Systematic review finds no difference in effect between home and centre-based cardiac rehabilitation on mortality, morbidity and modifiable risk factors in patients with CHD
- Correspondence to Monica Parry
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, Ontario M5T 1P8, Canada; monica.parry{at}utoronto.ca
The physical and psychosocial benefits of centre-based cardiac rehabilitation programmes are well established.1 2 Unfortunately, only one-third of individuals referred participate, and only one-third of participants continue to attend after 6 months.3 Barriers to participation in and adherence to centre-based cardiac rehabilitation programmes include issues surrounding family responsibilities, employment, social support, self-esteem, geographical distance, transportation and parking.3,–,6
The systematic review by Dalal and colleagues suggests that home-based cardiac rehabilitation programmes are as effective as centre-based programmes in improving clinical …
