Key result
Multicomponent cardiac rehabilitation programs incorporating participant-driven collaborative models and motivational interviewing supported improvements in psychosocial risk and quality of life among women with heart disease, though overall evidence remains limited.
Why the study?
Do gender-specific cardiac rehabilitation strategies improve health and quality of life outcomes in women with heart disease?
Systematic Review (n=723)
Do gender-specific cardiac rehabilitation strategies improve health and quality of life outcomes in women with heart disease?
There is currently limited evidence (only 3 RCTs) for gender-specific cardiac rehabilitation in women, with only one study demonstrating significant improvements in quality of life and mental health.
Answers are grounded in this paper and cite their sources.
Gender-specific CR lacks support for routine use in women; leaves open need for larger RCTs on QoL benefits.
BACKGROUND: There is a paucity of evidence on gender-specific, individually tailored secondary prevention (cardiac rehabilitation [CR]) services for women with heart disease. Women participate less in CR programs, thus increasing their risk of further cardiac events. This review aims to (1) determine the effectiveness of gender-specific interventions specifically designed for women with heart disease, delivered in outpatient CR settings; and (2) classify key elements of effective CR strategies/models for women with heart disease. METHODS: Using the PRISMA guidelines, this is a systematic review of CR models tailored to women to improve cardiovascular risk. Four databases were searched for randomized controlled trials (RCTs) between January 1974 and July 2017 published in peer-reviewed English language journals. RESULTS: Three RCTs comprising 725 women of gender-specific CR strategies were identified. Significant improvements were found in one-third (1 study) of the included multicomponent CR strategies for outcomes including general health, social functioning, vitality, mental health, depression, and quality of life. CONCLUSION: Further large-scale RCTs are required to replicate positive findings and accurately assess the capacity for gender-specific multicomponent CR programs that incorporate participant-driven collaborative models to moderate psychological risk and improve functional capacity and quality of life for women with heart disease.
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Rao et al. (2018) conducted a systematic review in Heart disease (n=723). Gender-specific outpatient cardiac rehabilitation programs vs. Usual care or mixed-gender exercise training programs was evaluated on Adherence to secondary prevention guidelines and cardiac rehabilitation program adherence. Multicomponent cardiac rehabilitation programs incorporating participant-driven collaborative models and motivational interviewing supported improvements in psychosocial risk and quality of life among women with heart disease, though overall evidence remains limited.
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