{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T03:01:11Z","timestamp":1793934071190,"version":"4.8.0"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"National Heart Foundation of Australia Postdoctoral Fellowships","award":["104860"],"award-info":[{"award-number":["104860"]}]},{"name":"National Heart Foundation of Australia Postdoctoral Fellowships","award":["102585"],"award-info":[{"award-number":["102585"]}]},{"name":"National Heart Foundation of Australia Future Leader Fellowship","award":["102536"],"award-info":[{"award-number":["102536"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Delivery of cardiac rehabilitation (CR) was challenged during the pandemic caused by the Coronavirus disease (COVID-19), due to government stay-at-home directives which restricted in-person programmes. The Australian state of Victoria experienced the longest and most severe COVID-19 restrictions and was in lockdown for \u223c6 months of 2020. We aimed to explore (i) clinicians\u2019 experiences and perceptions and (ii) identify barriers and enablers, for delivering CR during the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Victorian members of the Australian Cardiovascular Health and Rehabilitation Association (ACRA) were invited to attend an exploratory qualitative online consultation in November 2020. An inductive thematic analysis was undertaken, before deductively applying the Non-adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework to identify barriers and enablers for technology adoption in CR. Thirty members participated in a 106-min consultation. Seventeen members who provided demographics represented multiple disciplines (nursing n = 13, exercise physiology n = 3, and physiotherapy n = 1) and geographical settings (metropolitan n = 10, regional n = 4, and rural n = 3). Four main themes were inductively identified: consequences of change; use of technology; capacity; and the way forward. The deductive NASSS analysis demonstrated the main challenges of continuing remotely delivered CR lie with adopters (staff, patients, and carers) and with organizations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The COVID-19 pandemic expedited significant changes to CR delivery models. While clinicians are eager to retain technology-enabled delivery in addition to resuming in-person CR, it is now timely to review remote models of care, tools used and plan how they will be integrated with traditional in-person programmes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvab118","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T12:19:13Z","timestamp":1637237953000},"page":"548-558","source":"Crossref","is-referenced-by-count":45,"title":["Telehealth is here to stay but not without challenges: a consultation of cardiac rehabilitation clinicians during COVID-19 in Victoria, Australia"],"prefix":"10.1093","volume":"21","author":[{"given":"Susie","family":"Cartledge","sequence":"first","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University , 553 St Kilda Road, Melbourne, VIC 3004 , Australia"},{"name":"Institute for Physical Activity and Nutrition, Deakin University , Geelong, VIC , Australia"},{"name":"Heart Centre, Alfred Health , Melbourne, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan C","family":"Rawstorn","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , Geelong, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Tran","sequence":"additional","affiliation":[{"name":"Health Independence Program, Cardiopulmonary Rehabilitation, St Vincent\u2019s Hospital , Melbourne, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Ryan","sequence":"additional","affiliation":[{"name":"Heart Foundation , Melbourne, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6657-4395","authenticated-orcid":false,"given":"Erin J","family":"Howden","sequence":"additional","affiliation":[{"name":"Human Integrative Physiology Lab, Baker Heart and Diabetes Institute , Melbourne, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alun","family":"Jackson","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , Melbourne, VIC , Australia"},{"name":"Centre on Behavioural Health, Hong Kong University , Pok Fu Lam , Hong Kong"},{"name":"Faculty of Health, Deakin University , Geelong, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"2022082909280311700_zvab118-B1","first-page":"CD001800","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","volume":"1","author":"Anderson","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2022082909280311700_zvab118-B2","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/j.hlc.2016.06.789","article-title":"National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016","volume":"25","author":"Chew","year":"2016","journal-title":"Heart Lung Circ"},{"key":"2022082909280311700_zvab118-B3","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European Guidelines on cardiovascular disease prevention in clinical practice the Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR)","volume":"37","author":"Piepoli","year":"2016","journal-title":"Eur Heart J"},{"key":"2022082909280311700_zvab118-B4","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1136\/heartjnl-2018-314206","article-title":"Standards and core components for cardiovascular disease prevention and rehabilitation","volume":"105","author":"Cowie","year":"2019","journal-title":"Heart"},{"key":"2022082909280311700_zvab118-B5","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1016\/j.hlc.2017.08.024","article-title":"Cardiac rehabilitation in Australia: a brief survey of program characteristics","volume":"27","author":"Jackson","year":"2018","journal-title":"Heart Lung Circ"},{"key":"2022082909280311700_zvab118-B6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/2047487313501093","article-title":"Alternative models of cardiac rehabilitation: a systematic review","volume":"22","author":"Clark","year":"2015","journal-title":"Eur J Prev Cardiol"},{"key":"2022082909280311700_zvab118-B7","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1136\/heartjnl-2015-308966","article-title":"Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis","volume":"102","author":"Rawstorn","year":"2016","journal-title":"Heart"},{"key":"2022082909280311700_zvab118-B8","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/1474515119826510","article-title":"Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review and meta-analysis","volume":"18","author":"Jin","year":"2019","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2022082909280311700_zvab118-B9","author":"Update on Coronavirus Measures","year":"2021"},{"key":"2022082909280311700_zvab118-B10","author":"CR Directory \u2013 ACRA","year":"2021"},{"key":"2022082909280311700_zvab118-B11","author":"National Heart Foundation of Australia. 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