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Mental health
Randomised controlled trial
Tailoring and targeting interventions for women with heart disease: the need for gender-based approaches
  1. Patricia M Davidson
  1. Centre for Cardiovascular and Chronic Care, University of Technology Sydney, Sydney, New South Wales, Australia
  1. Correspondence to: Patricia M Davidson
    Centre for Cardiovascular and Chronic Care, Level 7, Building 10, Jones Street, Broadway, Sydney, NSW 2007, Australia; patriciamary.davidson{at}uts.edu.au

https://doi.org/10.1136/ebn.2011-100102

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    Commentary on: Beckie TM, Beckstead JW, Schocken DD, et al. The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: a randomized clinical trial. Int J Nurs Stud 2011; 48:3–12.OpenUrlCrossRefPubMedWeb of Science

    Implications for practice and research

    • Increasingly, there is recognition that women with heart disease have greater psychological morbidity than men.

    • Owing to increased rates of depression and other factors, such as older age, women are less likely to adhere to behaviour change strategies and attend cardiac rehabilitation (CR).

    • A tailored and targeted approach, using a gender-based framework and a theoretically derived behaviour change strategy, can improve depressive symptoms in women following an acute cardiac event.

    • The worth of tailoring and targeting strategies to women's readiness to change behaviours as well as the likely benefit of providing a gender-based approach to care delivery.

    • The need to replicate this study in other study settings and in women from cultural and linguistically diverse groups.

    • The importance of measuring process measures and ensuring monitoring of intervention fidelity in research.

    Context

    In developed countries, coronary heart disease (CHD) contributes to death and disability among women.1 Gender is a dynamic and socially defined construct comprising role enactment, values and beliefs of men and women. Gender-based roles and health …

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    Footnotes

    • Competing interests PMD has previously undertaken funded research on women and heart disease.