Adherence to Home Based Cardiac Rehabilitation

Cardiac rehabilitation (CR) is recommended for those living with heart disease, however adherence is suboptimal. The home program (HP) model of care is as clinically effective as traditional programs (TP), however little information exists about the HP’s effect on adherence. The objectives of this thesis were to 1) compare adherence of patients in a HP and TP model of CR. 2) To characterize self-regulatory self-efficacy (SR-SE) in a CR HP and 3) to explore the reasons for non-completion of a HP. Study 1 showed adherence to be similar between the TP and HP. Study 2 showed that SR-SE was high throughout the HP for completers, but dropped in those who did not complete the program. The HP is a good alternative for those unable to attend a TP; however those with low SR-SE may require further interventions to help them complete their program.MAS