Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: A systematic review

Página do item simplificado
dc.contributor.authorVanzella, Lais Manata [UNESP]
dc.contributor.authorRouse, Veronica
dc.contributor.authorAjwani, Fatim
dc.contributor.authorDeilami, Niloufar
dc.contributor.authorPokosh, Maureen
dc.contributor.authorOh, Paul
dc.contributor.authorGhisi, Gabriela Lima De Melo
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity Health Network
dc.contributor.institutionToronto Rehabilitation Institute
dc.date.accessioned2022-04-29T08:31:32Z
dc.date.available2022-04-29T08:31:32Z
dc.date.issued2021-10-04
dc.description.abstractObjective: To identify individual-, provider- and system/environmental-level barriers and facilitators affecting cardiac rehabilitation (CR) participants' adherence to dietary recommendations. Design: A systematic review of the medical literature was conducted. Six databases were searched from inception through March 2021: APA PsycInfo, CINAHL, Embase, Emcare, Medline and PubMed. Only those studies referring to barriers and facilitators reported by CR participants were considered. Pilot and case report studies, non-peer-reviewed literature and studies published in a language other than English, Portuguese or Spanish were excluded. Results: Data were extracted and analysed on the basis of individual-, provider- and system/environmental-level factors. Of 2083 initial citations, sixteen studies were included, with nine being qualitative and seven observational in design. From these, ten multi-level barriers and seven multi-level facilitators were identified. Dietary recommendations included developing healthy eating habits, transitioning to vegetarian-rich diets and increasing fish oil and n-3 intake. Only one study reported on all of the nutrition education programme factors recommended by the Workgroup for Intervention Development and Evaluation Research. Conclusion: To the best of our knowledge, this review is the first to summarise specific barriers and facilitators to recommendation adherence among CR participants. Few of the studies offered any conclusions regarding programme design that could facilitate improved dietary adherence practices. Future studies should aim to explore patient perspectives on the nutritional patterns and recommendations outlined in the Mediterranean Diet, the Dietary Approaches to Stop Hypertension Diet, Vegetarian or Vegan diets and the Portfolio Diet.en
dc.description.affiliationSão Paulo State University School of Technology and Sciences Presidente Prudente
dc.description.affiliationToronto Rehabilitation Institute Cardiovascular Prevention and Rehabilitation Program University Health Network, 347 Rumsey Road
dc.description.affiliationLibrary and Information Services University Health Network Toronto Rehabilitation Institute
dc.description.affiliationUnespSão Paulo State University School of Technology and Sciences Presidente Prudente
dc.format.extent4823-4839
dc.identifierhttp://dx.doi.org/10.1017/S1368980021002962
dc.identifier.citationPublic Health Nutrition, v. 24, n. 15, p. 4823-4839, 2021.
dc.identifier.doi10.1017/S1368980021002962
dc.identifier.issn1475-2727
dc.identifier.issn1368-9800
dc.identifier.scopus2-s2.0-85111967329
dc.identifier.urihttp://hdl.handle.net/11449/229282
dc.language.isoeng
dc.relation.ispartofPublic Health Nutrition
dc.sourceScopus
dc.subjectCardiac rehabilitation
dc.subjectCVD
dc.subjectDiet
dc.subjectTreatment adherence and compliance
dc.titleBarriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: A systematic reviewen
dc.typeResenha

Arquivos

Coleções

Artigos - Estatística - FCT