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Related Experiment Video

Updated: Jul 8, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Socioeconomic factors predict successful supervised exercise therapy completion.

Jack K Donohue1, Marissa Jarosinski2, Katherine M Reitz2

  • 1University of Pittsburgh School of Medicine, Pittsburgh, PA.

Journal of Vascular Surgery
|December 13, 2023
PubMed
Summary
This summary is machine-generated.

Supervised exercise therapy (SET) improves outcomes for intermittent claudication (IC) but has low completion rates. Socioeconomic status and functional limitations, not insurance, are key barriers to completing SET programs.

Keywords:
ClaudicationIntermittent claudicationPeripheral artery diseaseSupervised exercise therapy

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Area of Science:

  • Vascular Medicine
  • Rehabilitation Therapy
  • Health Services Research

Background:

  • Supervised exercise therapy (SET) is crucial for managing intermittent claudication (IC), reducing risks of limb-threatening ischemia and amputation.
  • Despite proven benefits, SET utilization is low, with high attrition rates among patients who start programs.
  • Socioeconomic factors are hypothesized as significant barriers to SET completion.

Purpose of the Study:

  • To identify predictors of supervised exercise therapy (SET) program completion in patients with intermittent claudication (IC).
  • To investigate the influence of socioeconomic and functional factors on SET adherence.
  • To understand the primary reasons for SET attrition in IC patients.

Main Methods:

  • Retrospective analysis of 52 IC patients referred to SET from 2018-2022.
  • Primary endpoint: SET program completion (36 sessions).
  • Multivariable logistic regression analyzed predictors of graduation; secondary endpoints included vascular intervention and ABI changes.

Main Results:

  • Only 40.38% of patients completed SET; lower income (ZIP code median <$47,000) and higher BMI were significant barriers.
  • Transportation issues, lack of motivation, and illness were primary reasons for non-completion.
  • SET participation significantly improved Metabolic Equivalent Level and Duke Activity Status scores.

Conclusions:

  • SET completion rates remain low (40%) in IC patients, influenced by socioeconomic and functional factors.
  • Holistic pre-referral assessments are needed to address barriers and improve SET program accessibility.
  • Interventions should target socioeconomic disparities and functional limitations to enhance SET adherence and outcomes.