That barrier prevented even women referred to CR from participating, according to the study, which included 2163 patients (42% women) from 16 countries across all World Health Organization regions. Other major barriers for referred women who did not participate included the program's failure to contact them after referral, cost, and finding exercise tiring or painful.
The researchers also found that among women who did enroll in CR after referral, the greatest barriers to session adherence were distance, travel, family responsibilities, and difficulties in accessing sessions that require attendance in person.
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