February 14, 2005Journal of Advanced Nursing
Improving uptake and adherence in cardiac rehabilitation: literature review
Key result
A systematic review of 23 studies found that motivational strategies, lay volunteers, and nurse-led coordination show promise in improving cardiac rehabilitation uptake and adherence.
Why the study?
Do targeted interventions improve uptake, adherence, and professional compliance in cardiac rehabilitation?
Population
Studies of patients eligible for cardiac rehabilitation. 23 studies provided adequate information.
Design
Systematic_review
Authors
Discussion
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Member takes
Implication
May improve cardiac rehabilitation participation; leaves open need for rigorous RCTs to confirm benefit.
Study Design
Type
Systematic Review (n=23)
Structured PICO
Do targeted interventions improve uptake, adherence, and professional compliance in cardiac rehabilitation?
P
Population
A systematic review of 23 studies evaluating interventions to improve uptake, adherence, and professional compliance in cardiac rehabilitation.
I
Intervention
Interventions to improve uptake, adherence, and professional compliance in cardiac rehabilitation (including motivational and self-management strategies, use of lay volunteers, and nurse-led coordination of care).
O
Outcome
Uptake, adherence, and professional compliance in cardiac rehabilitation
There is a lack of high-quality evidence evaluating interventions to improve cardiac rehabilitation uptake and adherence, highlighting a need for appropriately designed studies.
Limitations
- Few studies were of sufficient quality to make specific recommendations
- Limited information was provided on resource implications
- Lack of studies with under-represented groups
- Few studies of sufficient quality
- Minority of studies were randomized controlled trials
- Limited information on resource implications
Cite This Study
Beswick et al. (2005) conducted a systematic review in Cardiac rehabilitation (n=23). Interventions to improve uptake and adherence (motivational strategies, lay volunteers, nurse-led coordination) was evaluated on Uptake, adherence, and professional compliance. A systematic review of 23 studies found that motivational strategies, lay volunteers, and nurse-led coordination show promise in improving cardiac rehabilitation uptake and adherence.