Key result
Post-MI patients and partners cite health benefits, motivation, and experience as primary cardiac rehab drivers.
Why the study?
Despite clinical benefits, coronary artery disease patient participation rates in cardiac rehabilitation and long-term exercise are poor.
What factors influence participation in cardiac rehabilitation and long-term exercise training among post-acute myocardial infarction patients and their significant others?
What factors influence participation in cardiac rehabilitation and long-term exercise training among post-acute myocardial infarction patients and their significant others?
Post-AMI patients and their significant others identify health benefits, motivation, extrinsic influences, and CR experience as key factors influencing participation in cardiac rehabilitation and long-term exercise.
Addressing identified motives may improve post-AMI cardiac rehabilitation enrollment; extends dyadic participation evidence from RCT data.
PURPOSE: Despite the clinical benefits, coronary artery disease patient participation rates in cardiac rehabilitation (CR) and long-term exercise are poor. This study explored the factors related to participation in these interventions from the perspectives of post-acute myocardial infarction (AMI) patients and their significant others. METHODS: = 10) following phase-III and phase-IV CR. Reflexive thematic analysis with an inductive orientation was utilised to identify themes within the dataset (ClinicalTrials.gov identifier: NCT03907293). RESULTS: The overarching theme of the data was a perceived need to improve health, with the participants viewing health benefits as the principal motive for participating in CR and long-term exercise training. Three further themes were identified: motivation, extrinsic influences, and CR experience. These themes captured the underlying elements of the participants' decision to take part in CR and long-term exercise training for the purpose of health improvements. CONCLUSION: An AMI collectively impacts the attitudes and beliefs of patients and their significant others in relation to CR participation, long-term exercise, and health. The factors identified in this study may inform strategies to promote patient enrollment in CR and adherence to long-term exercise.IMPLICATIONS FOR REHABILITATIONPost-AMI patients and their significant others reported that health benefits were the primary motive for participating in CR and long-term exercise, with aspects related to motivation, extrinsic influences, and CR experience underpinning the decision.Healthcare professionals should supply information about health benefits during the CR referral process, with insights into the experiences of CR graduates potentially improving the strength of recommendation.CR facilitators may promote long-term exercise adherence by assisting patients with the identification of an enjoyable exercise modality.Healthcare professionals should include significant others in the CR referral process, which may enable these individuals to support the patients' decisions.
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Thompson et al. (2021) studied Post-acute myocardial infarction (n=10). Cardiac rehabilitation and long-term exercise training was evaluated on Factors related to participation in cardiac rehabilitation and long-term exercise. Post-acute myocardial infarction patients and their significant others identified health benefits, motivation, extrinsic influences, and experience as primary motives for participating in cardiac rehabilitation.
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