Predictors of outpatient cardiac rehabilitation participation : Ball Memorial Hospital

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Bellack, Dena
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Thesis (M.A.)
School of Physical Education
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Only a small percent of patients with cardiovascular disease (CAD) participate in outpatient cardiac rehabilitation, which has led the healthcare community to search for predictors of participation in these programs. The purpose of this prospective study was to identify demographic and psychosocial factors that were common among those patients that participated in outpatient phase II cardiac rehabilitation. Subjects were patients at Ball Memorial Hospital in the coronary care unit (CCU) or the cardiac telemetry unit (CTU) with documented CAD (N = 26) that volunteered for this study. These patients were either medicated (N = 4) or underwent an intervention procedure, PTCA/Stent (N = 11) or a CABG (11). Subjects filled out six questionnaires: 1) Demographic and Health History Questionnaire 2) Demographic Questionnaire 3) Physical Activity Questionnaire 4) Self-Efficacy for Exercise Behavior Scale (SEEBS) 5) Center of Epidemiological Studies Depression Scale (CES-D) 6) Social Support Questionnaire. To be considered participants in outpatient phase II cardiac rehabilitation, participation had to begin within two weeks after discharge.A qualitative analysis was performed to determine the common demographic and psychosocial factors among participants. The general demographic factors were a 59year-old, married male, had at least finished high school, had a MI, had either a PTCA/Stent or a CABG, felt that the physician encouraged cardiac rehabilitation, and exercised regularly in the past. The common psychosocial factors were a patient with a higher exercise self-efficacy, lower depression, and higher perceived social support compared to the nonparticipants.