{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:45:42Z","timestamp":1790207142475,"version":"4.1.0"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"DC is a PhD Scholarship recipient and RG is a Principal Investigator of the SOLVE-CHD Australian Government National Health and Medical Research Council Synergy","award":["GNT1182301"],"award-info":[{"award-number":["GNT1182301"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Enforced suspension and reduction of in-person cardiac rehabilitation (CR) services during the coronavirus disease-19 (COVID-19) pandemic restrictions required rapid implementation of remote delivery methods, thus enabling a cohort comparison of in-person vs. remote-delivered CR participants. This study aimed to examine the health-related quality of life (HRQL) outcomes and patient experiences comparing these delivery modes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>Participants across four metropolitan CR sites receiving in-person (December 2019 to March 2020) or remote-delivered (April to October 2020) programmes were assessed for HRQL (Short Form-12) at CR entry and completion. A General Linear Model was used to adjust for baseline group differences and qualitative interviews to explore patient experiences. Participants (n = 194) had a mean age of 65.94 (SD 10.45) years, 80.9% males. Diagnoses included elective percutaneous coronary intervention (40.2%), myocardial infarction (33.5%), and coronary artery bypass grafting (26.3%). Remote-delivered CR wait times were shorter than in-person [median 14 (interquartile range, IQR 10\u201321) vs. 25 (IQR 16\u201338) days, P &amp;lt; 0.001], but participation by ethnic minorities was lower (13.6% vs. 35.2%, P &amp;lt; 0.001). Remote-delivered CR participants had equivalent benefits to in-person in all HRQL domains but more improvements than in-person in Mental Health, both domain [mean difference (MD) 3.56, 95% confidence interval (CI) 1.28, 5.82] and composite (MD 2.37, 95% CI 0.15, 4.58). From qualitative interviews (n = 16), patients valued in-person CR for direct exercise supervision and group interactions, and remote-delivered for convenience and flexibility (negotiable contact times).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Remote-delivered CR implemented during COVID-19 had equivalent, sometimes better, HRQL outcomes than in-person, and shorter wait times. Participation by minority groups in remote-delivered modes are lower. Further research is needed to evaluate other patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1093\/eurjcn\/zvac006","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T12:19:30Z","timestamp":1643113170000},"page":"732-740","source":"Crossref","is-referenced-by-count":20,"title":["Remote-delivered cardiac rehabilitation during COVID-19: a prospective cohort comparison of health-related quality of life outcomes and patient experiences"],"prefix":"10.1093","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7547-2860","authenticated-orcid":false,"given":"Dion","family":"Candelaria","sequence":"first","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney , D18 Western Avenue, Camperdown, NSW 2006 , Australia"},{"name":"Charles Perkins Centre, The University of Sydney , John Hopkins Drive, Camperdown, NSW 2006 , 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Akbar","family":"Ladak","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney , D18 Western Avenue, Camperdown, NSW 2006 , Australia"},{"name":"The Aga Khan University , National Stadium Rd, Aga Khan University Hospital, Karachi, Karachi City, Sindh , Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Soady","sequence":"additional","affiliation":[{"name":"Consumer Partner, Northern Sydney Local Health District , Reserve Road, St Leonards, NSW 2065 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5588-9351","authenticated-orcid":false,"given":"Robyn","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney , D18 Western Avenue, Camperdown, NSW 2006 , Australia"},{"name":"Charles 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