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Illness representation and cardiac rehabilitation utilization among older adults

Keib, Carrie Nicole
http://rave.ohiolink.edu/etdc/view?acc_num=osu1195586267

Abstract Details

2007, Doctor of Philosophy, Ohio State University, Nursing.
Coronary heart disease (CHD) is the number one cause of mortality and disability in the United States (U.S.). The burden of CHD disproportionately impacts the older adult population of the U.S. in relation to mortality, disability, and economic cost. The secondary prevention of CHD may be effectively promoted through cardiac rehabilitation utilization. Unfortunately, only 6.6% to 53.5% of eligible adults 65 years or older in the U.S. participate in cardiac rehabilitation. Research efforts have identified a variety of factors that influence older adult participation in cardiac rehabilitation. The purpose of this dissertation was to develop, pilot test, and evaluate the effectiveness of a tailored illness representation intervention to increase cardiac rehabilitation utilization among older adults. The first manuscript reviews the literature related to representations of cardiac rehabilitation and CHD among older adults. From this review of literature, a preliminary self-regulatory model of cardiac rehabilitation utilization is proposed to guide the development of tailored interventions to increase cardiac rehabilitation utilization among older adults. The second manuscript reports a complete, detailed description of the research design, tailored illness representation intervention, study procedures, and results of the present pilot study with implications for future research. The tailored illness representation was delivered during a single post hospital discharge home telephone session using a scripted protocol. The intervention was based upon the individual patient assessment of CHD illness representation during hospitalization for an AMI, angioplasty, stent, or coronary artery bypass graft surgery. Cardiac rehabilitation utilization rates in this pilot study were considerably higher than the national level. Sixty-seven percent of intervention group participants and 74% of control group participants attended at least one cardiac rehabilitation session. The majority of participants in the intervention and control group completed 75% or more of their prescribed cardiac rehabilitation program. Two significant predictors of cardiac rehabilitation utilization emerged in relation to illness representations of CHD: cyclical timeline and consequence dimensions. The final logistical model included two variables, cyclical timeline and consequence, and explained 34% of the variance in cardiac rehabilitation utilization. The final manuscript reports recruitment outcomes of the present pilot study with discussion.
Karen Ahijevych (Advisor)
102 p.
cardiac rehabilitation; illness representation; older adult

Recommended Citations

Citations

  • Keib, C. N. (2007). Illness representation and cardiac rehabilitation utilization among older adults [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1195586267

    APA Style (7th edition)

  • Keib, Carrie. Illness representation and cardiac rehabilitation utilization among older adults. 2007. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1195586267.

    MLA Style (8th edition)

  • Keib, Carrie. "Illness representation and cardiac rehabilitation utilization among older adults." Doctoral dissertation, Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1195586267

    Chicago Manual of Style (17th edition)

osu1195586267
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© 2007, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.