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Table 2 Studies reporting factors (organised into key themes) relating to uptake of lifestyle programmes

From: A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change

Factors

References of studies examining uptake

 

Facilitates

Deters

No association

Emotions

Increased anxiety

56**

 

31, 35, 38, 50a, 52, 60, 70

Depression

 

31**b, 38, 50, 55**, 61, 67

31 b, 44, 35, 52, 60, 66, 70

Stress

 

50**, 54

52

Less distress, lower mental QOL, denial, greater health concerns, higher role resumption

 

43, 61, 72, 35, 37

 

Psychological beliefs

Illness less attributed to lifestyles, increased denial of severity of illness

 

33**, 31**

 

Less control/ cure over course of illness/ lower self efficacy

 

30m, 56**

54, 37

More symptoms attributed to illness / better understanding of illness/ illness has greater consequences

30 m

  

Information & communication

Less education

 

31**, 35**, 34**, 36, 41, 61

38, 50, 60, 66, 76, 77

Less awareness of blood pressure level

 

67

33

Less awareness / knowledge of total cholesterol level or recommended activity levels

 

33**, 67

 

Friends & family support

Not married / not living with a partner / being single

 

29m , 34, 38, 52**a, 53**, 65**

35, 36, 49, 50, 52b, 60, 66,77

Transport & related costs †

Longer commute time

 

31**,60**

 

Greater distance from venue

 

49

40, 50, 60

Problems with transport, rurality

 

51**, 76**c, 36**, 45**

 

Occupation type - blue collar (vs white)

 

31, 65

77

Unemployed / retired/home maker

65

33, 35, 34**, 38**, 50, 54**, 76

32, 36, 41, 49, 52, 67, 77

Higher income

61, 65**

35, 56**

50, 53

Having health insurance

77

  
  1. **Independently significant.
  2. Regression analysis not reported [32, 37, 43, 44, 46, 48–50, 57, 66, 67, 72, 73].
  3. a anxiety trait; b Ades and colleagues [31] measured depression prior to and during hospitalisation and found conflicting results; c in men only; m meta-analysis.
  4. † This key theme was derived from two individual categories [17].