| Women's experiences accessing a women-centered cardiac rehabilitation program: a qualitative study. | |
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MedLine Citation:
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PMID: 20539167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND RESEARCH OBJECTIVE: The health benefits of cardiac rehabilitation (CR) for women living with heart disease are well documented, yet women remain underrepresented in traditionally structured CR programs. This health service delivery gap has been attributed to a number of sex-related factors experienced by women, including lower rates of physician referral, travel-related barriers, competing work and caregiving responsibilities, greater cardiovascular disease severity, and number of comorbid health conditions. Whether a program specifically designed for women is able to address these barriers and facilitate women's participation is a question that has seldom been explored in the CR literature. As part of a larger study exploring whether 6 predefined principles of women's health (empowerment of women, accessible programs, broad definition of health care, high-quality of care, collaborative planning, and innovative and creative approaches) are reflected in the practices of the Women's Cardiovascular Health Initiative (WCHI) (a comprehensive CR and primary prevention program designed for women), the objective of this analysis was to explore how the principle of "accessible programs" is experienced by women participating in the WCHI. PARTICIPANTS AND METHOD: Fourteen women previously enrolled in the WCHI program participated in a single, in-person qualitative interview. Transcripts were analyzed using a constant-comparative approach to identify relevant themes related to program accessibility. RESULTS: Key themes identified included participants' experiences with acquiring physician referral, negotiating transportation issues, and navigating program schedules. Women discussed how peer support and staff members' willingness to address their health-related concerns facilitated their participation. CONCLUSION: While a women-centered CR/primary prevention program may facilitate and encourage women's participation by providing flexible program schedules as well as peer and professional support, efforts are still required to address persistent barriers for women related to physician referral and transportation to programs. |
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Authors:
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Danielle E Rolfe; Erica J Sutton; Mireille Landry; Len Sternberg; Jennifer A D Price |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of cardiovascular nursing Volume: 25 ISSN: 1550-5049 ISO Abbreviation: J Cardiovasc Nurs Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-06-11 Completed Date: 2010-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703516 Medline TA: J Cardiovasc Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 332-41 Citation Subset: IM; N |
Affiliation:
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Women's Cardiovascular Health Initiative, Women's College Hospital, Toronto, Canada. danielle.rolfe@utoronto.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Psychological Adult Aged Aged, 80 and over Attitude to Health* Female Health Care Surveys Health Services Accessibility / organization & administration* Heart Diseases* / psychology, rehabilitation Humans Middle Aged Nursing Methodology Research Ontario Qualitative Research Questionnaires Referral and Consultation Rehabilitation Centers / organization & administration* Social Support Transportation Women / psychology* Women's Health Services / organization & administration* Workload / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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