Article

PURPOSE: Encouraging patients to continue regular activity beyond the period of
formal cardiac, heart failure, or pulmonary rehabilitation is a challenge faced
by all program coordinators. The purpose of this study was to evaluate the
feasibility of a community model run by fitness instructors as long-term
maintenance for patients exiting a disease-specific rehabilitation program.
METHODS: Heartmoves programs were established in close proximity to all major
tertiary hospitals in Brisbane, Queensland, Australia, and all eligible patients
were offered supported referral to a program. Referred patients and
rehabilitation staff were surveyed regarding perceived barriers to attendance.
Referral rates and individual attendance rates for the first 12 weeks were
recorded. RESULTS: Over 12 months, 241 patients were referred to a community
Heartmoves class, of whom 141 (59%) attended at least once and 76 (32% of
referrals, 54% of initial attendees) attended more than 6 of the first 12 weeks.
Preattendance surveys identified concerns about quality and safety, as well as
social and logistic barriers. The programs proved to be sustainable, as evidenced
by the growth of programs from 18 at the end of the project to 31 over a 18-month
period. CONCLUSIONS: A supported referral pathway to Heartmoves provides a
feasible and acceptable model for maintenance exercise following cardiac, heart
failure, and pulmonary rehabilitation. Strategies that recognize and address
barriers perceived by participants and by rehabilitation program staff should be
part of the supported referral process.

Langue : ANGLAIS

Tiré à part : OUI