{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T08:35:57Z","timestamp":1782290157456,"version":"3.54.5"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015006","name":"Western Alliance Academic Health Science Centre","doi-asserted-by":"publisher","award":["WA-844841"],"award-info":[{"award-number":["WA-844841"]}],"id":[{"id":"10.13039\/501100015006","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Australian Heart Foundation","award":["102585"],"award-info":[{"award-number":["102585"]}]},{"name":"Australian Heart Foundation","award":["104860"],"award-info":[{"award-number":["104860"]}]},{"name":"Australian Heart Foundation","award":["102112"],"award-info":[{"award-number":["102112"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Cardiac exercise telerehabilitation is effective and can be cost-effective for managing ischaemic heart disease, but implementation of evidence-based interventions in clinical practice remains a challenge. We aimed to identify factors that cardiac rehabilitation stakeholders perceived could influence the effectiveness of implementing an evidence-based, real-time remotely monitored cardiac exercise telerehabilitation intervention (REMOTE-CR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Online interviews and focus groups were conducted with cardiac rehabilitation consumers (n = 16, 5 female, 61.1 \u00b1 10.0 years), practitioners (n = 20, 14 female; 36.6 \u00b1 11.8 years), and health service managers (n = 11, 7 female; 46.2 \u00b1 9.2 years) recruited from one metropolitan and three inner-regional healthcare services in Western Victoria, Australia. Discussions were guided by two theoretical frameworks (Non-adoption, Abandonment, Scale-up, Spread, and Sustainability; Consolidated Framework for Implementation Research), and analysed thematically. Factors perceived to influence effective implementation of REMOTE-CR spanned all domains of the theoretical frameworks, related to six major themes (resources, change management, stakeholder targeting, knowledge, intervention design, security) and were largely consistent across study sites; however, the relative importance of each factor may vary between sites.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Effective implementation of exercise telerehabilitation interventions like REMOTE-CR will require a coordinated context-specific approach that considers factors across all levels of the healthcare system and implementation science frameworks. Key requirements include prioritizing resources, managing change, selecting target stakeholders, developing digital health capabilities, and selecting fit-for-purpose technologies that enable programme delivery objectives.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvae127","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T14:50:12Z","timestamp":1727794212000},"page":"116-125","source":"Crossref","is-referenced-by-count":9,"title":["Stakeholder perceptions of factors contributing to effective implementation of exercise cardiac telerehabilitation in clinical practice"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9755-7993","authenticated-orcid":false,"given":"Jonathan C","family":"Rawstorn","sequence":"first","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , 221 Burwood Highway, Burwood, Victoria 3125 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8752-2244","authenticated-orcid":false,"given":"Narayan","family":"Subedi","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , 221 Burwood Highway, Burwood, Victoria 3125 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1303-6064","authenticated-orcid":false,"given":"Harriet","family":"Koorts","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , 221 Burwood Highway, Burwood, Victoria 3125 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Evans","sequence":"additional","affiliation":[{"name":"Allied Health, Grampians Health , Ballarat ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-2244","authenticated-orcid":false,"given":"Susie","family":"Cartledge","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University , Melbourne ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2201-7933","authenticated-orcid":false,"given":"Matthew P","family":"Wallen","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences, Flinders University , Adelaide ,","place":["Australia"]},{"name":"Institute of Health and Wellbeing, Federation University , Mt Helen ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3144-5999","authenticated-orcid":false,"given":"Fergal M","family":"Grace","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Federation University , Mt Helen ,","place":["Australia"]},{"name":"Future Regions Research Centre, Federation University , Mt Helen ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7926-9368","authenticated-orcid":false,"given":"Sheikh Mohammed Shariful","family":"Islam","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , 221 Burwood Highway, Burwood, Victoria 3125 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8564-5518","authenticated-orcid":false,"given":"Ralph","family":"Maddison","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University , 221 Burwood Highway, Burwood, Victoria 3125 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"2025013018182999300_zvae127-B1","doi-asserted-by":"crossref","first-page":"2982","DOI":"10.1016\/j.jacc.2020.11.010","article-title":"Global burden of cardiovascular diseases and risk factors, 1990\u20132019","volume":"76","author":"Roth","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2025013018182999300_zvae127-B2","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1177\/2047487312449597","article-title":"Secondary prevention in the clinical management of patients with cardiovascular diseases. 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