cardiovascular Diseases / epidemiology,  rehabilitation*
Follow-Up Studies
Humans
Multivariate Analysis
Patient Compliance*
Patient Dropouts / statistics & numerical data
Prognosis
Regression Analysis
Rehabilitation Centers* / statistics & numerical data
Risk Factors
South Africa / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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