Key result
Multilevel factors including resources, coordination, and team functioning drive inpatient cardiac rehabilitation delivery and uptake.
Why the study?
The study was conducted to summarize the literature on barriers and facilitators that influence the provision and uptake of inpatient cardiac rehabilitation.
What are the barriers and facilitators that influence the use, provision, engagement and overall implementation of inpatient cardiac rehabilitation in adults?
Systematic Review (n=229)
What are the barriers and facilitators that influence the use, provision, engagement and overall implementation of inpatient cardiac rehabilitation in adults?
Highlights the need to address system-level barriers and improve provider knowledge to enhance the utilization of inpatient cardiac rehabilitation.
Targeting team functioning, resources, and coordination may boost inpatient cardiac rehabilitation uptake; extends efficacy data by mapping implementation barriers.
Objective: The purpose of this scoping review was to summarize the literature on barriers and facilitators that influence the provision and uptake of inpatient cardiac rehabilitation (ICR). Methods: A literature search was conducted using PsycINFO, MEDLINE, EMBASE, CINAHL and AgeLine. Studies were included if they were published in English after the year 2000 and focused on adults who were receiving some form of ICR (eg, exercise counselling and training, education for heart-healthy living). For studies meeting inclusion criteria, descriptive data on authors, year, study design, and intervention type were extracted. Results: The literature search resulted in a total of 44,331 publications, of which 229 studies met inclusion criteria. ICR programs vary drastically and often focus on promoting physical exercises and patient education. Barriers and facilitators were categorized through patient, provider and system level factors. Individual characteristics and provider knowledge and efficacy were categorized as both barriers and facilitators to ICR delivery and uptake. Team functioning, lack of resources, program coordination, and inconsistencies in evaluation acted as key barriers to ICR delivery and uptake. Key facilitators that influence ICR implementation and engagement include accreditation and professional associations and patient and family-centred practices. Conclusion: ICR programs can be highly effective at improving health outcomes for those living with CVDs. Our review identified several patient, provider, and system-level considerations that act as barriers and facilitators to ICR delivery and uptake. Future research should explore how to encourage health promotion knowledge amongst ICR staff and patients.
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Wasilewski et al. (2023) conducted a systematic review in Cardiovascular disease requiring inpatient cardiac rehabilitation (n=229). Inpatient cardiac rehabilitation was evaluated on Barriers and facilitators to inpatient cardiac rehabilitation delivery and uptake. Patient, provider, and system-level factors, including team functioning, resources, and coordination, act as key barriers and facilitators to inpatient cardiac rehabilitation delivery and uptake.
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