@article{Angarita-Fonseca2024,

title = {Effect of two different types of exercise volumes on exercise capacity, physical activity and quality of life in subjects undergoing percutaneous coronary intervention: a pilot study},

author = {Adriana Angarita-Fonseca and Adriana Marcela Jacome-Hortua and Andrea Juliana Ortiz-Pati\~{n}o and Zully Roc\'{i}o Rinc\'{o}n-Rueda and Carmen Juliana Villamizar-Jaimes and Erica Tatiana Paredes-Prada and Juan Carlos S\'{a}nchez-Delgado},

doi = {10.5114/pq/178246},

issn = {2544-4395},

year  = {2024},

date = {2024-08-09},

urldate = {2024-08-09},

journal = {Physiother Quart.},

publisher = {Termedia Sp. z.o.o.},

abstract = {\<jats:sec\>\<jats:title\>Introduction\</jats:title\>\<jats:p\>Phase II of cardiac rehabilitation includes 36 sessions of exercise developed over 12 weeks, an intervention format that seems to be based on historical practice and not on scientific evidence. The objective was to evaluate the effect of two types of exercise volumes on exercise capacity, physical activity levels, and quality of life in subjects undergoing percutaneous coronary intervention.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\>A randomized controlled clinical trial was performed in 17 subjects, who were randomly assigned to two groups. The first (\textit{n} = 7) was trained for eight consecutive weeks, and the second (\textit{n} = 10) for 12 weeks. The six-minute walk test, the International Physical Activity Questionnaire, and the SF-36 were applied before starting the cardiac rehabilitation program at 8 and 12 weeks.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\>No significant differences were found between the intervention groups. The rise of VO2max was only significant in the 8-week group. Both groups improved the distance walked and sedentary behaviour. The 12-week intervention group improved the quality of life, specifically in physical functioning, and the 8-week intervention group in the domains of social function, physical, and emotional role. Additionally, the percentage of participants meeting physical activity recommendations was higher in the 12-week cardiac rehabilitation group.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusions\</jats:title\>\<jats:p\>The implication for the practice is that the exercise traditionally used in cardiac rehabilitation shows early changes in exercise capacity and quality of life. The results of the levels of physical activity and sedentary behaviour improved after 12 weeks of rehabilitation without the presence of adverse events.\</jats:p\>\</jats:sec\>},

keywords = {2024, adults, Cardiac Rehabilitation, Cardiovascular Diseases, Exercise},

pubstate = {published},

tppubtype = {article}

}

@article{Jacome-Hortua2024,

title = {Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol},

author = {Adriana Marcela Jacome-Hortua and Zully Rocio Rincon-Rueda and Diana C. Sanchez-Ramirez and Adriana Angarita-Fonseca},

doi = {10.3390/mps7020035},

issn = {2409-9279},

year  = {2024},

date = {2024-04-00},

urldate = {2024-04-00},

journal = {MPs},

volume = {7},

number = {2},

publisher = {MDPI AG},

abstract = {\<jats:p\>Although the effectiveness of cardiac rehabilitation (CR) programs in secondary prevention is well-recognized, there is a lack of studies exploring the potential of mobile health to enhance educational interventions within CR. The objective is to assess the impact of a structured WhatsApp-assisted health educational intervention, in conjunction with the usual care, compared to the usual care alone among participants enrolled in a CR program. The trial will recruit 32 participants enrolled in a CR program, who will be randomly assigned to a structured WhatsApp-assisted health educational intervention plus usual care or usual care alone group. The intervention will span 4 weeks, with assessments at baseline, 4 weeks, and 3, 6, and 12 months. The primary outcome measure is the cardiovascular risk factors knowledge score. Secondary outcomes include physical activity levels, anxiety and depression, and quality of life. Expected results include improved knowledge of cardiovascular risk factors, increased physical activity levels, and better mental health outcomes in the intervention group. Additionally, an enhancement in the overall quality of life is anticipated. These findings are expected to underscore the value of integrating mHealth with traditional CR methods, potentially shaping future approaches in chronic disease management and prevention.\</jats:p\>},

