Cited by 16Cardiac Health and Mental HealthCultural Competency in Health CareMedical Practices and Rehabilitation

Ethnic Minorities’ Experiences of Cardiac Rehabilitation: A Scoping Review

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Carew Tofani, Aiesha, Taylor, Elaina, Pritchard, Ingrid, Jackson, Jessica, Xu, Alison, Kotera, Yasuhiro·2023·Healthcare

Abstract

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 PubMed, EMBASE, APA PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Medline. Google Scholar 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.

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  1. [22]Boland A. Cherry G. Dickson R. Doing a Systematic Review: A Student’s Guide Sage London, UK 2013
  2. [28]Critical Appraisal Skills Programme CASP Checklists-Critical Appraisal Skills Programme CASP-Critical Appraisal Skills Programme Oxford, UK 2018

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Authors
Carew Tofani, A., Taylor, E., Pritchard, I., Jackson, J., Xu, A., & Kotera, Y.
Affiliations
  • College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GD, UK
  • University of Derby (GB)
  • Swansea University (GB)
  • University of Nottingham (GB)
Venue
Healthcare
Publisher
MDPI AG
Published
2023-03-04
Volume
11
Issue
5
Pages
757
ISSN
2227-9032 (ISSN-L)
OpenAlex
W4323312748
Cited by
16
References
54
Citations by year
2026: 4 · 2025: 7 · 2024: 4 · 2023: 1
FWCI
0.84
Type
journal article
Language
en
Open access
Locations
  • Healthcare (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Repository@Nottingham (University of Nottingham) (publishedVersion, other-oa)
  • Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
  • Cronfa (Swansea University) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
cardiac rehabilitation, ethnic minorities, patient experience, health care access disparities, cultural barriers, language barriers, socioeconomic status, religious beliefs, fatalism, physician referral, lifestyle habits, cardiovascular health

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