Related Experiment Video
Updated: Nov 20, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Barriers to Cardiac Rehabilitation in Ethnic Minority Groups: A Scoping Review
Lais Manata Vanzella1, Paul Oh2, Maureen Pakosh3
1Department of Physiotherapy, São Paulo State University - School of Technology and Sciences, Presidente Prudente, São Paulo, Brazil.
Abstract:
Cardiac rehabilitation (CR) is under-utilized by ethnic minorities. This study aimed to identify barriers associated with referral, enrollment, and completion/adherence of CR for cardiac participants from ethnic minorities. Medline, Embase, Emcare, CINAHL, Pubmed and APA PsycInfo were searched from data inception through January 2020. We excluded studies referring to race minorities, considering barriers reported by providers or family members, and those published in languages other than English or Portuguese. Data was extracted in an individual, provider, and system level. Of 1847 initial citations, 20 studies were included, with most being qualitative in design and classified as "good" quality. Overall, 12 multi-level barriers were identified in the three CR participation phases, with language being present in all phases. Barriers reported in ethnic minority groups are multi-level. Although identified, literature did not support recommendations to overcome these barriers and clearly more research in this area is needed.
More Related Videos
Related Concept Videos
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Surveys
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy V: Interprofessional Care
Bias in Epidemiological Studies
Stereotypes, Prejudice, and Discrimination

