Key result
Ethnic minorities face significant cardiac rehabilitation barriers driven by language, socioeconomic, and referral disparities.
Why the study?
Cardiac rehabilitation improves outcomes but remains underutilized by ethnic minorities, prompting a review of patients' personal experiences to understand its impact on their lifestyles.
What are the personal experiences and barriers to cardiac rehabilitation among ethnic minority patients?
Systematic Review (n=167)
What are the personal experiences and barriers to cardiac rehabilitation among ethnic minority patients?
Culturally tailored interventions, language support, and improved referral pathways are needed to address disparities in cardiac rehabilitation uptake among ethnic minorities.
Answers are grounded in this paper and cite their sources.
Tailored cardiac rehabilitation addressing cultural, linguistic, and referral barriers may boost uptake in ethnic minorities; supports targeted trials to test adaptations.
Cardiac rehabilitation (CR) can improve cardiovascular risk factors, decrease cardiac mortality, and promote healthy lifestyle behaviours. However, services remain underutilized by groups of ethnic minorities. The purpose of the study was to identify patients’ personal CR experiences to identify the differences CR makes towards minorities’ lifestyle. An initial electronic search was performed in 2021 for papers ranging from 2008–2020 across specific databases, including PubMed, EMBASE, APA PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Medline. Google Scholar was also used to supplement the search process and to identify studies performed within grey literature. A total of 1230 records were screened, of which 40 were assessed for eligibility. The final sample consisted of seven qualitative design studies that were identified for inclusion in this review. Based on patient personal experiences, this review identified that ethnic minorities continue to remain disadvantaged when accessing healthcare interventions, primarily as a result of cultural behaviours, linguistic barriers, socioeconomic status, religious and fatalistic beliefs, and low physician referral rates. More research is needed to elucidate this phenomenon and address these factors faced by ethnic minorities.
No takes yet. Share an insight, caveat, or question.
Tofani et al. (2023) conducted a systematic review in Cardiovascular disease requiring cardiac rehabilitation (n=167). Cardiac rehabilitation vs. White patients (in comparative studies) or none was evaluated on Patients' personal experiences and barriers to cardiac rehabilitation. Ethnic minorities face significant barriers to cardiac rehabilitation engagement, including cultural behaviors, linguistic barriers, socioeconomic status, religious beliefs, and low physician referral rates.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: