# Exploring Cardiac Rehabilitation Barriers Across Health Literacy Levels

## TL;DR

The study examines how health literacy affects barriers to cardiac rehabilitation, finding common and unique challenges across different literacy levels.

## Contribution

The study identifies distinct patterns of CR barriers based on health literacy levels, offering insights for targeted interventions.

## Key findings

- Common barriers to CR participation include family responsibilities and lack of energy.
- Individuals with different health literacy levels reported distinct barrier patterns.
- Addressing logistical and personal barriers could improve CR engagement and adherence.

## Abstract

This study aimed to explore the barriers to cardiac rehabilitation (CR) participation across individuals with different levels of health literacy. A cross-sectional study was conducted among individuals referred to a CR program. Participants completed online surveys assessing CR barriers using the Cardiac Rehabilitation Barriers Scale and health literacy using the Brief Health Literacy Screening Tool. Descriptive statistics and comparisons were performed. Among 881 individuals invited, 400 responded, with varying levels of health literacy: 22(6%) limited, 305(76%) marginal, and 72(18%) adequate. The greatest barriers included family responsibilities, lack of energy, and a preference for managing health alone. However, distinct patterns emerged based on health literacy levels, with individuals citing different barriers. Although no significant differences were observed in CR barriers based on health literacy, understanding individual-specific challenges is crucial for intervention development. Addressing common barriers such as family responsibilities and logistical challenges could enhance CR engagement and adherence. [HLRP: Health Literacy Research and Practice. 2025;9(2):e72–e77.]