Literature DB >> 20561883

Poor use of cardiac rehabilitation among older adults: a self-regulatory model for tailored interventions.

Carrie N Keib1, Nancy R Reynolds, Karen L Ahijevych.   

Abstract

BACKGROUND: A greater number of older adults now live with coronary heart disease (CHD). This poses a significant public health problem, because older adults are at high risk for CHD-related mortality and morbidity. Overwhelming data support the benefits of cardiac rehabilitation for secondary prevention, yet only a small portion of eligible older adults receive it. METHODS AND
RESULTS: Whereas many studies examined factors that affect the use of cardiac rehabilitation among older adults, few interventions aimed to improve their cardiac rehabilitation participation rates. A substantial body of evidence indicates that an individual's illness perceptions play a pivotal role in health behavior, and may be a promising target for intervention. Drawing from the theoretic and empiric findings of others, a self-regulatory model is proposed that explicates how CHD perceptions of older adults may influence participation in cardiac rehabilitation.
CONCLUSION: The model may provide a useful guide for the development of effective interventions tailored to older adults.
Copyright © 2010 Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 20561883      PMCID: PMC2972354          DOI: 10.1016/j.hrtlng.2009.11.006

Source DB:  PubMed          Journal:  Heart Lung        ISSN: 0147-9563            Impact factor:   2.210


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