Role of Case Management for Improving Cardiac Rehabilitation Participation in Women: A Randomized Controlled Trial.

J Cardiopulm Rehabil PrevJun 25, 2026 (epub)
Clinical ResearchCardiology

Sherrie Khadanga, Blair Yant, Patrick D Savage et al.

✦ AI-curated · Sources linked

In 30 seconds

This randomized controlled trial assessed whether early case management (CM), added to electronic referral and a cardiac rehabilitation (CR) liaison, improved CR participation and adherence among women. Of 109 participants, 56 received usual care and 53 received CM during a 4-month study. Participation was identical in the two groups: 77% attended at least one CR session in each. The number of sessions attended also did not differ significantly (20.2 with CM vs 17.3 with usual care; P = .7).

Key findings

  • CR participation was 77% with CM and 77% with usual care (P = .9).
  • Mean CR sessions attended were 20.2 with CM versus 17.3 with usual care (P = .7).
  • Among participants attending at least one session, smoking, anxiety, depression, cardiac-specific quality of life, and perceived social support were associated with session attendance (all P < .05).

Why it matters

CR is underused, particularly among women, despite its benefits. In this trial, adding CM to an existing electronic referral and liaison pathway did not increase participation or attendance, indicating that this approach alone may not address barriers to women’s CR use. The associations with attendance point to psychosocial and clinical factors that may warrant attention in efforts to improve engagement.

What to keep in mind

The study enrolled 109 women and followed participants for 4 months; the findings do not establish whether CM affects longer-term participation or outcomes.

Source

PubMed · PMID 42349397

Published in J Cardiopulm Rehabil Prev. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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