Promoting Cardiac Rehabilitation Use Across the Phases: Focus on Women
type: CreativeWork
description: Cardiac rehabilitation (CR) utilization is sub-optimal, especially in women, despite the abundant evidence of its benefits. This thesis aimed to understand CR utilization across the acute, outpatient, and maintenance phases, with a focus on women. First, an observational study evaluated an evidence-based online course for inpatient cardiac healthcare providers on promoting patient participation in CR. The course was effective in increasing CR knowledge, self-efficacy, and encouragement practices among providers. Second, a retrospective cohort study compared patient characteristics, utilization, and outcomes in women in mixed-sex, women-only, and home-based CR models. While caution is warranted, the benefit of women-only CR was not evident; therefore, whether full gender-tailored programs are advantageous requires further investigation. Finally, the effects of maintenance phase CR were reviewed in women and men using subgroup meta-analyses. Limited data suggested maintenance CR improves cardiorespiratory fitness and lipids in women and men, but anthropometrics only in men.
abstract: Cardiac rehabilitation (CR) utilization is sub-optimal, especially in women, despite the abundant evidence of its benefits. This thesis aimed to understand CR utilization across the acute, outpatient, and maintenance phases, with a focus on women. First, an observational study evaluated an evidence-based online course for inpatient cardiac healthcare providers on promoting patient participation in CR. The course was effective in increasing CR knowledge, self-efficacy, and encouragement practices among providers. Second, a retrospective cohort study compared patient characteristics, utilization, and outcomes in women in mixed-sex, women-only, and home-based CR models. While caution is warranted, the benefit of women-only CR was not evident; therefore, whether full gender-tailored programs are advantageous requires further investigation. Finally, the effects of maintenance phase CR were reviewed in women and men using subgroup meta-analyses. Limited data suggested maintenance CR improves cardiorespiratory fitness and lipids in women and men, but anthropometrics only in men.
author: Heald, Fiorella Andani
language: en
keywords: Health sciences, Public health, Medicine
date published: 2023-08-04
date modified: 2026-07-24T06:33:38Z
provider: York University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: York University

PropertyValue
property ID: Handle
value: https://hdl.handle.net/10315/41279