{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T19:56:28Z","timestamp":1787860588809,"version":"build-2784847793"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100009457","name":"Region Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009457","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000781","name":"European Research Council","doi-asserted-by":"publisher","award":["801790"],"award-info":[{"award-number":["801790"]}],"id":[{"id":"10.13039\/501100000781","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Danish Regions and the Danish Health Confederation through the Development and Research Fund for financial support","award":["2703"],"award-info":[{"award-number":["2703"]}]}],"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>Investigate the dropout rate during a 12-week transitional exercise-based cardiac rehabilitation (exCR) programme focusing on a halfway transition phase between hospital and the municipality-based cardiac rehabilitation. Secondly, investigate patient characteristics associated with dropout at the transition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Patients with coronary heart disease, heart failure, or heart valve surgery referred to exCR were included in a prospective cohort study conducted between 1 March 2018 and 28 February 2019 at Zealand University Hospital. Exercise-based cardiac rehabilitation was initiated at the hospital with a halfway transitional to local healthcare centres in the municipalities. Dropouts were identified every third week through telephone interviews. A Kaplan\u2013Meier time-to-event analysis was used to investigate time to dropout, while multiple logistic regression assessed associations between patient characteristics and dropout at the transition. Of 560 patients eligible for exCR, 279 participated in the study. Fourteen patients were lost to follow-up and 103 dropped out, resulting in a dropout rate of 39% [95% confidence interval (CI) 33\u201345%]. Of the 103 dropouts, 72 patients (70%) dropped out at the transition. In the adjusted analysis, patients attached to the labour market were associated with dropout at the transition [odds ratio (OR) = 6.31 (95% CI 2.04\u201319.54)]. Furthermore, odds of dropping out at transition were reduced for each extra exercise session attended [OR = 0.79 (95% CI 0.66\u20130.94)].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The transition phase constitutes a critical dropout period in exCR, in which increased attention on patient adherence is needed. In clinical practice, communication and strategies addressing patient retention across settings could be essential to prevent dropout in transitional exCR.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvab119","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T21:07:42Z","timestamp":1637701662000},"page":"578-586","source":"Crossref","is-referenced-by-count":22,"title":["Dropout during a 12-week transitional exercise-based cardiac rehabilitation programme: a mixed-methods prospective cohort study"],"prefix":"10.1093","volume":"21","author":[{"given":"Charlotte Greve","family":"Sommer","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital , Sygehusvej 10, 4000 Roskilde , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Bo","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital , Sygehusvej 10, 4000 Roskilde , Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy, N\u00e6stved-Slagelse-Ringsted Hospitals , Region Zealand, F\u00e6lledvej 2c, DK-4200 Slagelse , Denmark"},{"name":"Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark , Campusvej 55, DK-5230 Odense M , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte","family":"Blume","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital , Sygehusvej 10, 4000 Roskilde , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"The University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Department 9701, Ryesgade 27, DK-2200 Copenhagen , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren Thorgaard","family":"Skou","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, N\u00e6stved-Slagelse-Ringsted Hospitals , Region Zealand, F\u00e6lledvej 2c, DK-4200 Slagelse , Denmark"},{"name":"Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark , Campusvej 55, DK-5230 Odense M , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York , Seebohm Rowntree Building Heslington York, YO10 5DD England , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6055-8696","authenticated-orcid":false,"given":"Lars Hermann","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, N\u00e6stved-Slagelse-Ringsted Hospitals , Region Zealand, F\u00e6lledvej 2c, DK-4200 Slagelse , Denmark"},{"name":"Department of Regional Health Research, University of Southern Denmark , J.B. Winsl\u00f8ws Vej 19, 3 5000 Odense C , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"2022082909280410200_zvab119-B1","first-page":"CD011273","article-title":"Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews","volume":"12","author":"Anderson","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"2022082909280410200_zvab119-B2","first-page":"CD010876","article-title":"Exercise-based cardiac rehabilitation for adults after heart valve surgery","volume":"3","author":"Sibilitz","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2022082909280410200_zvab119-B3","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/HJR.0b013e328334f42d","article-title":"Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey","volume":"17","author":"Bjarnason-Wehrens","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2022082909280410200_zvab119-B4","author":"British Heart Foundation","year":"2018"},{"key":"2022082909280410200_zvab119-B5","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jcjd.2013.03.370","article-title":"Predicting exercise adherence for patients with obesity and diabetes referred to a cardiac rehabilitation and secondary prevention program","volume":"37","author":"Forhan","year":"2013","journal-title":"Can J Diabetes"},{"key":"2022082909280410200_zvab119-B6","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.hlc.2014.11.013","article-title":"Narrative review comparing the benefits of and participation in cardiac rehabilitation in high-, middle- and low-income countries","volume":"24","author":"Turk-Adawi","year":"2015","journal-title":"Heart Lung Circ"},{"key":"2022082909280410200_zvab119-B7","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1016\/j.mayocp.2017.07.019","article-title":"Effect of cardiac rehabilitation dose on mortality and morbidity: a systematic review and meta-regression analysis","volume":"92","author":"Santiago de Ara\u00fajo Pio","year":"2017","journal-title":"Mayo Clin Proc"},{"key":"2022082909280410200_zvab119-B8","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1136\/heartjnl-2012-303022","article-title":"Attendance at cardiac rehabilitation is associated with lower all-cause mortality after 14 years of follow-up","volume":"99","author":"Beauchamp","year":"2013","journal-title":"Heart"},{"key":"2022082909280410200_zvab119-B9","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1177\/2047487314545279","article-title":"Cardiac rehabilitation referral, attendance and mortality in women","volume":"22","author":"Colbert","year":"2015","journal-title":"Eur J Prev Cardiol"},{"key":"2022082909280410200_zvab119-B10","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1016\/j.cjca.2016.01.036","article-title":"Sex differences in cardiac rehabilitation adherence: a meta-analysis","volume":"32","author":"Oosenbrug","year":"2016","journal-title":"Can J Cardiol"},{"key":"2022082909280410200_zvab119-B11","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1177\/1474515118783157","article-title":"Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies","volume":"18","author":"Resurrecci\u00f3n","year":"2019","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2022082909280410200_zvab119-B12","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/JCN.0b013e3181ef6b04","article-title":"Medical, psychological, and sociodemographic factors associated with adherence to cardiac rehabilitation programs: a systematic review","volume":"26","author":"Taylor","year":"2011","journal-title":"J Cardiovasc Nurs"},{"key":"2022082909280410200_zvab119-B13","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.ijcard.2016.08.120","article-title":"Participation and adherence to cardiac rehabilitation programs. 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