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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation
Author(s): Munro, Julie
Angus, Neil J
Lauder, William
Atherton, Iain
Evans, Josie
Leslie, Stephen
Keywords: cardiac rehabilitation
illness perceptions
illness attributions
Issue Date: Feb-2014
Date Deposited: 15-Apr-2013
Citation: Munro J, Angus NJ, Lauder W, Atherton I, Evans J & Leslie S (2014) The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation. European Journal of Cardiovascular Nursing, 13 (1), pp. 55-62.
Abstract: Background: Despite the established benefits of cardiac rehabilitation (CR) attendance rates remain variable. Physical barriers to attendance have been extensively investigated but relatively less is known about the relationship between attendance at CR and psychosocial variables such as illness perceptions and social isolation. Aim: To examine the influence of socio-demographic factors, illness perceptions and social isolation on patient attendance at cardiac rehabilitation. Methods: All individuals offered CR over a two-year period were invited to take part in a postal survey. The survey collected socio-demographic data and included completion of the Friendship Scale, to assess social isolation, and the Brief Illness Perceptions Questionnaire. Parametric and non-parametric statistical tests were used as appropriate. Results: One hundred and twenty-eight (47%) questionnaires were returned. Non-attendees reported higher total illness perception scores and those who attributed their illness to non-modifiable factors were significantly less likely to attend CR (p = 0.042). Attendees reported lower levels of social isolation; however, this finding was not statistically significant. No differences were found between attendees and non-attendees in terms of their age, gender, educational status or proximity to cardiac rehabilitation centre. Conclusion: Psychosocial barriers, specifically illness perceptions and attributions, were found to be significant with patients who did not attend CR reporting more negative illness perceptions. Distance to CR was not a significant factor influencing attendance. Early screening of perceived causal attributions may help to identify those who would benefit from early and targeted intervention to increase participation in CR. Future prospective studies would permit testing of screening approaches and early interventions.
DOI Link: 10.1177/1474515113477272
Rights: Publisher policy allows this work to be made available in this repository. Published in European Journal of Cardiovascular Nursing, February 2014 vol. 13 no. 1 55-62 by SAGE. The original publication is available at

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