keywords = {2024, Cardiac Rehabilitation, Cardiovascular Diseases, Education, Health Education, Knowledge, Physiotherapy},

pubstate = {published},

tppubtype = {article}

}

@article{JA2022a,

title = {Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives},

author = {D. M. Rangel-cubillos and A. V. Vega-Silva and Y. F. Corzo-Vargas and M. C. Molano-Tordecilla and Y. P. Pe\~{n}uela-Ar\'{e}valo and K. M. Lagos-Pe\~{n}a and A. M. J\'{a}come-Hort\'{u}a and C. J. Villamizar Jaimes and S. L. Grace and H. C. Dutra de Souza and A. Angarita-Fonseca and J. C. S\'{a}nchez Delgado },

url = {https://www.mdpi.com/1660-4601/19/4/1911 Journal},

doi = {https://doi.org/10.3390/ijerph19041911},

year  = {2022},

date = {2022-02-09},

urldate = {2022-02-09},

journal = {Int. J. Environ. Res. Public Health},

volume = {19},

number = {4},

pages = {1911},

abstract = {Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.},

keywords = {Cardiac Rehabilitation, Hearth diseases, Rehabilitation, Treatment adherence},

pubstate = {published},

tppubtype = {article}

}

@article{RN52,

title = {Reliability of the Scale of Barriers for Cardiac Rehabilitation in the Colombian Population},

author = {A. M. J\'{a}come Hort\'{u}a and A. Angarita-Fonseca and H. C. Dutra de Souza and R. D. P. Mart\'{i}nez Mar\'{i}n and C. J. Villamizar Jaimes and T. d. P. Facioli and J. C. S\'{a}nchez Delgado },

url = {https://www.ncbi.nlm.nih.gov/pubmed/33923963},

doi = {10.3390/ijerph18084351},

issn = {1660-4601 (Electronic) 1660-4601 (Linking)},

year  = {2021},

date = {2021-01-01},

urldate = {2021-01-01},

journal = {Int J Environ Res Public Health},

volume = {18},

number = {8},

pages = {4351},

abstract = {Cardiac rehabilitation is supported by the highest level of scientific evidence. However, less than 25% of those eligible to participate in a cardiac rehabilitation program initiate it; and of these, 50% drop out prematurely. A modified Spanish Cardiac Rehabilitation Barriers Scale (CRBS) has been translated, culturally adapted and validated in Colombia, however, the reliability remains to be evaluated. This study aimed to determine the internal consistency and test\textendashretest reliability of the CRBS in a Colombian population. In total, 193 patients (67% men, average age = 65 ± 12 years) completed the scale twice, with an average of eight days between applications. Cronbach’s Alpha and intraclass correlation coefficients (ICC) were calculated. The internal consistency of the Colombian version of the CRBS was acceptable (Cronbach’s alpha = 0.84). The ICC of the CRBS was 0.69 (95% CI 0.61\textendash0.76); 0.78 (95% CI 0.71\textendash0.84) when the CRBS was completed by interview; and 0.47 (95% CI 0.21\textendash0.67) when the CRBS was self-reported. The reliability of the interview version of the CRBS was substantial in the Colombian population; however, the reliability of the self-report version was lower. The use of this scale will allow developing strategies to increase participation and adherence to cardiac rehabilitation programs.},

key = {cardiovascular diseases, psychometric testing, treatment adherence, compliance},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Compliance, Reproducibility of Results, Treatment adherence},

pubstate = {published},

tppubtype = {article}

}

@article{RN54,

title = {Quality of life among those who participated or did not participate in a cardiac rehabilitation program after undergoing coronary angioplasty},

author = {J. C. S\'{a}nchez-Delgado and A. J\'{a}come-Hort\'{u}a and R. D. P. Martinez-Mar\'{i}n and C. E. Su\'{a}rez-L\'{o}pez and L. M. Vanegas-Pallares and E. S\'{a}nchez-Arias and A. Angarita-Fonseca},

url = {https://angarita-fonseca.com/2020sanchez/, PDF



http://revistamexicanadeenfermeriacardiologica.com.mx/index.php/RevMexEnferCardiol/article/view/138, Journal},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {Rev. Mex. Enferm. Cardiol.},

