{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:09:40Z","timestamp":1791454180453,"version":"4.3.3"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T00:00:00Z","timestamp":1634860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Horizons 2020 Grant in the CoroPrevention project"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Cardiac rehabilitation (CR) is indicated in patients with cardiovascular disease but participation rates remain low. Telerehabilitation (TR) is often proposed as a solution. While many trials have investigated TR, few have studied participation rates in conventional CR non-participants. The aim of this study was to identify the percentage of patients that would be willing to participate in a TR programme to identify the main perceived barriers and facilitators for participating in TR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Two groups of patients were recruited: CR non-participants and CR participants. Semi-structured interviews were conducted. Thirty non-participants and 30 participants were interviewed. Of CR non-participants, 33% would participate in TR and 10% would participate in a blended CR programme (combination of centre-based CR and TR). Of CR participants, 60% would participate in TR and 70% would be interested in a blended CR programme. Of those that would participate in TR, 44% would prefer centre-based CR, 33% would prefer a blended CR programme, and 11% would prefer a full TR programme. In both groups, the main facilitating aspect about TR was not needing transport and the main barrier was digital literacy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>For CR non-participants, TR will only partly solve the problem of low participation rates and blended programmes might not offer a solution. Cardiac rehabilitation participants are more prepared to participate in TR and blended CR. Digital literacy was in both groups mentioned as an important barrier, emphasizing the challenges for healthcare and local governments to keep educating all types of patients in digital literacy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztab091","type":"journal-article","created":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T13:55:01Z","timestamp":1634910901000},"page":"67-76","source":"Crossref","is-referenced-by-count":25,"title":["Willingness to participate in cardiac telerehabilitation: results from semi-structured interviews"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-115X","authenticated-orcid":false,"given":"Maarten","family":"Falter","sequence":"first","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11 , 3500 Hasselt, Belgium"},{"name":"Department of Cardiovascular research, Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan gebouw D, Diepenbeek, BE3590 Hasselt, Belgium"},{"name":"Department of Cardiology, Faculty of Medicine, KULeuven , Herestraat 49 , 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9483-3828","authenticated-orcid":false,"given":"Martijn","family":"Scherrenberg","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11 , 3500 Hasselt, Belgium"},{"name":"Department of Cardiovascular research, Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan gebouw D, Diepenbeek, BE3590 Hasselt, Belgium"},{"name":"Department of Cardiovascular research, Faculty of Medicine and Health Sciences, Antwerp University, Universiteitsplein 1, 2610 Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2723-1645","authenticated-orcid":false,"given":"Hanne","family":"Kindermans","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular research, Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan gebouw D, Diepenbeek, BE3590 Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevda","family":"Kizilkilic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Ghent University , Corneel Heymanslaan 10 , 9000 Gent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0941-8035","authenticated-orcid":false,"given":"Toshiki","family":"Kaihara","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11 , 3500 Hasselt, Belgium"},{"name":"Department of Cardiovascular research, Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan gebouw D, Diepenbeek, BE3590 Hasselt, Belgium"},{"name":"Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine , 2 Chome-16-1 Sugao, Miyamae Ward , Kawasaki, Kanagawa 216-8511 Kawasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0821-4559","authenticated-orcid":false,"given":"Paul","family":"Dendale","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11 , 3500 Hasselt, Belgium"},{"name":"Department of Cardiovascular research, Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan gebouw D, Diepenbeek, BE3590 Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,22]]},"reference":[{"key":"2022111811313165300_ztab091-B1","doi-asserted-by":"crossref","first-page":"3227","DOI":"10.1093\/eurheartj\/ehab484","article-title":"2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC)","volume":"42","author":"Visseren","year":"2021","journal-title":"Eur Heart J"},{"key":"2022111811313165300_ztab091-B2","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1177\/2047487318781359","article-title":"Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey","volume":"25","author":"Kotseva","year":"2018","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811313165300_ztab091-B3","doi-asserted-by":"crossref","first-page":"e014415","DOI":"10.1161\/JAHA.119.014415","article-title":"Cumulative adherence to secondary prevention guidelines and mortality after acute myocardial infarction","volume":"9","author":"Solomon","year":"2020","journal-title":"J Am Heart 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A systematic review","volume":"223","author":"Ruano-Ravina","year":"2016","journal-title":"Int J Cardiol"},{"key":"2022111811313165300_ztab091-B7","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1177\/1741826711409326","article-title":"Participating in cardiac rehabilitation: a systematic review and meta-synthesis of qualitative data","volume":"19","author":"Neubeck","year":"2012","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811313165300_ztab091-B8","doi-asserted-by":"crossref","DOI":"10.1093\/med\/9780198849308.001.0001","volume-title":"ESC Handbook of Cardiovascular Rehabilitation: A Practical Clinical Guide","author":"Abreu","year":"2020"},{"key":"2022111811313165300_ztab091-B9","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1177\/2047487319832394","article-title":"ESC e-Cardiology Working Group Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine","volume":"26","author":"Frederix","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811313165300_ztab091-B10","first-page":"1","article-title":"Virtual and in-person cardiac rehabilitation","volume":"373","author":"Dalal","year":"2021","journal-title":"BMJ"},{"key":"2022111811313165300_ztab091-B11","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1136\/heartjnl-2016-309429","article-title":"Telehealth technologies could improve suboptimal rates of participation in cardiac rehabilitation","volume":"102","author":"Dalal","year":"2016","journal-title":"Heart"},{"key":"2022111811313165300_ztab091-B12","doi-asserted-by":"crossref","first-page":"2754","DOI":"10.1016\/j.jacc.2021.03.328","article-title":"Effectiveness of cardiac telerehabilitation with relapse prevention: SmartCare-CAD randomized controlled trial","volume":"77","author":"Brouwers","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"2022111811313165300_ztab091-B13","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1093\/ehjdh\/ztaa005","article-title":"Cost-effectiveness of cardiac telerehabilitation in coronary artery disease and heart failure patients: systematic review of randomized controlled trials","volume":"1","author":"Scherrenberg","year":"2020","journal-title":"Eur Heart J Digit Health"},{"key":"2022111811313165300_ztab091-B14","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1177\/2047487317732274","article-title":"Cardiac telerehabilitation: a novel cost-efficient care delivery strategy that can induce long-term health benefits","volume":"24","author":"Frederix","year":"2017","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811313165300_ztab091-B15","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1177\/2047487317710803","article-title":"Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study","volume":"24","author":"Kraal","year":"2017","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811313165300_ztab091-B16","doi-asserted-by":"crossref","first-page":"e225","DOI":"10.2196\/jmir.9943","article-title":"Home-based rehabilitation with telemonitoring guidance for patients with coronary artery disease (short-term results of the TRiCH study): Randomized controlled trial","volume":"20","author":"Avila","year":"2018","journal-title":"J Med Internet Res"},{"key":"2022111811313165300_ztab091-B17","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1001\/jamacardio.2020.5218","article-title":"Effectiveness of home-based mobile guided cardiac rehabilitation as alternative strategy for nonparticipation in clinic-based cardiac rehabilitation among elderly patients in Europe: a randomized clinical trial","volume":"6","author":"Snoek","year":"2021","journal-title":"JAMA Cardiol"},{"key":"2022111811313165300_ztab091-B18","doi-asserted-by":"crossref","first-page":"e046051","DOI":"10.1136\/bmjopen-2020-046051","article-title":"How has technology been used to deliver cardiac rehabilitation during the COVID-19 pandemic? 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