ArticleJournal of cardiopulmonary rehabilitation and prevention
Improving cardiac rehabilitation attendance and completion through quality improvement activities and a motivational program.
Article in Journal of cardiopulmonary rehabilitation and prevention. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Effectiveness of quality improvement interventions in cardiac rehabilitation on processes and patient outcomes: a systematic review and meta-analysis.European heart journal. Quality of care & clinical outcomes · 2025Pooled it
- The iATTEND Trial: A Trial Comparing Hybrid Versus Standard Cardiac Rehabilitation.The American journal of cardiology · 2024Trial
- Employment Status and Participation in Cardiac Rehabilitation: DOES ENCOURAGING EARLIER ENROLLMENT IMPROVE ATTENDANCE?Journal of cardiopulmonary rehabilitation and preventionTrial
- World Heart Federation Roadmap on cardiac rehabilitation: a pathway to lifelong cardiovascular health.Nature reviews. Cardiology · 2026Review
- 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
- Data-driven collaborative QUality improvement in Cardiac Rehabilitation (QUICR) to increase program completion: protocol for a cluster randomized controlled trial.BMC cardiovascular disorders · 2024Article
- World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update.Global heart · 2024Article
- Cardiac Rehabilitation Reduces 2-Year Mortality After Coronary Artery Bypass Grafting.The Annals of thoracic surgery · 2023Article
- Advances, Challenges, and Progress in Cardiac Rehabilitation in Chronic CVD Management.Current atherosclerosis reports · 2023Review
- Implementation of an Appointment-Based Cardiac Rehabilitation Approach: A Single-Center Experience.Journal of the American Heart Association · 2022Article
- Adherence to a Multidisciplinary Lifestyle Program for Patients With Atrial Fibrillation and Obesity: Feasibility Study.JMIR formative research · 2022Article
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- Quality indicators for cardiac rehabilitation after myocardial infarction in China: a consensus panel and practice test.BMJ open · 2020Article
- Cardiac Rehabilitation for Secondary Prevention of Cardiovascular Disease: 2019 Update.Current treatment options in cardiovascular medicine · 2019Review
- Cardiac rehabilitation in patients who underwent primary percutaneous coronary intervention for acute myocardial infarction: determinants of programme participation and completion.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017Article
- Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions.Mayo Clinic proceedings · 2017Review
- Patient Characteristics Predictive of Cardiac Rehabilitation Adherence.Journal of cardiopulmonary rehabilitation and prevention · 2017Article
- Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative.Mayo Clinic proceedings · 2017Review
- The MOTIV-HEART Study: A Prospective, Randomized, Single-Blind Pilot Study of Brief Strategic Therapy and Motivational Interviewing among Cardiac Rehabilitation Patients.Frontiers in psychology · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
purposeRecent studies have demonstrated that patients who attend more cardiac rehabilitation (CR) sessions have lower subsequent mortality rates than those who attend fewer sessions.
methodsWe analyzed the impact of several phased-in policy and process changes implemented to increase patient participation in CR. In March 2010, our CR program changed from a policy of individualizing the recommended number of CR sessions per patient to a policy that recommended all 36 CR sessions. In October 2010, we introduced a 7-minute video describing the benefits of CR. In August 2011, we introduced a motivational program that rewarded patients after every sixth CR session. The number of CR sessions attended was determined through review of billing records. Enrollment and completion were defined as attending ≥1 session and ≥30 sessions, respectively.
resultsWe identified 1103 patients sequentially enrolled in CR between May 2009 and January 2012. Overall, the median number of sessions per patient improved from 12 to 20 (P < .001). Completion rate improved from 14% to 39% (P < .001). The motivational program increased attendance by a median of 3 sessions per patient (P = .04), but this effect was limited to local CR participants. Financial analysis suggested that for every $100 spent on motivational rewards, patients attended an additional 6.6 (95% CI, -1 to 14) sessions of CR.
conclusionsQuality improvement activities significantly increased CR participation. Wide implementation of such programs may favorably impact patient participation in CR and potentially decrease the rate of subsequent cardiac events.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.