{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:08:02Z","timestamp":1789553282064,"version":"build-2803163510"},"reference-count":68,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,6,16]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Cardiac rehabilitation supports recovery after cardiac events, but it is unclear whether outcomes differ by socioeconomic characteristics in low\u2010resource settings. This study aimed to identify whether pre\u2010program socioeconomic characteristics (financial strain, age, education, employment) were associated with cardiac rehabilitation completion, and\u2013among completers\u2013to examine associations with changes in depressive symptoms and quality of life from pre\u2010 to post\u2010program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">Individuals with pre\u2010program data (2021\u2010May 2024) in the ICRR (International Cardiac Rehab Registry), from 17 programs in low\u2010resource settings across 11 countries, were included. Outcomes were changes in Patient Health Questionnaire\u20102 depressive symptoms and Cantril's Ladder quality of life scores. Among completers, associations were examined using robust linear mixed\u2010effects models, adjusting for characteristics, with a random intercept for site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Among 3520 individuals (mean age 59 years [SD=12], 79% men), 2190 (62%) completed cardiac rehabilitation. Completion was more common among those without financial strain (20% versus 10%,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), with &gt;12\u2009years of education (57% versus 44%,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), and employed (40% versus 20%,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001). Among completers, median depressive symptoms improved from 1 (interquartile range=2) to 0 (interquartile range=0), and quality of life from 8 (interquartile range=2) to 10 (interquartile range=2). Reporting financial strain as \u201coften\u201d was associated with greater improvement in depressive symptoms (\u03b2=\u22120.337, 95% CI=\u22120.534, \u22120.140,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.021), while employment was associated with smaller improvement (\u03b2=0.297, 95% CI=0.104, 0.489,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.019). Age and education were not associated with change in depressive symptoms. No socioeconomic characteristics were associated with change in quality of life.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">These findings suggest socioeconomic pressures are associated with differences in recovery. Flexible cardiac rehabilitation models may support individuals in low\u2010resource settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.046838","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:51:45Z","timestamp":1781005905000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Socioeconomic Characteristics Among Individuals Who Completed Cardiac Rehabilitation in Low\u2010Resource Settings With Their Depressive Symptoms and Quality of Life: Analysis From the ICRR"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7532-0477","authenticated-orcid":false,"given":"Deborah","family":"Manandi","sequence":"first","affiliation":[{"name":"University of Sydney","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4162-7761","authenticated-orcid":false,"given":"Karam","family":"Turk\u2010Adawi","sequence":"additional","affiliation":[{"name":"Qatar University","place":["Doha, Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7547-2860","authenticated-orcid":false,"given":"Dion","family":"Candelaria","sequence":"additional","affiliation":[{"name":"University of Sydney","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Zende","sequence":"additional","affiliation":[{"name":"Sir H. 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