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Community Cardiac Rehabilitation Program: Lessons Learned for Long-Term Outcomes.

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Summary
This summary is machine-generated.

Cardiac rehabilitation Phase II (CR II) participants maintained behavioral outcomes but not all clinical outcomes 6 months post-program. Innovative strategies are needed to support long-term patient health and quality of life.

Keywords:
behavioralcardiac eventcardiac rehabilitationdietexerciselong‐term outcomes

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Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Maintaining positive outcomes from cardiac rehabilitation Phase II (CR II) is challenging.
  • Barriers to sustained physical activity and risk factor management in CR maintenance (CR III) are known.
  • Research supports CR II outcomes up to 12 months, but long-term maintenance requires further investigation.

Purpose of the Study:

  • To assess the sustained clinical, quality-of-life (QOL), and behavioral outcomes 6 months after CR II completion.
  • To explore participants' experiences, including barriers and facilitators, in maintaining health post-CR II.

Main Methods:

  • A longitudinal, explanatory sequential study design.
  • 155 participants completed reassessments and an online survey.
  • Statistical analysis included MANOVA and summative content analysis.

Main Results:

  • Participants sustained behavioral outcomes like physical activity, tobacco status, diet, and QOL.
  • Clinical outcomes such as weight, blood pressure, and depression worsened or returned to pre-CR II levels.
  • Participants identified exercise, weight management, diet, QOL, family, and friends as key motivators and concerns.

Conclusions:

  • Innovative strategies integrated into CR II are crucial for extending benefits into CR III.
  • Digital technology, eHealth, and structured behavioral weight loss interventions can enhance long-term maintenance.
  • Developing robust support systems and tools before program completion is essential for initiating maintenance care.