ArticleJournal of cardiopulmonary rehabilitation and prevention
A comparison of barriers to use of home- versus site-based cardiac rehabilitation.
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 17 papers.
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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
17 citing papers in PubMed.
- Exploring factors related to non-adherence to exergaming in patients with chronic heart failure.ESC heart failure · 2021Trial
- Feasibility, Acceptability, and Clinical Effectiveness of a Technology-Enabled Cardiac Rehabilitation Platform (Physical Activity Toward Health-I): Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- The HEALERS: a patient, community, and stakeholder advisory board focus group series to refine a novel virtual world-based cardiac rehabilitation intervention and clinical trial.Frontiers in digital health · 2025Article
- Cardiac Rehabilitation Enabled With Health Technology: Innovative Models of Care Delivery and Policy to Enhance Health Equity.Journal of the American Heart Association · 2024Article
- Efficacy and Adherence Rates of a Novel Community-Informed Virtual World-Based Cardiac Rehabilitation Program: Protocol for theJournal of the American Heart Association · 2023Article
- Article
- Unmet Needs for Cardiac Rehabilitation in Africa: A Perennial Gap in the Management of Individuals with Cardiac Diseases.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023Review
- Disparities in Geographic Access to Cardiac Rehabilitation in Los Angeles County.Journal of the American Heart Association · 2022Article
- Tracking Cardiac Rehabilitation Utilization in Medicare Beneficiaries: 2017 UPDATE.Journal of cardiopulmonary rehabilitation and prevention · 2022Article
- Listen to Me! - A Mixed-Methods Study of Thoughts and Attitudes Towards Participation in Pulmonary Telerehabilitation Among People with Severe and Very Severe COPD Who Declined Participation in Pulmonary Rehabilitation.Patient preference and adherence · 2022Article
- Validity and Reliability of the Cardiac Rehabilitation Barriers Scale in the Czech Republic (CRBS-CZE): Determination of Key Barriers in East-Central Europe.International journal of environmental research and public health · 2021Observational
- Million Hearts Cardiac Rehabilitation Think Tank: Accelerating New Care Models.Circulation. Cardiovascular quality and outcomes · 2021Article
- Regional Variability in the Access to Cardiac Rehabilitation in Poland.Healthcare (Basel, Switzerland) · 2020Article
- Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P).BMJ open · 2020Article
- Long-term effects of cardiac rehabilitation on sleep apnea severity in patients with coronary artery disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Geographic Variation in Cardiac Rehabilitation Participation in Medicare and Veterans Affairs Populations: Opportunity for Improvement.Circulation · 2018Article
- Cardiac Rehabilitation in Patients with Established Atherosclerotic Vascular Disease: New Directions in the Era of Value-Based Healthcare.Current atherosclerosis reports · 2016Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeDespite the established benefits of cardiac rehabilitation (CR), it remains significantly underutilized. It is unknown whether patient barriers to enrollment and adherence are addressed by offering choice of program type. The purpose of this study was to examine barriers to participation in CR by program type (site- vs home-based program) and the relation of these barriers to degree of program participation and exercise behavior.
methodsOne thousand eight hundred nine cardiac patients from 11 hospitals across Ontario completed a sociodemographic survey inhospital, and clinical data were extracted from medical records. They were mailed a followup survey 1 year later, which included the Cardiac Rehabilitation Barriers Scale and the Physical Activity Scale for the Elderly. Participants were also asked whether they attended CR, the type of program model attended, and the percentage of prescribed sessions completed.
resultsOverall, 939 patients (51.9%) participated in CR, with 96 (10.3%) participating in a home-based program. Home-based participants reported significantly greater CR barriers, including distance, than site-based participants (P < .001). Mean barrier scores were significantly and negatively related to session completion and physical activity among site-based (Ps < .05), but not home-based (NS), CR participants.
conclusionThe barriers to CR are significantly different among patients attending site- versus home-based programs, suggesting appropriate use of alternative models of care. Patient preferences should be considered when allocating patients to program models. Once in CR, programs should work toward identifying and tackling barriers among site-based participants.
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