A narrative review of South Asian patients’ experiences of cardiac rehabilitation

Galdas, Paul M., Ratner, Pamela A. and Oliffe, John L. (2012) A narrative review of South Asian patients’ experiences of cardiac rehabilitation. Journal of Clinical Nursing, 21 1-2: 149-159. doi:10.1111/j.1365-2702.2011.03754.x

Author Galdas, Paul M.
Ratner, Pamela A.
Oliffe, John L.
Title A narrative review of South Asian patients’ experiences of cardiac rehabilitation
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2012-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2011.03754.x
Open Access Status
Volume 21
Issue 1-2
Start page 149
End page 159
Total pages 11
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Aims and objectives: To review the empirical literature relating to South Asian patients' experiences of cardiac rehabilitation.

Background: Individuals of South Asian origin (originating from India, Pakistan, Bangladesh, or Sri Lanka) have increased risk of coronary heart disease-related mortality and morbidity. Low levels of cardiac rehabilitation participation have been reported among South Asian groups in several English-speaking countries.

Design: Narrative review.

Methods: Primary research evidence published in English between 1999-2010 obtained using pre-defined search criteria in electronic databases MEDLINE, CINAHL, PubMed, EMBASE, Google Scholar and PsycINFO.

Results: Eleven studies met the inclusion criteria for review. Four prominent themes were identified in the literature related to: (1) exercise; (2) culture and religion; (3) programme access and structure; (4) communication and language.

Conclusions: The emerging themes distilled from the review encompass several factors associated with South Asian patients' experiences of cardiac rehabilitation that are commensurate with low uptake and poor adherence. However, few researchers have disaggregated their data by ethnic origin to describe what might best meet the needs of South Asian patients. Further research is needed to thoughtfully address issues of uptake of and compliance with cardiac rehabilitation by South Asian patients and to support the development of culturally sensitive and safe CR programmes.

Relevance to clinical practice: The findings from this review can help nurses to develop guidelines for the design and delivery of culturally competent South Asian cardiac rehabilitation programmes. Important considerations related to physical exercise, language and communication preferences, religious and cultural needs and programme access and structure, need to be addressed in a culturally relevant and culturally sensitive manner to enhance the uptake and efficacy of cardiac rehabilitation for South Asian individuals.
Keyword Cardiac rehabilitation
Cardiovascular disease
Secondary prevention
South Asian
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 12 Aug 2014, 14:50:42 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work