Cardiovascular disease (CVD) accounts for 25% to 45% of deaths among Arab people. The purpose of this review was to investigate the level, predictors, motivators, and barriers to adherence to lifestyle recommendations among Arab patients with CVD.
Method
A systematic search of the literature was conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. MEDLINE, EMCARE, CINAHL, Scopus, and the Cochrane Central Register of Controlled Trials were searched. Studies that explored adherence to a healthy lifestyle among Arab adult patients with CVD were included.
Results
Twelve studies were included. Quantitative results showed low adherence among Arab people with CVD. Qualitative synthesized results revealed that internal motivators, personal desire as well as structural drivers impact the patient’s ability to adhere to a healthy lifestyle.
Discussion
Multidimensional solutions that consider religion and culture and include active involvement of families are required to improve adherence.
Akhu-ZaheyaM.ShiyabY. (2017). The effect of short message system (SMS) reminder on adherence to a healthy diet, medication, and cessation of smoking among adult patients with cardiovascular diseases. International Journal of Medicine Informatics, 98(February), 65-75. https://doi.org/10.1016/j.ijmedinf.2016.12.003
2.
Al-AliN.HaddadL. G. (2004). The effect of the health belief model in explaining exercise participation among Jordanian myocardial infarction patients. Journal of Transcultural Nursing, 15(2), 114-121. https://doi.org/10.1177/1043659603262484
3.
Al-HassanM.WierengaM. (2000). Exercise participation decisions of Jordanian myocardial infarction patients: Application of the decisional conflict theory. International Journal of Nursing Studies, 37(2), 119-126. https://doi.org/10.1016/S0020-7489(99)00065-6
4.
Al-KhadraA.MagboolG.WosornuL.Al-AwdahS.QutubH.Al-KhatibR. (1992). Why do cardiology out-patient appointments fail in Saudi Arabia?International Journal for Quality in Health Care, 4(4), 305-310. https://doi.org/10.1093/oxfordjournals.intqhc.a036730
5.
BrennanN.BarnesR.CalnanM.CorriganO.DieppeP.EntwistleV. (2013). Trust in the health-care provider–patient relationship: A systematic mapping review of the evidence base. International Journal for Quality in Health Care, 25(6), 682-688. https://doi.org/10.1093/intqhc/mzt063
6.
ChangE.ChoiS.KwonI.AraizaD.MooreM.TrejoL.SarkisianC. (2018). Characterizing beliefs about stroke and walking for exercise among seniors from four racial/ethnic minority communities. Journal of Cross-Cultural Gerontology, 33(4), 387-410. https://doi.org/10.1007/s10823-018-9356-6
7.
DonnellyT.Al SuwaidiJ.Al EnaziN. R.IdrisZ.AlbulushiA. M.YassinK.RehmanA. M.Abu HassanA. H. (2012). Qatari women living with cardiovascular diseases: Challenges and opportunities to engage in healthy lifestyles. Health Care for Women International, 33(12), 1114-1134. https://doi.org/10.1080/07399332.2012.712172
DumitY.MagilvyK.AfifiR. (2016). The cultural meaning of cardiac illness and self-care among Lebanese patients with coronary artery disease. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, 27(4), 385-391. https://doi.org/10.1177/1043659615573080
10.
DumitY.NoureddineN.MagilvyK. (2016). Perspectives on barriers and facilitators to self-care in Lebanese cardiac patients: A qualitative descriptive study. International Journal of Nursing Studies, 60(August), 69-78. https://doi.org/10.1016/j.ijnurstu.2016.03.009
11.
ElshataratR. A.StottsN. A.EnglerM.FroelicherE. S. (2013). Knowledge and beliefs about smoking and goals for smoking cessation in hospitalized men with cardiovascular disease. Heart & Lung: Journal of Acute and Critical Care, 42(2), 126-132. https://doi.org/10.1016/j.hrtlng.2012.11.010
12.
GhandourR.HusseiniA.SibaiA.Abu-Rmeileh. (2019). Cardiovascular disease research in the Arab world: A scoping review from seven Arab countries (2000–2018). Public Health, 175(October), 36-42. https://doi.org/10.1016/j.puhe.2019.06.007
LizarondoL.SternC.CarrierJ.GodfreyC.RiegerK.SalmondS.ApostoloJKirkpatrickP.LovedayH. (2020). Mixed methods systematic reviews. In AromatarisE.MunnZ. (Eds.), JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-09
15.
MoherD.LiberatiA.TetzlaffJ.AltmanD. (2009). Preferred Reporting Items for Systematic Reviews and Meta-analyses: The PRISMA statement. PLOS MEDICINE, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
16.
