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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, 4850, 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].