Article

Participation in exercise programs postmyocardial infarction is highly
protective against future events and mortality. Unfortunately, uptake and
maintenance of exercise participation has been documented as being low. This is
thought to be due to a myriad of barriers. Qualitative research is a powerful
tool to explain behaviors.
We sought to summarize existing qualitative literature
exploring patient perspectives of participation in exercise after a cardiac event. METHODS:
We updated and built upon a previous systematic review and
meta-synthesis by identifying qualitative literature that was not previously
captured. We used grounded formal theory to synthesize the qualitative findings
in the selected literature. This process led to the development of a
comprehensive conceptual framework for understanding the determinants of exercise
participation. RESULTS:
We found that external, internal, and cultural factors
work together as umbrella themes to influence exercise initiation and continued
participation in patients who have experienced a cardiac event. Internal factors
expand into physical, cognitive, and emotional domains, which include fear,
motivation, and mood. External factors include the domains of pragmatic and
social considerations such as safety, accessibility, and social support networks.
Cognitive and social domains were the most frequently cited factors influencing
participation in exercise programs. CONCLUSIONS:
The framework we outline allows
for a more complete understanding of the factors that influence the exercise
behaviors of patients with coronary artery disease.
Cardiac rehabilitation
programs should consider the key factors and capitalize on this knowledge, making
these facilitators rather than barriers to exercise participation.

Langue : ANGLAIS