Key result
Face-to-face interventions to boost CR enrollment should integrate person-centered dialogue and address individual barriers.
Why the study?
To provide an overview of the content and characteristics of face-to-face interventions aimed at encouraging enrollment in exercise-based cardiac rehabilitation.
Do face-to-face interventions improve enrollment in cardiac rehabilitation in eligible patients?
Do face-to-face interventions improve enrollment in cardiac rehabilitation in eligible patients?
Face-to-face interventions using person-centered dialogue and motivational interviewing can effectively support patient enrollment in cardiac rehabilitation.
May support person-centered face-to-face approaches to boost cardiac rehabilitation enrollment; extends scoping evidence but leaves efficacy open for randomized confirmation.
PURPOSE: To provide an overview of the content and characteristics of face-to-face interventions to encourage enrollment in exercise-based cardiac rehabilitation (CR). METHODS: Following a published protocol describing the methods, six databases were searched. The search was limited to studies published from January 2000 to December 2021. Two reviewers independently performed study selection and data extraction. RESULTS: 5583 studies were identified and 20 studies with a variety of study designs met the inclusion criteria. Eight studies specified important content in face-to-face interventions to be: Education, problem-solving, support of autonomy, exploring reasons for change, emotional and cognitive support while showing understanding. Studies targeting patients' experiences used motivational interviewing and addressed worries and anticipated difficulties. Intention to attend, CR barriers, practical barriers, exercise self-efficacy, and patients asking questions supported enrollment. Reassurance could lead to nonattendance if patients had a high degree of worry and distress. CONCLUSION: Face-to-face interventions are important to support patients' enrollment in CR and should integrate a person-centered dialogue exploring reasons for change and providing support to overcome barriers. Focus on the patients' perspectives, the mechanisms of change, and the evaluation of the intervention to inform implementation should be further explored.Implications for RehabilitationIn-hospital face-to-face interventions support enrollment in cardiac rehabilitation (CR) in patients with ischemic heart disease.This study suggests that individual worries and barriers toward CR should be jointly explored while considering patients' capacity for making choices as well as their vulnerability.Patients should be encouraged to ask questions.A too strong focus on reassurance and problem-solving can impede enrollment.
No takes yet. Share an insight, caveat, or question.
Rasmussen et al. (2023) conducted a review in Ischemic heart disease requiring cardiac rehabilitation (n=20). Face-to-face interventions was evaluated on Content and characteristics of face-to-face interventions. A scoping review of 20 studies found that face-to-face interventions to support cardiac rehabilitation enrollment should integrate person-centered dialogue and address individual barriers.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: