Ethnic Minorities’ Experiences of Cardiac Rehabilitation: A Scoping Review

oleh: Aiesha Carew Tofani, Elaina Taylor, Ingrid Pritchard, Jessica Jackson, Alison Xu, Yasuhiro Kotera

Format: Article
Diterbitkan: MDPI AG 2023-03-01

Deskripsi

Cardiac rehabilitation (CR) can improve cardiovascular risk factors, decrease cardiac mortality, and promote healthy lifestyle behaviours. However, services remain underutilized by groups of ethnic minorities. The purpose of the study was to identify patients’ personal CR experiences to identify the differences CR makes towards minorities’ lifestyle. An initial electronic search was performed in 2021 for papers ranging from 2008–2020 across specific databases, including <i>PubMed</i>, <i>EMBASE</i>, <i>APA PsycINFO</i>, <i>CINAHL</i> (<i>Cumulative Index to Nursing and Allied Health Literature</i>), and <i>Medline</i>. <i>Google Scholar</i> was also used to supplement the search process and to identify studies performed within grey literature. A total of 1230 records were screened, of which 40 were assessed for eligibility. The final sample consisted of seven qualitative design studies that were identified for inclusion in this review. Based on patient personal experiences, this review identified that ethnic minorities continue to remain disadvantaged when accessing healthcare interventions, primarily as a result of cultural behaviours, linguistic barriers, socioeconomic status, religious and fatalistic beliefs, and low physician referral rates. More research is needed to elucidate this phenomenon and address these factors faced by ethnic minorities.