Michelle Constable
Exploring the illness perceptions and coping strategies of decliners of cardiac-rehabilitation programmes
Constable, Michelle
Authors
Abstract
Coronary heart disease (CHD) is the leading cause of mortality worldwide. Cardiac-rehabilitation (CR) can be effective in the secondary prevention of CHD demonstrating improved physical and psychological outcomes for those who attend. However, only 50% of eligible UK patients attend. Literature to date has focused on patients who attend CR or those who drop out. In this study the illness perceptions and coping strategies of patients who decline CR were explored using the Common-sense Model of Self-regulation (Leventhal, Nerez, and Steele, 1984) and the Transactional Model of Stress and Coping (Lazarus and Folkman, 1984). Using a qualitative approach, 10 patients (five male and five female), took part in semi-structured interviews within six months of referral to a CR programme. Thematic analysis indicated that decliners of CR programmes report very low levels of illness identity and that benefits of CR were poorly understood. This is pivotal to understanding reasons for non-engagement as previous research suggests that CR attenders, and those who drop out report high levels of illness identity. Emotion focused strategies dominated accounts, however, secondary prevention strategies such as walking, were independently employed. Participants voiced a desire for alternative support that was tailored to their needs, often later in their recovery journey, such as lifestyle changes and psychological adjustment with flexible delivery approaches such as telephone or digital support. This study demonstrates the importance of understanding the illness perceptions of CR decliners to support secondary prevention strategies and effective support for CHD patients.
Thesis Type | Thesis |
---|---|
Deposit Date | Nov 14, 2019 |
Publicly Available Date | Dec 23, 2019 |
Public URL | https://uwe-repository.worktribe.com/output/4616794 |
Award Date | Nov 14, 2019 |
Files
Exploring the illness perceptions and coping strategies of decliners of cardiac-rehabilitation programmes
(987 Kb)
PDF
Licence
http://www.rioxx.net/licenses/all-rights-reserved
Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved
Downloadable Citations
About UWE Bristol Research Repository
Administrator e-mail: repository@uwe.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search