volume = {28},

number = {1},

pages = {15-20},

abstract = {Background. Cardiac Rehabilitation Programs are effective in reducing morbidity due to coronary heart disease, promoting reintegration into the workplace, improving quality of life, and physical capacity, among others. Objective. To explore differences in the Health-Related Quality of Life (HRQL) of those who participate or not in a Cardiac Rehabilitation Program in a Hospital of Bucaramanga. Methodology. A cross-sectional study was conducted on 40 subjects who underwent coronary angioplasty between September 2014 and February 2015 in the Comuneros University Hospital of Bucaramanga, Colombia. Sociodemographic and clinical variables, and HRQL through the SF-36 survey instrument were gathered; all participants signed consent prior to their participation. Continuous variables were analyzed by measures of central tendency and dispersion; while the categorical variables were analyzed using frequencies. The two-sample Wilcoxon rank-sum test was used to compare the HRQL by cardiac rehabilitation participation. Results. A better perception of quality of life is evident in those whom participated in a Cardiac Rehabilitation Program. The results were significantly different in the domains of physical functioning (Median: 80 Interquartile range [IQR] = 50-95 vs. 30 I QR = 15-65; p = 0.003), vitality (Median 60 IQR = 55-75 vs 30 IQR = 25-55; p = 0 .004), social function ( Median 9 0 I QR = 75-100 vs. 5 0 R IC = 37.5-100; p = 0 .009), and health transition (Median 50 IQR = 25-75 vs 25 RIC = 0-50; p = 0.035). Conclusions. The results obtained suggest that the Cardiac Rehabilitation Program can improve the HRQL in patients undergoing coronary angioplasty},

key = {Coronary disease, Angioplasty, Quality of life, Rehabilitation},

keywords = {Angioplasty, Cardiac Rehabilitation, Cardiovascular Diseases, Coronary disease, Quality of life, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{RN53,

title = {The Effects of Maintenance Cardiac Rehabilitation: A SYSTEMATIC REVIEW},

author = {J. C. Sanchez-Delgado and D. C. Camargo Sepulveda and A. Cardona Zapata and M. Y. Franco Pico and L. M. Santos Blanco and A. M. Jacome Hortua and H. C. Dutra de Souza and A. Angarita-Fonseca},

url = {https://www.ncbi.nlm.nih.gov/pubmed/32604252},

doi = {10.1097/HCR.0000000000000520},

issn = {1932-751X (Electronic) 1932-7501 (Linking)},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {J Cardiopulm Rehabil Prev},

volume = {40},

number = {4},

pages = {224-244},

abstract = {Purpose: Maintenance cardiac rehabilitation (M-CR) programs aim to preserve the health benefits achieved during phase II cardiac rehabilitation (CR). The aim of this study was to establish the effects of M-CR on functional capacity, quality of life, risk factors, costs, mortality, and morbidity, among other outcomes.

Methods: Scopus, ISI Web of Science, PubMed, Embase \& Embase classic OVID, and Lilacs were searched. Randomized controlled trials, published between 2000 and 2016, on the effects of M-CR in patients with cardiovascular disease, who had graduated from CR, having a control or comparison arm were included. Citations were processed by two authors, independently. Methodological quality was assessed using PEDro, and level of evidence graded with the Scottish scale. Outcomes were qualitatively synthesized.

Results: The searches retrieved 1901 studies with 26 articles meeting inclusion criteria (3752 participants). Some trials tested M-CR in nonclinical settings, and others used resistance or high-intensity interval training. The methodological quality of 11 articles was good, with a level of evidence (1+) and a grade B recommendation. Results showed M-CR resulted in increased or maintained functional capacity, quality of life, and physical activity levels, when compared with the control. No adverse events were reported. Few studies assessed rehospitalizations and mortality.

