{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:45:43Z","timestamp":1791949543272,"version":"4.3.4"},"reference-count":56,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Cardiac rehabilitation (CR) is an effective intervention for improving outcomes in patients with coronary heart disease (CHD). However, the actual participation rate is unsatisfactory and exhibits significant gender disparities. This study aimed to investigate gender\u2010specific determinants of the decision to participate in CR among patients with CHD, together with underlying causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey of 264 patients with CHD from 3 Chinese tertiary hospitals between February 2024 and February 2025. Data were collected using questionnaires based on the Information Need in Cardiac Rehabilitation scale, the Chinese version of Cardiac Rehabilitation Barriers Scale, the Family APGAR index questionnaire, and the International Physical Activity Questionnaire\u2010Short Form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 158 men aged 66 (SD\u2009=\u200913.3) and 106 women aged 66 (SD\u2009=\u200911.0). 55.1% of men CHD patients decided to participate in CR, significantly higher than in women patients (34.0%;\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200911.351,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Logistic regression analysis for men indicated that the facilitators of the decision to participate in CR were the level of family functioning and \u2265\u20092 comorbidities. The barriers included emergency\/safety information needs and functional status. For women, the facilitators were retirement, family functioning level, being overweight\/obesity, \u2265\u20092 comorbidities, and work\/vocational\/social factors. The barriers included medication information needs, logistical factors, and functional status. Fairlie decomposition revealed gender differences primarily driven by work\/vocational\/social factors (contribution: 71.19%), functional status (50.50%), and retirement (\u221239.16%) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study highlights the necessity of gender\u2010specific interventions during the decision\u2010making phase for CR. Healthcare professionals should tailor CR strategies to address women's social role barriers and men's emergency risk concerns, while enhancing family functioning and targeting support for functional status and work\u2010related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>STROBE checklist, cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Three tertiary hospitals assisted in participant recruitment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70633","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:19:48Z","timestamp":1777555188000},"page":"9832-9846","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Gender Differences in Cardiac Rehabilitation Information Needs, Barriers and Participation Decisions Among Patients With Coronary Heart Disease: Fairlie Decomposition Analysis"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-6242","authenticated-orcid":false,"given":"Lihua","family":"Shi","sequence":"first","affiliation":[{"name":"Department of Nursing The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3189-0703","authenticated-orcid":false,"given":"Rongrong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1935-2391","authenticated-orcid":false,"given":"Xianwen","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minmin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunuo","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Taihe Hospital of Wannan Medical College (Taihe County People's Hospital)  Fuyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaoyu","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiology Northern Jiangsu People's Hospital  Yangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiu","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3922-4541","authenticated-orcid":false,"given":"Yingchun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6467-5398","authenticated-orcid":false,"given":"Jianfang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31817a835d"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010017\u20100512\u20107"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102\u2010024\u201000867\u20109"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23911"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001289"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1460855"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwae281"},{"key":"e_1_2_15_10_1","unstructured":"Committee I. 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