A systematic review and thematic synthesis exploring how a previous experience of physical activity influences engagement with cardiac rehabilitation
Key result
A systematic review of 12 qualitative studies (388 participants) found that previous physical activity levels, communication factors, and exercise identity influence cardiac rehabilitation engagement.
Why the study?
Half of eligible individuals with acute coronary syndrome do not engage with cardiac rehabilitation, and it is unclear whether meeting prior physical activity guidelines influences engagement decisions.
Does previous experience of physical activity influence engagement with cardiac rehabilitation in adults diagnosed with acute coronary syndrome?
Population
388 participants across 12 qualitative studies from six countries with acute coronary syndrome
Comparison
Previous experience of physical activity vs no prior experience
Design
Systematic review and thematic synthesis of primary qualitative studies
Authors
Discussion
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Member takes
Implication
Supports tailoring CR communication to prior activity levels and exercise identity; extends qualitative synthesis of engagement determinants in ACS.
Study Design
Type
Systematic Review (n=388)
Multicenter
Yes
Structured PICO
Does previous experience of physical activity influence engagement with cardiac rehabilitation in adults diagnosed with acute coronary syndrome?
P
Population
388 adults diagnosed with acute coronary syndrome from 12 qualitative studies across six countries
I
Intervention
Previous experience of physical activity
O
Outcome
Patients' perceptions and experiences regarding how previous physical activity influences engagement with physical activity during cardiac rehabilitationpatient reported
Previous physical activity levels and exercise identity influence engagement with cardiac rehabilitation, suggesting health professionals should tailor information to optimize post-event physical activity.
Cite This Study
McHale et al. (2019) conducted a systematic review in Acute coronary syndrome (n=388). Previous experience of physical activity was evaluated on Factors influencing engagement with physical activity during cardiac rehabilitation. A systematic review of 12 qualitative studies (388 participants) found that previous physical activity levels, communication factors, and exercise identity influence cardiac rehabilitation engagement.