Conclusion: This review summarized the available evidence about the effects of maintenance cardiac rehabilitation (M-CR) on different outcomes. Results showed M-CR resulted in increased quality of life, functional capacity, and physical activity levels, when compared with the control.},

key = {cardiac rehabilitation, exercise, hearth disseases, secondary prevention},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Exercise, Hearth diseases, Secondary prevention},

pubstate = {published},

tppubtype = {article}

}

@article{RN5,

title = {Reliability of the barriers scale for cardiac rehabilitation},

author = {J. C. Sanchez Delgado and A. Jacome Horua and B. Larios Martinez and S. Pinzon and A. Angarita-Fonseca},

url = {https://www.rccardiologia.com/previos/RCC%202018%20Vol.%2025/RCC_2018_25_1_ENE-FEB/RCC_2018_25_1_084-091.pdf},

doi = {10.1016/j.rccar.2017.08.014},

year  = {2018},

date = {2018-01-01},

urldate = {2018-01-01},

journal = {Revista Colombiana de Cardiologia},

volume = {25},

number = {1},

pages = {84-91},

abstract = {Introduction: The barriers scale for cardiac rehabilitation was designed to evaluate participation barriers and patient adherence to cardiac rehabilitation programs as used in Canadian studies. The cultural adaptation and validation of its contents to the Colombian context was previously evaluated before assessing its reliability.



Objective: To determine the internal consistency and the test-retest reproducibility of the barriers scale for cardiac rehabilitation in a Colombian population.



Methods: The study included 30 patients (66.6% male, mean age = 67.0 ± 11.0 years), who were subjected to a percutaneous revascularisation in the Bucaramanga Los Comuneros University Hospital, Colombia, completed the scale at two times, with an interval of two months between them. The Cronbach-alpha coefficients and the intra-class coefficients (ICC) were calculated.



Results: The internal consistency of the Colombian version of the scale and the barriers scale for cardiac rehabilitation was good (Cronbach-alpha = 0.84). The ICC found was 0.711 (95% CI; 0.423-0.860). The reproducibility by domains was as follows: for the logistic factor (ICC: 0.76; 95% CI; 0.56-0.88); for the comorbidities/functional state (ICC: 0.73; 95% CI; 0.51-0.86); for the health perception factor (ICC: 0.66; 95% CI; 0.38-0.83; and finally for the work/time conflicts factor (ICC: 0.56; 95% CI; 0.29-0.78). The mean score per patient was 2.3 ± 0.7 and 2.0 ± 0.7 in the first and second evaluation, respectively (p = .0071).



Conclusion: The barriers scale for cardiac rehabilitation has an acceptable reliability in the Colombian population evaluated. The identification of barriers using this scale will help to develop strategies to increase the participation and adherence to cardiac rehabilitation programs focused on the real needs of the patients.},

key = {Angioplasty, Prevention, Rehabilitation, Ischaemic heart disease},

keywords = {Angioplasty, Cardiac Rehabilitation, Hearth diseases, Reproducibility of Results},

pubstate = {published},

tppubtype = {article}

}

@article{RN11,

title = {Barriers for the participation in cardiac rehabilitation programmes in patients undergoing percutaneous revascularisation due to a coronary disease},

author = {J. C. S\'{a}nchez-Delgado and A. Angarita-Fonseca and A. Jacome Hortua and Y. Malaver-Vega and E. Schmalbach-Aponte and C. D\'{i}az-D\'{i}az},

url = {http://doi.org/10.1016/J.RCCAR.2015.08.009},

year  = {2016},

date = {2016-01-01},

urldate = {2016-01-01},

journal = {Revista Colombiana de Cardiolog\'{i}a},

volume = {23},

number = {2},

pages = {141-147},

abstract = {Introduction: Cardiac rehabilitation programmes encourage lifestyle changes and reduce the recurrence of morbidity and mortality by 25 %. Nevertheless, the attendance rate to such programmes varies between 7.5 and 29%, and around 40 to 50 % of users abandon the treatment during the early stages.



Motivation: To describe the barriers found in those who participated or not in cardiac rehabilitation programmes after percutaneous revascularization.



Methods: A cross-sectional study of 30 patients, who have applied the barrier scale for cardiac rehabilitation, using Likert-type questions, where the highest scores indicated a bigger perception of the barrier to participating in a cardiac rehabilitation programme.



