Pinero de Plaza Maria Alejandra, Hutchinson Claire, Beleigoli Alline, Tieu Matthew, Lawless Michael, Conroy Tiffany, Feo Rebecca, Clark Robyn A, Dafny Hila, McMillan Penelope, Allande-Cussó Regina, Kitson Alison A
Caring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
The Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, Northwest Territories, Australia.
J Adv Nurs. 2025 Aug;81(8):5163-5180. doi: 10.1111/jan.16312. Epub 2024 Jul 16.
AIM(S): To operationalize the Caring Life Course Theory (CLCT) as a framework for improving cardiac rehabilitation (CR) engagement and informing ways to address disparities in rural, low socio-economic areas.
A secondary analysis of data collected from 15 CR programmes to identify CR patterns through the CLCT lens using a mixed-methods approach. All analytical processes were conducted in NVivo, coding qualitative data through thematic analysis based on CLCT constructs. Relationships among these constructs were quantitatively assessed using Jaccard coefficients and hierarchical clustering via dendrogram analysis to identify related clusters.
A strong interconnectedness among constructs: 'care from others', 'capability', 'care network' and 'care provision' (coefficient = 1) highlights their entangled crucial role in CR. However, significant conceptual disparities between 'care biography' and 'fundamental care' (coefficient = 0.4) and between 'self-care' and 'care biography' (coefficient = 0.384615) indicate a need for more aligned and personalized care approaches within CR.
The CLCT provides a comprehensive theoretical and practical framework to address disparities in CR, facilitating a personalized approach to enhance engagement in rural and underserved regions.
Integrating CLCT into CR programme designs could effectively address participation challenges, demonstrating the theory's utility in developing targeted, accessible care interventions/solutions.
Explored the challenge of low CR engagement in rural, low socio-economic settings. Uncovered care provision, transitions and individual care biographies' relevance for CR engagement. Demonstrated the potential of CLCT to inform/transform CR services for underserved populations, impacting practices and outcomes.
EQUATOR-MMR-RHS.
A consumer co-researcher contributed to all study phases.
将关爱生命历程理论（CLCT）作为一个框架加以运用，以改善心脏康复（CR）参与情况，并为解决农村低社会经济地区的差异问题提供指导方法。
对从15个心脏康复项目收集的数据进行二次分析，采用混合方法，通过关爱生命历程理论视角识别心脏康复模式。所有分析过程均在NVivo中进行，基于关爱生命历程理论构建通过主题分析对定性数据进行编码。使用雅卡尔系数对这些构建之间的关系进行定量评估，并通过树状图分析进行层次聚类，以识别相关聚类。
“他人关怀”“能力”“关怀网络”和“关怀提供”这些构建之间存在很强的相互关联性（系数 = 1），突出了它们在心脏康复中相互交织的关键作用。然而，“关怀传记”与“基本关怀”之间（系数 = 0.4）以及“自我关怀”与“关怀传记”之间（系数 = 0.384615）存在显著的概念差异，这表明在心脏康复中需要更协调一致且个性化的关怀方法。
关爱生命历程理论提供了一个全面的理论和实践框架，以解决心脏康复中的差异问题，促进采用个性化方法，增强农村及服务不足地区的参与度。
将关爱生命历程理论纳入心脏康复项目设计中可有效应对参与挑战，证明该理论在制定有针对性、可及的关怀干预措施/解决方案方面的效用。
探讨了农村低社会经济环境中心脏康复参与率低的挑战。揭示了关怀提供、过渡以及个人关怀传记与心脏康复参与的相关性。证明了关爱生命历程理论为服务不足人群提供信息/改变心脏康复服务的潜力，影响实践和结果。
EQUATOR - MMR - RHS。
一名消费者共同研究者参与了所有研究阶段。
