CRBS Use and Citation Information
CRBS Psychometric Properties
CRBS Scoring Information
CRBS Instruction and Languages/Translations
There are several potential approaches to overcoming barriers to enrollment and participation in CR, many of which can easily be discussed with patients at the time of referral. Interventions that could help patients overcome one of the most prominent barriers “already exercise at home or in my community” include conveying to patients that in addition to exercise, CR programs include other beneficial components such as education and counselling that could assist in their recovery process. They could also be informed about the benefits of CR participation with regard to morbidity, mortality, health behaviour change, and quality of life. Moreover, a candid discussion about patterns of decline in exercise behaviour that can be prevented through CR may be indicated. Patients who report “distance,” “travel,” and “severe weather” as barriers, could be informed of and referred to structured and monitored home-based CR programs. Home-based CR programs have been implemented to overcome distance and transportation barriers, and these programs have been found to be as effective in reducing risk factors and recurrent cardiac events as hospital-based CR programs. For those patients who report “work responsibilities” as a barrier, they could be referred to CR programs offering evening and weekend sessions where available to accommodate their needs.
Future work in this area is under consideration. We would be happy to hear from you with ideas and/or to collaborate.