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Randomized Controlled Trial
. 2010 May-Jun;30(3):147-56.
doi: 10.1097/HCR.0b013e3181d0c2ce.

Predicting cardiac rehabilitation attendance in a gender-tailored randomized clinical trial

Theresa M Beckie  1 , Jason W Beckstead
Affiliations
Randomized Controlled Trial

Predicting cardiac rehabilitation attendance in a gender-tailored randomized clinical trial

Theresa M Beckie et al. J Cardiopulm Rehabil Prev. 2010 May-Jun.

Abstract

Purpose: This study compared attendance of women participating in a motivationally enhanced, gender-tailored cardiac rehabilitation (CR) program with that of women attending a traditional outpatient CR program. We also sought to determine the significant baseline predictors of attendance of the exercise and education components of the interventions.

Methods: Data from 252 women with CHD in the randomized clinical trial, the Women's-Only Cardiac Rehabilitation Program, were used in this study. The experimental design used 2 treatment groups: both receiving a comprehensive, 12-week, CR program, with 1 group receiving a gender-tailored, stage-of-change matched, behavioral enhancement using individualized motivational interviewing.

Results: Compared with women in the traditional CR program, women in the gender-tailored program attended significantly more of the prescribed exercise (90% vs 77%) and education sessions (87% vs 56%). Group assignment accounted for about 5% of the variance in exercise attendance (F1,250 = 12.755, P < .001) and about 24% of the variance in education attendance (F1,250 = 77.942, P < .001). After controlling for group assignment, the baseline characteristics of smoking status, marital status, and anxiety accounted for about 17% of the variance in exercise attendance (F5,245 = 10.494, P < .001). Smoking status and marital status were significant baseline predictors of education attendance (F5,245 = 6.115, P < .001) after controlling for group assignment.

Conclusions: The long-standing, poor attendance of women in CR continues to be an unresolved international challenge. Gender-tailored, stage-matched, CR programs hold promise for enhancing attendance to prescribed protocols. Additional research examining the efficacy of gender-sensitive, motivationally enhanced CR for women compared with generic CR programs is warranted.

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Figures

Figure 1
Figure 1
Flow of participants in study (January 2004-March 2008)
Figure 2
Figure 2
Logic model of predictors of cardiac rehabilitation attendance `
See this image and copyright information in PMC

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