Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings
Why the study?
Although cardiac rehabilitation and pulmonary rehabilitation are recommended by guidelines and covered by insurers, they remain severely underutilized.
Population
US population eligible for CR and PR based on clinical guidelines
Comparison
Strategies to increase CR and PR uptake vs comparator
Design
Overview of funded phase II clinical trials
Authors
Discussion
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Member takes
Implication
Severe underutilization of guideline-recommended CR/PR despite coverage warrants targeted implementation trials; leaves open optimal community strategies to boost uptake.
Structured PICO
P
Population
US population eligible for cardiac and pulmonary rehabilitation based on clinical guidelines
I
Intervention
Strategies to increase uptake of cardiac and pulmonary rehabilitation (traditional center-based or new models)
O
Outcome
Increased use of cardiac and pulmonary rehabilitation, reduction in disparities, and improvements in clinical and patient-centered outcomes (exercise capacity, cardiovascular and pulmonary risk factors, quality of life)
The NHLBI and NIA have funded six phase II clinical trials to test strategies for increasing the uptake of cardiac and pulmonary rehabilitation in traditional and community settings.
Cite This Study
Fleg et al. (2020) studied this question.