Predicting adherence to phase III cardiac rehabilitation: should we be more optimistic?

Lesley A. O'Brien, Morag K. Thow, Danny Rafferty

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Predicting uptake and adherence to cardiac rehabilitation (CR) continues to challenge providers of the service in the UK. This study included optimism with the more traditional predictors of adherence. The study included 61 eligible patients (37 men, 24 women) referred to an eight-week phase III CR programme. Socio-demographic data were collected including age, gender, diagnosis, employment, marital status and deprivation. Depression was measured using the Hospital Anxiety and Depression (HAD) scale. Dispositional optimism was measured using the Revised Life Orientation Test (LOT-R). Stages of change (SOC) for exercise were assessed. Attendance and completion of the eight-week CR programme were recorded for all patients. There was adherence to CR by 46 (75%; 27 men and 19 women) and non-adherence by 15 (25%; 10 men and 5 women). Dispositional optimism and SOC were found to be significant predictors of adherence (p=0.001 and p=0.038, respectively), with depression tending towards significance (p=0.0614). Socio-demographic variables were not significant. Greater optimism is associated with attendance at phase III CR. In addition, being in a higher stage of the SOC model is also associated with adherence. These findings can enable CR staff to identify patients at risk of failing to adhere, facilitating focused interventions to encourage adherence.

Original languageEnglish
Pages (from-to)250-253
Number of pages4
JournalBritish Journal of Cardiology
Volume16
Issue number5
Publication statusPublished - Sept 2009

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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