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Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review
BACKGROUND: Women do not participate in cardiac rehabilitation (CR) to the same degree as men; women-focused CR may address this. This systematic review investigated the: (1) nature, (2) availability, as well as (3a) utilization of, and (b) satisfaction with women-focused CR. METHODS: Medline, Pubme...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458788/ https://www.ncbi.nlm.nih.gov/pubmed/34556036 http://dx.doi.org/10.1186/s12872-021-02267-0 |
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author | Mamataz, Taslima Ghisi, Gabriela L. M. Pakosh, Maureen Grace, Sherry L. |
author_facet | Mamataz, Taslima Ghisi, Gabriela L. M. Pakosh, Maureen Grace, Sherry L. |
author_sort | Mamataz, Taslima |
collection | PubMed |
description | BACKGROUND: Women do not participate in cardiac rehabilitation (CR) to the same degree as men; women-focused CR may address this. This systematic review investigated the: (1) nature, (2) availability, as well as (3a) utilization of, and (b) satisfaction with women-focused CR. METHODS: Medline, Pubmed, Embase, PsycINFO, CINAHL, Web of Science, Scopus and Emcare were searched for articles from inception to May 2020. Primary studies of any design were included. Adult females with any cardiac diseases, participating in women-focused CR (i.e., program or sessions included ≥ 50% females, or was 1-1 and tailored to women’s needs) were considered. Two authors rated citations for inclusion. One extracted data, including study quality rated as per the Mixed-Methods Assessment Tool (MMAT), which was checked independently by a second author. Results were analyzed in accordance with the Synthesis Without Meta-analysis (SWiM) reporting guideline. RESULTS: 3498 unique citations were identified, with 28 studies (53 papers) included (3697 women; ≥ 10 countries). Globally, women-focused CR is offered by 40.9% of countries that have CR, with 32.1% of programs in those countries offering it. Thirteen (46.4%) studies offered women-focused sessions (vs. full program), 17 (60.7%) were women-only, and 11 (39.3%) had gender-tailoring. Five (17.9%) programs offered alternate forms of exercise, and 17 (60.7%) focused on psychosocial aspects. With regard to utilization, women-focused CR cannot be offered as frequently, so could be less accessible. Adherence may be greater with gender-tailored CR, and completion effects are not known. Satisfaction was assessed in 1 trial, and results were equivocal. CONCLUSIONS: Women-focused CR involves tailoring of content, mode and/or sex composition. Availability is limited. Effects on utilization require further study. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-02267-0. |
format | Online Article Text |
id | pubmed-8458788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84587882021-09-23 Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review Mamataz, Taslima Ghisi, Gabriela L. M. Pakosh, Maureen Grace, Sherry L. BMC Cardiovasc Disord Research BACKGROUND: Women do not participate in cardiac rehabilitation (CR) to the same degree as men; women-focused CR may address this. This systematic review investigated the: (1) nature, (2) availability, as well as (3a) utilization of, and (b) satisfaction with women-focused CR. METHODS: Medline, Pubmed, Embase, PsycINFO, CINAHL, Web of Science, Scopus and Emcare were searched for articles from inception to May 2020. Primary studies of any design were included. Adult females with any cardiac diseases, participating in women-focused CR (i.e., program or sessions included ≥ 50% females, or was 1-1 and tailored to women’s needs) were considered. Two authors rated citations for inclusion. One extracted data, including study quality rated as per the Mixed-Methods Assessment Tool (MMAT), which was checked independently by a second author. Results were analyzed in accordance with the Synthesis Without Meta-analysis (SWiM) reporting guideline. RESULTS: 3498 unique citations were identified, with 28 studies (53 papers) included (3697 women; ≥ 10 countries). Globally, women-focused CR is offered by 40.9% of countries that have CR, with 32.1% of programs in those countries offering it. Thirteen (46.4%) studies offered women-focused sessions (vs. full program), 17 (60.7%) were women-only, and 11 (39.3%) had gender-tailoring. Five (17.9%) programs offered alternate forms of exercise, and 17 (60.7%) focused on psychosocial aspects. With regard to utilization, women-focused CR cannot be offered as frequently, so could be less accessible. Adherence may be greater with gender-tailored CR, and completion effects are not known. Satisfaction was assessed in 1 trial, and results were equivocal. CONCLUSIONS: Women-focused CR involves tailoring of content, mode and/or sex composition. Availability is limited. Effects on utilization require further study. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-02267-0. BioMed Central 2021-09-23 /pmc/articles/PMC8458788/ /pubmed/34556036 http://dx.doi.org/10.1186/s12872-021-02267-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Mamataz, Taslima Ghisi, Gabriela L. M. Pakosh, Maureen Grace, Sherry L. Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title | Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title_full | Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title_fullStr | Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title_full_unstemmed | Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title_short | Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
title_sort | nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458788/ https://www.ncbi.nlm.nih.gov/pubmed/34556036 http://dx.doi.org/10.1186/s12872-021-02267-0 |
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