ArticleEuropean journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology2008
Contribution of patient and physician factors to cardiac rehabilitation enrollment: a prospective multilevel study.
Article in European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01752595 (The Music Activity INTervention for Adherence Improvement Through Neurological Entrainment Study), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Music Activity INTervention for Adherence Improvement Through Neurological Entrainment Study
Who cites it
59 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Disparities in Cardiac Rehabilitation Among Individuals from Racial and Ethnic Groups and Rural Communities-A Systematic Review.Journal of racial and ethnic health disparities · 2019Pooled it
- Physician factors affecting cardiac rehabilitation referral and patient enrollment: a systematic review.Clinical cardiology · 2013Pooled it
- Randomized trial of early exercise rehabilitation and its effects on patients with acute coronary syndrome.Scientific reports · 2024Trial
- Successful Implementation and Development of a Phase II Cardiac Rehabilitation Program: A China-Wide Cross-Sectional Study Tracking In-service Training Clinical Staff.Frontiers in public health · 2021Trial
- Effectiveness of inpatient and outpatient strategies in increasing referral and utilization of cardiac rehabilitation: a prospective, multi-site study.Implementation science : IS · 2012Trial
- World Heart Federation Roadmap on cardiac rehabilitation: a pathway to lifelong cardiovascular health.Nature reviews. Cardiology · 2026Review
- Knowledge, attitudes and practices towards cardiac rehabilitation among patients with heart failure.BMC public health · 2026Article
- Implementation and Strategies to Support Adoption of the World Heart Federation Roadmap on Cardiac Rehabilitation: A Pathway to Improve Lifelong Cardiovascular Health.Global heart · 2026Review
- Traditional and Virtual Cardiac Rehabilitation: Understanding the Changing Landscape of Cardiac Rehabilitation and the Implications on Patient Outcomes.Reviews in cardiovascular medicine · 2025Review
- Article
- Observational
- Cardiopulmonary and hemodynamic responses toFrontiers in physiology · 2025Article
- Translation, Cultural Adaptation of the Portuguese Provider Attitudes toward Cardiac Rehabilitation and Referral (PACRR-P) Scale and Assessment of Its' Measurement Properties.Healthcare (Basel, Switzerland) · 2024Article
- Multimorbidity impacts cardiovascular disease risk following percutaneous coronary intervention: latent class analysis of the Melbourne Interventional Group (MIG) registry.BMC cardiovascular disorders · 2024Article
- Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention: A Cross-sectional Survey.Journal of the Saudi Heart Association · 2024Article
- Information Needs and Communication Strategies for People with Coronary Heart Disease: A Scoping Review.International journal of environmental research and public health · 2023Article
- Global trends and frontiers in research on exercise training for heart failure: a bibliometric analysis from 2002 to 2022.Frontiers in cardiovascular medicine · 2023Article
- Clinical Determinants and Barriers to Cardiac Rehabilitation Enrollment of Patients with Heart Failure with Reduced Ejection Fraction: A Single-Center Study in Portugal.Journal of cardiovascular development and disease · 2022Article
- Regional disparities in cardiac rehabilitation volume throughout Japan based on open data from a National Database of Health Insurance Claims.Journal of rural medicine : JRM · 2022Article
- Active Lifestyle Post First Myocardial Infarction: A Comparison between Participants and Non-Participants of a Structured Cardiac Rehabilitation Program.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundCardiac rehabilitation (CR) is an established means of reducing mortality, yet is grossly underutilized. This is due to both health system and patient-level factors; issues that have yet to be investigated concurrently. This study utilized a hierarchical design to examine physician and patient-level factors affecting verified CR enrollment.
designA prospective multisite study, using a multilevel design of 1490 coronary artery disease outpatients nested within 97 Ontario cardiology practices (mean 15 per cardiologist).
methodsCardiologists completed a survey regarding CR attitudes. Outpatients were surveyed prospectively to assess factors affecting CR enrollment. Patients were mailed a follow-up survey 9 months later to self-report CR enrollment. This was verified with 40 CR sites.
resultsFive hundred and fifty (43.4%) outpatients were referred, and 469 (37.0%) enrolled in CR. In mixed logistic regression analyses, factors affecting verified CR enrollment were greater strength of physician endorsement (P=0.005), shorter distance to CR (P=0.001), being married (P=0.01), and fewer perceived CR barriers (P=0.03).
conclusionBoth physician and patient factors play a part in CR enrollment. Patient CR barriers should be addressed during referral discussions, and reasons why physicians fail to uniformly endorse CR exploration. Although distance to CR was related to patient enrollment patterns, greater access to home-based CR services should be provided.
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