ArticleBMC cardiovascular disorders2019
Creating and disseminating a home-based cardiac rehabilitation program: experience from the Veterans Health Administration.
Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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Who cites it
7 citing papers in PubMed.
- Cardiac Rehabilitation Among Veterans: A Narrative Review.Journal of cardiopulmonary rehabilitation and prevention · 2025Review
- Factors that influence the provision of home-based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2023Review
- A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.Circulation · 2023Review
- Tracking Cardiac Rehabilitation Utilization in Medicare Beneficiaries: 2017 UPDATE.Journal of cardiopulmonary rehabilitation and prevention · 2022Article
- Million Hearts Cardiac Rehabilitation Think Tank: Accelerating New Care Models.Circulation. Cardiovascular quality and outcomes · 2021Article
- Retrospective Analysis and Forecasted Economic Impact of a Virtual Cardiac Rehabilitation Program in a Third-Party Payer Environment.Frontiers in digital health · 2021Article
- Cardiovascular Outcomes of Patients Referred to Home Based Cardiac Rehabilitation.Heart & lung : the journal of critical careArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiac rehabilitation (CR) programs provide significant benefit for people with cardiovascular disease. Despite these benefits, such services are not universally available. We designed and evaluated a national home-based CR (HBCR) program in the Veterans Health Administration (VHA). The primary aim of the study was to examine barriers and facilitators associated with site-level implementation of HBCR.
methodsThis study used a convergent parallel mixed-methods design with qualitative data to analyze the process of implementation, quantitative data to determine low and high uptake of the HBCR program, and the integration of the two to determine which facilitators and barriers were associated with adoption. Data were drawn from 16 VHA facilities, and included semi-structured interviews with multiple stakeholders, document analysis, and quantitative analysis of CR program attendance codes. Qualitative data were analyzed using the Consolidated Framework for Implementation Research codes including three years of document analysis and 22 interviews.
resultsComparing high and low uptake programs, readiness for implementation (leadership engagement, available resources, and access to knowledge and information), planning, and engaging champions and opinion leaders were key to success. High uptake sites were more likely to seek information from the external facilitator, compared to low uptake sites. There were few adaptations to the design of the program at individual sites.
conclusionConsistent and supportive leadership, both clinical and administrative, are critical elements to getting HBCR programs up and running and sustaining programs over time. All sites in this study had external funding to develop their program, but high adopters both made better use of those resources and were able to leverage existing resources in the setting. These data will inform broader policy regarding use of HBCR services.
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