{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T19:56:25Z","timestamp":1787860585631,"version":"build-2784847793"},"reference-count":47,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore what reasons do nonattenders and noncompleters give for their patterns of participation or nonparticipation in cardiac rehabilitation programmes and how future uptake could be enhanced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiac rehabilitation is a cost\u2010effective clinical intervention designed for adults with acute coronary syndrome. Despite evidence from meta\u2010analyses demonstrating that cardiac rehabilitation programmes facilitate physical and psychological recovery from acute coronary syndrome, only 20\u201350% of eligible patients attend Phase <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> outpatient programmes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Within the context of a larger mixed\u2010method study, acute coronary syndrome patients were recruited between 2012\u20132014 from three hospitals in Scotland. Of 214 patients who consented to enrol in the main study, a purposive subsample of 25 participants was recruited. Semi\u2010structured interviews were conducted and analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three major influences of participation were identified: (1) personal factors, (2) programme factors and (3) practical factors. In addition, valuable suggestions for future programme modifications were provided. A significant barrier to attending cardiac rehabilitation programmes is that participants perceived themselves to be unsuitable for the programme alongside a lack of knowledge and\/or misconceptions regarding cardiac rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The responses of nonattenders and noncompleters revealed misconceptions related to programme suitability, the intensity of exercise required and the purpose of a cardiac rehabilitation programme. As long as these misconceptions continue to persist in coronary syndrome patients, this will impact upon attendance. The lack of perceived need for cardiac rehabilitation stems from a poor understanding of the programme, especially among nonattenders and noncompleters and subsequently an inability to comprehend possible benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The knowledge of common misconceptions puts clinical nurses in a better position to identify and pro\u2010actively address these erroneous assumptions in their patients in order to improve participation in cardiac rehabilitation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13722","type":"journal-article","created":{"date-parts":[[2017,1,2]],"date-time":"2017-01-02T13:16:43Z","timestamp":1483363003000},"page":"3529-3542","source":"Crossref","is-referenced-by-count":42,"title":["\u2018Just not for me\u2019 \u2013 contributing factors to nonattendance\/noncompletion at phase <scp>III<\/scp> cardiac rehabilitation in acute coronary syndrome patients: a qualitative enquiry"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3041-4098","authenticated-orcid":false,"given":"Oliver Rudolf","family":"Herber","sequence":"first","affiliation":[{"name":"School of Health and Population Sciences University of Birmingham Edgbaston Birmingham UK"},{"name":"Institute of General Practice (ifam) Medical Faculty of the Heinrich Heine University D\u00fcsseldorf D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Smith","sequence":"additional","affiliation":[{"name":"Ninewells Hospital and Medical School Dundee DD1 9SY and School of Nursing &amp; Health Sciences University of Dundee Dundee Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myra","family":"White","sequence":"additional","affiliation":[{"name":"Department of Ageing and Health Ninewells Hospital and Medical School Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7759-3797","authenticated-orcid":false,"given":"Martyn C.","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Health Sciences University of Dundee Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001800.pub3"},{"key":"e_1_2_13_3_1","unstructured":"Association of Chartered Physiotherapists in Cardiac Rehabilitation (ACPICR)(2009)ACPICR Standards for Physical Activity and Exercise in the Cardiovascular Population.3rd edn.Association of Chartered Physiotherapists in Cardiac Rehabilitation (ACPICR)[Online]. 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