Healing the Heart: A Qualitative Study of Challenges and Motivations to Cardiac Rehabilitation Attendance and Completion among Women and Men

Christina L. Dechaine, Joseph R. Merighi, Timothy C. O’Keefe

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Heart disease is the leading cause of death in the United States. Given that cardiovascular rehabilitation (CR) participation is the best secondary prevention of cardiac mortality, it is important to understand the challenges and motivations people experience while taking part in rehabilitation. The present qualitative study explored the treatment experiences of 20 women and 20 men at urban and rural rehabilitation clinics in Minnesota. Participants were equally divided based on the number of CR session completed (less than or equal to 18 vs. more than 18). The study’s primary aim was to articulate similarities and differences in the CR treatment experiences by gender. Data were gathered from individual interviews and analyzed using an inductive content analysis. Findings revealed that both women and men view CR as a means to move forward from their cardiac incident and achieve good health. Women were more likely than were men to be motivated by a perceived obligation to CR staff and improved quality of life. Men, in comparison, identified their commitment to CR as a need to complete a task. The study findings can help inform the design of rehabilitation programs and strengthen patient-centered interventions to enhance participation in treatment.

Original languageEnglish (US)
Pages (from-to)489-503
Number of pages15
JournalSex Roles
Volume79
Issue number7-8
DOIs
StatePublished - Oct 1 2018

Bibliographical note

Funding Information:
Funding The present projected was funded by a Minnesota Agricultural Experimental Station Fund Grant (JRM) and a J. B. Hawley Student Research Award from the University of Minnesota School of Public Health, Division of Epidemiology (CLD).

Publisher Copyright:
© 2017, Springer Science+Business Media, LLC, part of Springer Nature.

Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.

Keywords

  • Extrinsic motivation
  • Heart disorders
  • Intrinsic motivation
  • Qualitative methods
  • Rehabilitation

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