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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.
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 …
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