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Rehabilitation Among Women with Coronary Heart Disease

Funding:

Sponsored by: CDC - Centers for Disease Control and Prevention, Outpatient Cardiac Rehabilitation Among Women, U48/CCU309674 SIP1, $199,998, direct costs

Dates: 2000-2002

Investigators:

• Principal Investigator: Jerilyn K. Allen, RN, ScD, FAAN
• Co-Investigator: Lisa Benz Scott, PhD, MS
• Co-Investigator: Kerry Stewart, EdD
• Co-Investigator: Debbie Rohm Young, PhD
• Co-Investigator: Keren Ben-Or, RN, CRNP
• Project Coordinator: Carol Curtis

Abstract:

The goal of this project is to assess the determinants of enrollment and participation in cardiac rehabilitation in African-American and White women who have coronary heart disease. It addresses the facilitators for and barriers to cardiac rehabilitation. It looks at possible racial disparities in attendance, gaps in knowledge regarding physicians’ referral patterns, and the relative influence of system factors.

Although cardiac rehabilitation has been shown to favorably change heart disease risk factor profiles of men, few data are available for women, and the data based on male participants cannot be accurately generalized to the female population. Overall, there is some evidence that women benefit from participation in cardiac rehabilitation and that the pathways to enrollment and completion of cardiac rehabilitation programs differ in important ways from men. There is virtually no data describing the effect of cardiac rehabilitation on nonwhite women, despite a greater prevalence of cardiac risk factors and cardiovascular disease related morbidity and mortality among African-Americans.

CLINCH/REACH Study/Racial Disparities and Provider Slides.ppt (Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs)

CLINCH/REACH Study/Depression poster.ppt (Predictors of Depression in African American & White Women Eligible for Cardiac Rehabilitation)

Benz Scott L, Allen JK. (2004) Providers’ perceptions of factors affecting women’s referral to outpatient cardiac rehabilitation programs: An exploratory study. Journal of Cardiopulmonary Rehabilitation, 24(6), 387-391.*

Allen JK, Benz Scott L, Stewart KS, Young DR. (2004) Disparities in women’s referral to and enrollment in outpatient cardiac rehabilitation. Journal of General Internal Medicine, 19(7), 747-753.*

Benz-Scott L, Ben-Or K, Allen JK. (2002) Why are women missing from outpatient cardiac rehabilitation programs? A review of multi-level factors affecting referral, enrollment, and completion. Journal of Women's Health and Gender Based Medicine, 11(9), 773-791.

Allen JK, Scott LB, Curtis C, Lavis A. (2003) Disparities in referral and enrollment of women in cardiac rehabilitation programs. [Abstract] Circulation, 108(17), IV-382.

March 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs. American Heart Association 43rd Annual Conference on Cardiovascular Disease Epidemiology and Prevention in association with the Council on Nutrition, Physical Activity and Metabolism. Miami, FL*

November 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs. American Heart Association Annual Scientific Sessions. Orlando, FL.

October 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs, American Association of Cardiovascular and Pulmonary Rehabilitation Annual Meeting. Kansas City, MO.

May, 2005 Benz Scott, L, Allen, J, DeTurk, W. Factors Affecting Physician Referral Patterns to Outpatient Cardiac Rehabilitation: Barriers and Strategies to Improve Access and Utilization. New York State Cardiac and Pulmonary Rehabilitation Association’s Annual Conference. Lake George, New York (invited).

February, 2003 Jabaji, KB, Benz Scott, L, Young, DR, Stewart, K, Curtis, C, Lavis, A, Allen, JK. Predictors of Depression in African-American & White Women Eligible for Cardiac Rehabilitation. Southern Nursing Research Society 17th Annual Conference. Orlando, Florida.*