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Updated: Jun 12, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Poor use of cardiac rehabilitation among older adults: a self-regulatory model for tailored interventions
Carrie N Keib1, Nancy R Reynolds, Karen L Ahijevych
1Department of Nursing, Cedarville University, Cedarville, Ohio 45314, USA. ckeib@cedarville.edu
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.
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