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Rehabilitation Among Women with Coronary Heart Disease (REACH)

Centers for Disease Control
U48/CCU309674
Total Direct Costs: $199,390
9/30/2000 - 9/29/2003

Jerilyn K. Allen

Jerilyn K. Allen
Principal Investigator

Aim

The purpose of this study was to determine the rate at which women who were eligible, were referred to cardiac rehabilitation.

Meet the Investigators

Method

The purpose of this study was to determine the predictors of referral and enrollment, including racial differences, in phase 2 cardiac rehabilitation programs among African-American and white women who are eligible for such programs.

We found disparities in cardiac rehabilitation program participation, with women with lower incomes less likely to be referred and to have lower enrollment rates in cardiac rehabilitation and a strong trend for African-American women to be less likely to be referred and enroll. Because almost all patients who have had an acute coronary event—with or without revascularization procedures—will benefit from cardiac rehabilitation, automatic referral systems should be considered to increase utilization and reduce disparities.

Publications

Benz Scott L, Allen JK. (2004) Providers’ perceptions of factors affecting women’s referral to outpatient cardiac rehabilitation programs: An exploratory study. Journal of Cardiopulmonary Rehabilitation, 24(6), 387-391.*

Allen JK, Benz Scott L, Stewart KS, Young DR. (2004) Disparities in women’s referral to and enrollment in outpatient cardiac rehabilitation. Journal of General Internal Medicine, 19(7), 747-753.*

Benz-Scott L, Ben-Or K, Allen JK. (2002) Why are women missing from outpatient cardiac rehabilitation programs? A review of multi-level factors affecting referral, enrollment, and completion. Journal of Women's Health and Gender Based Medicine, 11(9), 773-791.

Posters

CLINCH/REACH Study/Racial Disparities and Provider Slides.ppt (Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs)

CLINCH/REACH Study/Depression poster.ppt (Predictors of Depression in African American & White Women Eligible for Cardiac Rehabilitation)

Abstracts

Allen JK, Scott LB, Curtis C, Lavis A. (2003) Disparities in referral and enrollment of women in cardiac rehabilitation programs. [Abstract] Circulation, 108(17), IV-382.

Presentations

March 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs. American Heart Association 43rd Annual Conference on Cardiovascular Disease Epidemiology and Prevention in association with the Council on Nutrition, Physical Activity and Metabolism. Miami, FL*

November 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs. American Heart Association Annual Scientific Sessions. Orlando, FL.

October 2003 Allen, JK, Scott, LB, Curtis, C, Lavis, A. Racial Disparities in Referral and Enrollment of Women in Cardiac Rehabilitation Programs, American Association of Cardiovascular and Pulmonary Rehabilitation Annual Meeting. Kansas City, MO.

May 2005 Benz Scott, L, Allen, J, DeTurk, W. Factors Affecting Physician Referral Patterns to Outpatient Cardiac Rehabilitation: Barriers and Strategies to Improve Access and Utilization. New York State Cardiac and Pulmonary Rehabilitation Association’s Annual Conference. Lake George, New York (invited).

February 2003 Jabaji, KB, Benz Scott, L, Young, DR, Stewart, K, Curtis, C, Lavis, A, Allen, JK. Predictors of Depression in African-American & White Women Eligible for Cardiac Rehabilitation. Southern Nursing Research Society 17th Annual Conference. Orlando, Florida.*

Additional Resources