MoslehS.AlmalikM. (2016). Illness perception and adherence to healthy behaviour in Jordanian coronary heart disease patients. European Journal of Cardiovascular Nursing, 15(4), 223-230. https://doi.org/10.1177/1474515114563885
17.
MoslehS.DarawadM. (2015). Patients’ adherence to healthy behavior in coronary heart disease. Journal of Cardiovascular Nursing, 30(6), 471-478. https://doi.org/10.1097/JCN.0000000000000189
NoureddineS.DumitN. Y.SaabM. (2015). Deciding to seek emergency care for acute myocardial infarction. Clinical Nursing Research, 24(5), 487-503. https://doi.org/10.1177/1054773814548508
20.
OrzechK. M.VivianJ.Huebner TorresC.ArminJ.ShawS. (2013). Diet and exercise adherence and practices among medically underserved patients with chronic disease: Variation across four ethnic groups. Health Education Behavior, 40(1), 56-66. https://doi.org/10.1177/1090198112436970
21.
PrichardI.TiggemannM. (2008). An examination of pre-wedding body image concerns in brides and bridesmaids. Body Image, 5(4), 395-398. https://doi.org/10.1016/j.bodyim.2008.05.001
22.
RazzakH.HarbiA.ShelpaiW.QawasA. (2018). Prevalence and risk factors of cardiovascular disease in the United Arab Emirates. Journal of Hamdan Medical Journal, 11(3), 105. https://doi.org/10.4103/HMJ.HMJ_37_18
23.
RegesO.VilchinskyN.LeibowitzM.KhaskiaA.MosseriM.KarkJ. D. (2013). Illness cognition as a predictor of exercise habits and participation in cardiac prevention and rehabilitation programs after acute coronary syndrome. BMC Public Health, 13, Article 956. https://doi.org/10.1186/1471-2458-13-956
24.
SulaimanK.PandurangaP.Al-ZakwaniI.Alsheikh-AliA. A.AlHabibK. F.Al-SuwaidiJ.Al-MotarrebA. (2015). Clinical characteristics, management, and outcomes of acute heart failure patients: Observations from the Gulf acute heart failure registry (Gulf CARE). European Journal of Heart Failure, 17(4), 374-384. https://doi.org/10.1002/ejhf.245
25.
SuwaidiJ. A.ZubaidM.El-MenyarA. A.SinghR.AsaadN.SulaimanK.BinaliH. A. (2012). Prevalence and outcome of cigarette and waterpipe smoking among patients with acute coronary syndrome in six Middle-Eastern countries. European Journal of Preventive Cardiology, 19(1), 118-125. https://doi.org/10.1177/1741826710393992
26.
TawalbehL. I.TubaishatA.BatihaA.-M.Al-AzzamM.AlBashtawyM. (2015). The relationship between social support and adherence to healthy lifestyle among patients with coronary artery disease in the north of Jordan. Clinical Nursing Research, 24(2), 121-138. https://doi.org/10.1177/1054773813501194
27.
TufanaruC.MunnZ.AromatarisE.CampbellJ.HoppL. (2020). Systematic reviews of effectiveness. In AromatarisE.MunnZ. (Eds.), JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-04
28.
Turk-AdawiK.SarrafzadeganN.FadhilI.TaubertK.SadeghiM.WengerN. K.GraceS. L. (2018). Cardiovascular disease in the Eastern Mediterranean region: Epidemiology and risk factor burden. Nature Reviews Cardiology, 15(2), 106-119. https://doi.org/10.1038/nrcardio.2017.138
29.
WalshJ. L.FathallahJ.Al-ShaarL.AlamS.NasreddineL.Isma’eelH. (2017). Knowledge, attitudes, motivators and salt-related behaviour in a cardiac care unit population: A cross-sectional study in Lebanon. Journal of Mediterranean Journal of Nutrition Metabolism, 10(1), 79-91. https://doi.org/10.3233/MNM-16129
YangL.JuliaL. (2009). The effects of trust in physician on self-efficacy, adherence and diabetes outcomes. Social Science & Medicine, 68(6), 1060-1068. https://doi.org/10.1016/j.socscimed.2008.12.033
32.
YpinazarV. A.MargolisS. A. (2006). Delivering culturally sensitive care: The perceptions of older Arabian Gulf Arabs concerning religion, health, and disease. Qualitative Health Research, 16(6), 773-787. https://doi.org/10.1177/1049732306288469
33.
YusufS.WoodD.RalstonJ.ReddyK. S. (2015). The World Heart Federation’s vision for worldwide cardiovascular disease prevention. Lancet, 386(9991), 399-402. https://doi.org/10.1016/S0140-6736(15)60265-3
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