{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:55:50Z","timestamp":1786942550013,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008397","name":"Velux Fonden","doi-asserted-by":"publisher","award":["00027323"],"award-info":[{"award-number":["00027323"]}],"id":[{"id":"10.13039\/100008397","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To achieve a deeper understanding of the results of a primary randomised controlled trial to clarify the potential effective mechanisms and barriers of a peer\u2010mentor intervention.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Mixed methods process\u2010outcome evaluation of the intervention.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n Qualitative and quantitative data were collected during the intervention in a during\u2010trial set\u2010up, that is, a convergent design.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The qualitative and quantitative findings mostly confirmed and expanded each other, identifying several mechanisms that facilitate the effectiveness of peer\u2010mentor support during cardiac rehabilitation, such as mentors' experience\u2010based knowledge and motivation. However, barriers related to lifestyle changes among older, vulnerable patients (e.g., mentee concerns about heart\u2010healthy diets) and psychological outcomes (e.g., mentees' resilience) may minimise the effectiveness.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Peer\u2010mentoring holds potential for supporting older, vulnerable patients during cardiac rehabilitation. However, ensuring that peer\u2010mentors are well\u2010suited for their role and capable of providing motivational, experience\u2010based support is crucial, as is the need for tailored mentorship and consideration of specific patient populations needing mentor\u2010supported cardiac rehabilitation.<\/jats:p>\n <\/jats:sec>\n \n Implications and Impact<\/jats:title>\n Cardiac rehabilitation faces challenges due to high drop\u2010out rates, particularly among older individuals, females, and vulnerable patients. Peer mentoring, a low\u2010cost intervention, holds promise for supporting these groups in cardiac rehabilitation programmes.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n The study adheres to the \u2018Systematic Development of Standards for Mixed Methods Reporting in Rehabilitation Health Sciences Research\u2019, \u2018Good Reporting of A Mixed Methods Study\u2019 and \u2018Template for Intervention Description and Replication\u2019.<\/jats:p>\n <\/jats:sec>\n \n Patient and Public Contribution<\/jats:title>\n A group of patients with cardiovascular disease actively contributed to developing and implementing the intervention.<\/jats:p>\n <\/jats:sec>\n \n Trial and Protocol Registration<\/jats:title>\n \n ClinicalTrials.gov<\/jats:ext-link>\n Identifier: NCT04945486\u2014prospectively registered before the first participant was recruited\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jan.16899","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T07:25:07Z","timestamp":1742196307000},"page":"8946-8958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Peer\u2010Mentor Support for Older, Vulnerable Patients With Ischemic Heart Disease: A Mixed Methods Process\u2010Outcome Evaluation"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0441-023X","authenticated-orcid":false,"given":"Maria","family":"Pedersen","sequence":"first","affiliation":[{"name":"Department of Nursing and Nutrition University College Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikke Agnete","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Nursing and Nutrition University College Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takyiwa","family":"Boateng","sequence":"additional","affiliation":[{"name":"Department of Nursing and Nutrition University College Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9576-4390","authenticated-orcid":false,"given":"Ingrid","family":"Egerod","sequence":"additional","affiliation":[{"name":"Department of Intensive Care University of Copenhagen, Rigshospitalet Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorthe","family":"Overgaard","sequence":"additional","affiliation":[{"name":"Department of Nursing and Nutrition University College Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte B\u00f8cher","family":"Bennich","sequence":"additional","affiliation":[{"name":"Department of Nursing and Nutrition University College Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"e_1_2_21_2_1","first-page":"79","volume-title":"Sources of Self\u2010Efficacy","author":"Bandura A.","year":"1997"},{"key":"e_1_2_21_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_21_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000278955.44759.73"},{"key":"e_1_2_21_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12955\u2010019\u20101264\u20100"},{"key":"e_1_2_21_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010207"},{"key":"e_1_2_21_7_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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