Determinants of Progression From Phase III to IV Cardiac Rehabilitation

Summary

This study will determine the limiting factors in progression from phase III to IV cardiac rehabilitation in underepresented populations (as defined by the National Audit of Cardiac Rehab, NACR). This will be done by recruiting participants from phase III cardiac rehab programmes and issuing questionnaires (either a non-initiator questionnire, or an initiator questionnaire based on if the participant is intiating into phase IV cardiac rehab. The questionnaires will assess reasons for/against progression as well as collecting some demographic and data indicative of socioeconomic status. Semi-structured interviews will then be conducted to assess reasons/barriers for progression to phase IV in a convenience sample of both initiators and non-initiators.

Eligibility

Inclusion Criteria:

* • Those participating in phase III cardiac rehabilitation and nearing successful completion of the programme

  * Subjects capable of giving informed consent
  * \>18 years old
  * Clinically stable
  * Successful completion of an NHS commissioned hospital or community based phase III programme
  * Belong to one of the groups being investigated: Underrepresented groups based on the NACR report, i.e. females and ethnic minorities (defined as all people except those in the "White" ethnic group in Great Britain) (22)

Exclusion Criteria:

* • Unstable/uncontrolled coronary heart disease

  * Those presenting with any significant comorbidities or contraindications to exercise testing or training in accordance with the American College of Sports Medicine (11)

Conditions2

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