Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study

Factors associated with therapeutic lifestyle change (TLC) after myocardial infarction (MI) have not been fully investigated in Chile. This study aimed to provide a descriptive examination of facilitators and barriers to TLC after first MI. Methods: Qualitative study based on in-depth interviews and...

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Autores principales:	Bambs,Claudia, Sgombich,María, Leiva,Loreto, Baraona,Fernando, Margozzini,Paula, Pizarro,Claudia, Rojas,Ana
Lenguaje:	English
Publicado:	Sociedad Chilena de Cardiología y Cirugía Cardiovascular 2015
Materias:	Lifestyle myocardial infarction prevention qualitative research health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602015000300001
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spelling	oai:scielo:S0718-856020150003000012016-02-22Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative studyBambs,ClaudiaSgombich,MaríaLeiva,LoretoBaraona,FernandoMargozzini,PaulaPizarro,ClaudiaRojas,Ana Lifestyle myocardial infarction prevention qualitative research health care Factors associated with therapeutic lifestyle change (TLC) after myocardial infarction (MI) have not been fully investigated in Chile. This study aimed to provide a descriptive examination of facilitators and barriers to TLC after first MI. Methods: Qualitative study based on in-depth interviews and focus groups with cardiologists and patients who had first MI one-year±2 months before the begin-ning of the study. Grounded theory research methods were used to guide sampling and coding of data. Results: Twenty-one patients who had first myocardial infarction and 14 cardiologists participated in in-depth interviews and focus groups until the point of theoretical saturation. Facilitators for TLC included optimism, self-efficacy, faith-based life purpose, positive attitudes by family and friends, social participation, good patient-physician relationship, and positive medical advice. Barriers were: individual (older age, female sex, lower educational level, limiting beliefs, ambi val ence, depressive mood, lack of knowledge on strategies to achieve TLC, financial constraints), family (family crisis, overprotection, im-posing attitudes, unhealthy habits at home), work (work overload and competition between work recovery and TLC), socio-environmental (neighborhood unsafety), and health provider-related (poor patient-physician re-lationship, limiting beliefs among physicians, medical advice centered on restrictions or imprecise, medical training focused on pharmacological therapies and in-terventional procedures over preventive care, and orga-nizational issues). Conclusions: Reported facilitators and barriers enhance understanding of the process of lifestyle change after first myocardial infarction, and might be targets for optimization of secondary preventive strategies among Chilean patients.info:eu-repo/semantics/openAccessSociedad Chilena de Cardiología y Cirugía CardiovascularRevista chilena de cardiología v.34 n.3 20152015-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602015000300001en10.4067/S0718-85602015000300001
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Lifestyle myocardial infarction prevention qualitative research health care
spellingShingle	Lifestyle myocardial infarction prevention qualitative research health care Bambs,Claudia Sgombich,María Leiva,Loreto Baraona,Fernando Margozzini,Paula Pizarro,Claudia Rojas,Ana Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
description	Factors associated with therapeutic lifestyle change (TLC) after myocardial infarction (MI) have not been fully investigated in Chile. This study aimed to provide a descriptive examination of facilitators and barriers to TLC after first MI. Methods: Qualitative study based on in-depth interviews and focus groups with cardiologists and patients who had first MI one-year±2 months before the begin-ning of the study. Grounded theory research methods were used to guide sampling and coding of data. Results: Twenty-one patients who had first myocardial infarction and 14 cardiologists participated in in-depth interviews and focus groups until the point of theoretical saturation. Facilitators for TLC included optimism, self-efficacy, faith-based life purpose, positive attitudes by family and friends, social participation, good patient-physician relationship, and positive medical advice. Barriers were: individual (older age, female sex, lower educational level, limiting beliefs, ambi val ence, depressive mood, lack of knowledge on strategies to achieve TLC, financial constraints), family (family crisis, overprotection, im-posing attitudes, unhealthy habits at home), work (work overload and competition between work recovery and TLC), socio-environmental (neighborhood unsafety), and health provider-related (poor patient-physician re-lationship, limiting beliefs among physicians, medical advice centered on restrictions or imprecise, medical training focused on pharmacological therapies and in-terventional procedures over preventive care, and orga-nizational issues). Conclusions: Reported facilitators and barriers enhance understanding of the process of lifestyle change after first myocardial infarction, and might be targets for optimization of secondary preventive strategies among Chilean patients.
author	Bambs,Claudia Sgombich,María Leiva,Loreto Baraona,Fernando Margozzini,Paula Pizarro,Claudia Rojas,Ana
author_facet	Bambs,Claudia Sgombich,María Leiva,Loreto Baraona,Fernando Margozzini,Paula Pizarro,Claudia Rojas,Ana
author_sort	Bambs,Claudia
title	Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
title_short	Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
title_full	Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
title_fullStr	Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
title_full_unstemmed	Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study
title_sort	facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in chile: a qualitative study
publisher	Sociedad Chilena de Cardiología y Cirugía Cardiovascular
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602015000300001
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Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study

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