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Mechanisms and drivers of social inequality in phase II cardiac rehabilitation attendance: A convergent mixed methods study
Author(s) -
Pedersen Maria,
Overgaard Dorthe,
Andersen Ingelise,
Baastrup Marie,
Egerod Ingrid
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13715
Subject(s) - attendance , rehabilitation , qualitative research , social inequality , inequality , population , psychology , qualitative property , medicine , physical therapy , environmental health , sociology , economics , economic growth , mathematical analysis , social science , mathematics , machine learning , computer science
Aim The aim of this study was to explore the extent to which the qualitative and quantitative data converge and explain mechanisms and drivers of social inequality in cardiac rehabilitation attendance. Background Social inequality in cardiac rehabilitation attendance has been a recognized problem for many years. However, to date the mechanisms driving these inequalities are still not fully understood. Design The study was designed as a convergent mixed methods study. Methods From March 2015—March 2016, patients hospitalized with acute coronary syndrome to two Danish regional hospitals were included in a quantitative prospective observational study ( N = 302). Qualitative interview informants ( N = 24) were sampled from the quantitative study population and half brought a close relative ( N = 12) for dyadic interviews. Interviews were conducted from August 2015 to February 2016. Integrated analyses were conducted in joint displays by merging the quantitative and qualitative findings. Results Qualitative and quantitative findings primarily confirmed and expanded each other; however, discordant results were also evident. Integrated analyses identified socially differentiated lifestyles, health beliefs, travel barriers and self‐efficacy as potential drivers of social inequality in cardiac rehabilitation. Conclusion Our study adds empirical evidence regarding how a mixed methods study can be used to obtain an understanding of complex healthcare problems. The study provides new knowledge concerning the mechanisms driving social inequality in cardiac rehabilitation attendance. To prevent social inequality, cardiac rehabilitation should be accommodated to patients with a history of unhealthy behaviour and low self‐efficacy. In addition, the rehabilitation programme should be offered in locations not requiring a long commute.