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"Others Had Similar Problems and You Were Not Alone": Evaluation of an Open-Group Mutual Aid Model in Cardiac Rehabilitation

Arndt, Maryse BAppSc(OT); Murchie, Fiona BA(Syd), BSW(Syd); Schembri, Anthony M. GradDipPubAdmin MPP (USyd), BSW(UNSW), MAASW(Acc); Davidson, Patricia M. PhD, MEd, RN, ITC, FRCNA

Journal of Cardiovascular Nursing: July/August 2009 - Volume 24 - Issue 4 - pp 328-335
doi: 10.1097/JCN.0b013e3181a1c236
Articles

Background: Dealing with psychological and social issues is an important aspect of comprehensive cardiac rehabilitation (CR) programs.

Study aim: This study aims to evaluate the use of an open-group mutual aid model facilitated by a social worker and occupational therapist in a secondary prevention CR program.

Method: A mixed-method study, using questionnaires, focus group data, and reflective interviews of group facilitators, was used to evaluate the program.

Study findings: Key themes emerging from this study were (1) the need for provision of hope; (2) a desire for structure and support; (3) appreciation of support of fellow group participants; and (4) the need for individuals to review, process, and interpret their illness trajectory.

Conclusions: In this single site study, an open-group model using a mutual aid model was acceptable and helpful as a method to facilitate adjustment after an acute cardiac event. Further evaluation of this approach using experimental methods is warranted.

Maryse Arndt, BAppSc(OT) Occupational Therapist, Occupational Therapy Department, St George Hospital, Kogarah, New South Wales, Australia.

Fiona Murchie, BA(Syd), BSW(Syd) Social Worker, Social Work Department, St George Hospital, Kogarah, New South Wales, Australia.

Anthony M. Schembri, GradDipPubAdmin MPP (USyd), BSW(UNSW), MAASW(Acc) General Manager, Fairfield Hospital, Sydney, Australia.

Patricia M. Davidson, PhD, MEd, RN, ITC, FRCNA Professor, School of Nursing and Midwifery, Curtin University of Technology, Sydney, Australia.

Corresponding author Patricia M. Davidson, PhD, MEd, RN, ITC, FRCNA, School of Nursing and Midwifery, Curtin University of Technology, Curtin House, 39 Regent St, Chippendale, Sydney, NSW 2008 Australia (P.Davidson@curtin.edu.au).

© 2009 Lippincott Williams & Wilkins, Inc.