KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Canada; Faculty of Health, York University, Toronto, Canada.
Faculty of Health, York University, Toronto, Canada.
Patient Educ Couns. 2025 Jan;130:108463. doi: 10.1016/j.pec.2024.108463. Epub 2024 Oct 9.
To test the limited efficacy of women-focused educational materials within supervised cardiac rehabilitation (CR) for the first time when compared to standard co-educational CR.
A multi-site, prospective, pilot study with blinded outcome assessment was conducted at two Canadian CR programs. At intake, participants selected women-only CR with women-focused education (12 weeks) or a standard co-educational program (16 weeks). Both were comprehensive programs, with one education session/week. Outcomes were disease-related knowledge, functional capacity, quality of life, and heart-health behaviours.
Of 114 women approached, 62 (54.4 %) consented. Forty elected the women-only CR program. Pre-CR medication adherence was high. Participants attended approximately 60 % of sessions; 55 (88.7 %) were retained at follow-up. Significant improvements in knowledge, quality of life, and functional capacity were observed in both groups (all p < .05). With adjustment for pre-CR scores, participants in women-only CR exhibited significantly greater improvements in knowledge (p < .05) and adherence to the Mediterranean diet (p = .04) post-program compared to control participants.
Results support of the utility of this women-focused education in the CR setting.
Integrating women-focused education in CR can enhance health outcomes and address specific needs of female patients.
首次在监督下的心脏康复（CR）中测试以女性为重点的教育材料的有限效果，与标准的男女同校 CR 相比。
在加拿大的两个 CR 项目中进行了一项多地点、前瞻性、试点研究，结果评估为盲法。在入学时，参与者选择仅限女性参加的 CR 并接受以女性为重点的教育（12 周）或标准的男女同校项目（16 周）。两者都是综合项目，每周有一次教育课程。结果是疾病相关知识、功能能力、生活质量和心脏健康行为。
在 114 名被接触的女性中，有 62 名（54.4%）同意。其中 40 人选择了仅限女性参加的 CR 计划。CR 前的药物依从性很高。参与者大约参加了 60%的课程；55 人（88.7%）在随访时保留。两组的知识、生活质量和功能能力均有显著改善（均 p<0.05）。在调整 CR 前的分数后，与对照组相比，仅限女性参加的 CR 组的参与者在知识（p<0.05）和地中海饮食的依从性（p=0.04）方面的改善更为显著。
结果支持在 CR 环境中使用这种以女性为重点的教育的效用。
在 CR 中整合以女性为重点的教育可以增强健康结果，并满足女性患者的特定需求。
