{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:17:22Z","timestamp":1787638642222,"version":"build-2736575974"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>The secondary prevention benefits of cardiac rehabilitation and similar exercise classes for stroke survivors are well established, however post-stroke exercise participation remains low. This research aimed to explore the factors affecting participation and engagement in UK-based post-stroke cardiac rehabilitation and exercise, from the perspective of the service user and service provider. An exploratory study, using semi-structured interviews, was conducted (<jats:italic toggle=\"yes\">n<\/jats:italic>\u2005=\u20058, service user\u2005=\u20054), adopting a phenomenological approach. All interviews applied a topic guide informed by the Health Belief Model and the International Classification of Functioning, Disability and Health, and were analysed using inductive thematic analysis. Post-stroke cardiac rehabilitation and exercise participation was influenced by numerous factors, encompassed into three themes: Accessibility (describing the environmental pre-class limiting factors), Programme Structure (valuing in-class supervision, socialisation and adaptations) and Patient Characteristics (encompassing the influence of the service user\u2019s personality and experiences). Effective secondary prevention of stroke through cardiac rehabilitation and other exercise-based rehabilitation requires policy development and commissioning to ensure appropriate delivery. Further research should determine the feasibility of novel exercise class formats, in addition to larger trials investigating their clinical benefit and cost effectiveness.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000652","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T15:00:34Z","timestamp":1737644434000},"page":"55-62","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Factors influencing participation and engagement in post-stroke cardiac rehabilitation and exercise: an exploratory qualitative study"],"prefix":"10.1097","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8285-5809","authenticated-orcid":false,"given":"Emma","family":"Martin","sequence":"first","affiliation":[{"name":"School of Medicine, University of Nottingham, Nottingham"},{"name":"Medical Research Council Unit for Lifelong Health and Ageing at UCL, University College London, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trudi","family":"Cameron","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6246-3180","authenticated-orcid":false,"given":"Kate","family":"Radford","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham"},{"name":"NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"R1-20250206","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S1474-4422(18)30499-X","article-title":"Global, regional, and national burden of neurological disorders, 1990\u20132016: a 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