{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:41:23Z","timestamp":1790998883832,"version":"4.1.0"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>The study aimed to identify factors associated with participation in Phase II cardiac rehabilitation and to assess patient perceptions towards the usage of technologies in cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite efforts to promote utilisation of cardiac rehabilitation (CR), participation among patients remains unsatisfactory. Little is known of patient decision to participate Phase II CR in a multi\u2010ethnic country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A consecutive sampling of 240 patients with coronary heart disease completed Coronary Artery Disease Education Questionnaire (CADE\u2010Q) II, Hospital Anxiety and Depression Scale (HADS), Multidimensional Scale of Perceived Social Support (MSPSS) and Cardiac Rehabilitation Barriers Scale (CRBS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy per cent of patients (mean age 60.5 [SD\u2009=\u200910.6] years, 80.8% male) participated in phase II cardiac rehabilitation. Self\u2010driving to cardiac rehabilitation centres, higher barriers in perceived need\/health care and logistical factors were significantly associated with decreased odds of participation. Patients with more barriers from comorbidities\/functional status, higher perceived social support from friends, and anxiety were more likely to participate. Chinese and Indians were less likely to participate when compared with Malays. More than 80% of patients used both home and mobile broadband internet, and 72.9% of them would accept the usage of technologies, especially educational videos, instant messenger, and video calls to partially replace the face\u2010to\u2010face, centre\u2010based cardiac rehabilitation approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Several barriers were associated with non\u2010participation in phase II cardiac rehabilitation. With the high perceived acceptance of technology usage in cardiac rehabilitation, home\u2010based and hybrid cardiac rehabilitation may represent potential solutions to improve participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>By addressing the barriers to cardiac rehabilitation, patients are more likely to be ready to adopt health behaviour changes and adhere to the cardiac rehabilitation programme. The high perceived acceptance of using technologies in cardiac rehabilitation may provide insights into new delivery models that can improve and overcome barriers to participation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.16919","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T08:28:24Z","timestamp":1698827304000},"page":"1084-1093","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Barriers to cardiac rehabilitation and patient perceptions on the usage of technologies in cardiac rehabilitation: A\u00a0cross\u2010sectional study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4388-1106","authenticated-orcid":false,"given":"Mei Sin","family":"Chong","sequence":"first","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine the Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet Wing Hung","family":"Sit","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine the Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7157-8668","authenticated-orcid":false,"given":"Kai Chow","family":"Choi","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine the Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar","family":"Suhaimi","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine Department University Malaya Medical Centre  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-7035","authenticated-orcid":false,"given":"Sek Ying","family":"Chair","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine the Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","first-page":"791","article-title":"Accessibility and development. A case study from rural Sarawak, Malaysia","volume":"18","author":"Abdullah R. G.","year":"2017","journal-title":"International Journal of Business and Society"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.10.014"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1088\/1757899X\/884\/1\/012047"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318246b1e5"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.8017"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103999(01)00296\u20103"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751\u20100473\u20103\u201017"},{"key":"e_1_2_12_9_1","first-page":"900","article-title":"Enrollment and attendance to cardiac rehabilitation after percutaneous coronary intervention in Sarawak: A prospective study","volume":"8","author":"Chai L. S.","year":"2019","journal-title":"International Journal of Recent Technology and Engineering"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000328"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215513490527"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14779072.2020.1816464"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104087"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313501093"},{"key":"e_1_2_12_15_1","unstructured":"Department of Statistics Malaysia. (2020a).Statistics on causes of death Malaysia.https:\/\/www.dosm.gov.my\/v1\/index.php?r=column\/cthemeByCat&cat=401&bul_id=QTU5T0dKQ1g4MHYxd3ZpMzhEMzdRdz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09"},{"key":"e_1_2_12_16_1","unstructured":"Department of Statistics Malaysia. (2020b).Current population estimates Malaysia.https:\/\/www.dosm.gov.my\/v1\/index.php?r=column\/cthemeByCat&cat=155&bul_id=OVByWjg5YkQ3MWFZRTN5bDJiaEVhZz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09"},{"key":"e_1_2_12_17_1","unstructured":"Department of Statistics Malaysia. (2021).ICT use and access by individuals and households survey report Malaysia.https:\/\/www.dosm.gov.my\/v1\/index.php?r=column\/cthemeByCat&cat=395&bul_id=SFRacTRUMEVRUFo1Ulc4Y1JlLzBqUT09&menu_id=amVoWU54UTl0a21NWmdhMjFMMWcyZz09"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000650"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.02.008"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.08.010"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000103"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2019.0091"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.11.019"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0163\u20108343(02)00179\u20102"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/14017431.2017.1385838"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2013.08.004"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2018.42.1.154"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH19231"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.093310"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2018.07.009"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2010.08.004"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318270bc13"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2021.20510"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2020.09.021"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005082\u2010199610000\u201000009"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1166\/asl.2018.12069"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2020.04.010"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2009.12.001"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487317719355"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2019.100399"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.05.020"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.2196\/34657"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515118783157"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.6249"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2011.02.003"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1261417"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.10.059"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27637"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215511410579"},{"key":"e_1_2_12_51_1","volume-title":"Using multivariate statistics","author":"Tabachnick B. G.","year":"2013"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2021.09.016"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000017"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010019099"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000310"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjr.0000137083.20844.54"},{"key":"e_1_2_12_57_1","first-page":"915","article-title":"Psychometric properties of the Malay version of the hospital anxiety and depression scale: A study of husbands of breast cancer patients in Kuala Lumpur, Malaysia","volume":"12","author":"Yusoff N.","year":"2011","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100447.1983.tb09716.x"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa5201_2"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000222"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.16919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T06:33:40Z","timestamp":1709274820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.16919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":59,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/jocn.16919"],"URL":"https:\/\/doi.org\/10.1111\/jocn.16919","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"2023-05-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}