Results: The major barriers per item were: «I find this exercise is tiring and/or painful» with an average of 2.86, followed by «I currently exercise» and «I did not know about cardiac rehabilitation» with an average of 2.73. The lowest score was: «Many people have heart problems and do not go», with 1.73. More barriers were shown in those who did not attend a cardiac rehabilitation programme (p \< 0.05) than those who did; in addition, most barriers were found in the fields of perceived needs and comorbidities/functional state (p \< 0.05). This indicates a lack of orientation and education when it comes to the benefits that users could obtain by joining and participating in a cardiac rehabilitation programme, no matter how they feel or the type of functional limitations they may have.},

keywords = {Cardiac Rehabilitation, Coronary disease, Rehabilitation, Secondary prevention},

pubstate = {published},

tppubtype = {article}

}

@article{RN21,

title = {Participation in a fitness program and functional capacity in patients undergoing angioplasty for acute coronary syndrome},

author = {J. C. S\'{a}nchez-Delgado and A. Angarita-Fonseca and J. Parra-Pati\~{n}o},

url = {https://www.elsevier.es/en-revista-fisioterapia-146-articulo-participacion-un-programa-acondicionamiento-fisico-S0211563814001357},

doi = {10.1016/j.ft.2014.08.001},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Fisioterapia},

volume = {37},

number = {3},

pages = {112-119},

abstract = {Objective: To describe the functional capacity of subjects who participated compared to those who did not participate in a Fitness program after undergoing coronary angioplasty.



Methodology: A cross-sectional study was conducted in 19 subjects (68.4% men) with acute coronary syndrome undergoing coronary angioplasty between June and August 2010, who were appropriate for conducting a stress test. The dependent variable was functional capacity assessed by the modified Bruce and Bruce protocols. The main independent variable was participation in the fitness program. Simple and multiple linear regression analyses were performed to establish the variables associated with functional capacity.



Results: We found that the subjects who attended the program achieved 2.57 MET above those who did not attend the program (P=.003), adjusted for history of hypertension and obesity. Conversely, obese people reached 3.04 MET less when compared with non-obese individuals, adjusted for program assistance and hypertension (P=.003).



Conclusions: In the adjusted analysis, an association was found between participation in a fitness program and functional capacity. Thus, inclusion and participation of subjects who have received percutaneous revascularization in a fitness program within their rehabilitation process is recommended.},

key = {Exercise, Obesity, Myocardial infarction, Angioplasty},

keywords = {Angioplasty, Cardiac Rehabilitation, Exercise, Obesity, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{RN16,

title = {Content validity of the Cardiac Rehabilitation Barriers Scale},

author = {J. C. Sanchez-Delgado and A. Jacome-Hortua and S. Pinzon and A. Angarita-Fonseca},

url = {https://revistas.udenar.edu.co/index.php/usalud/article/view/2695/pdf},

doi = {10.22267/rus.151702.2},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Revista Universidad y Salud},

volume = {17},

number = {2},

pages = {170-176},

abstract = {Introduction: This research was based on the absence of instruments with appropriate psychometric properties, adapted for Colombia, which evaluate the barriers of access to cardiovascular rehabilitation programs. Objective: To determine the validity of the content of the barriers scale for cardiac rehabilitation in the Colombian population. Methods and materials: A study of diagnostic tests was done. In the first phase, two native speakers of Spanish and one of English were required to translate and retro-translate the original questionnaire. In the second phase, the transcultural adaptation was done and the validity of content was assessed by a panel of four experts with experience in research, sports medicine and cardiac rehabilitation. Results: The instrument was translated and adapted to Colombian Spanish. The panel of experts decided to remove item 18 from the original scale. The content validity index was acceptable for the majority of the items, except for items 10, 15 and 18, where modifications were made in terms of words, phrases or conjugations according to the recommendations of the panel. On the other hand, the IVC in relevance was 0.86 and relevance of 0.88. Conclusion: There is an instrument that evaluates the barriers of access to cardiovascular rehabilitation adapted to the Colombian population programs and with content validity, so the results to be obtained from the application of the scale will be valid. However, it is suggested to continue with the evaluation of the reproducibility of the instrument.},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Rehabilitation, Reproducibility of Results},

pubstate = {published},

tppubtype = {article}

}