{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T13:03:42Z","timestamp":1793883822491,"version":"4.7.0"},"reference-count":35,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,10,19]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Despite documented benefits of cardiac rehabilitation (CR), attrition rates remain relatively high. Insights on patient perspectives concerning dropout during transition phases are deficient. This deeper understanding may help to inform on the perceived benefits and barriers in CR. This qualitative study explores the reasons why patients\u2019 dropout during the transition from a hospital-based CR programme to local healthcare facilities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>A Danish hospital and seven local healthcare centres.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Twelve patients, who had dropped out of exercise-based cardiac rehabilitation (exCR) during the transition from hospital-based rehabilitation to local healthcare centres, were recruited to semistructured interviews based on a purposeful sampling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Important patient needs during rehabilitation was the ability to identify and reflect oneself in a group of peers in a safe, specialised hospital-based environment. At the transition point, the meaningfulness of continuation of CR was revaluated. Findings showed that reasons for discontinuation varied within individuals. It encompassed on a balanced choice of reassessing benefits against competing agendas as work demands versus expectations of benefits in a changed exercise environment and own exercise capabilities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The study indicated that patient needs as timely relevance, a specialised safe environment and peer support are significant for participation in exCR. These needs may change during the transition stage due to competing agendas as work obligations and assessment of own ability to take control themselves. Perceived meaningfulness may be a major motivational driver for both initiating and making a judiciously choice of leaving an exCR programme.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-064660","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T10:55:24Z","timestamp":1669719324000},"page":"e064660","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Reasons for dropout in the transition from hospital to municipality during exercise-based cardiac rehabilitation in a Danish cross-sectorial setting: a qualitative study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6685-2244","authenticated-orcid":false,"given":"Anders Ravnholt Sch\u00fcsler","family":"Damlund","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital Roskilde, Roskilde, Sjaelland, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Bo","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital Roskilde, Roskilde, Sjaelland, Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy, N\u00e6stved, Slagelse, Ringsted Hospital, Slagelse Hospital, Slagelse, Sjaelland, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte","family":"Blume","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Zealand University Hospital Roskilde, Roskilde, Sjaelland, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren T","family":"Skou","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, Research Unit PROgrez, N\u00e6stved-Slagelse-Ringsted Hospitals, Slagelse, Denmark"},{"name":"Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars H","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Slagelse, Sjaelland, Denmark"},{"name":"The Department of Regional Health Research, University of Southern Denmark, Odense, Syddanmark, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"The University Hospitals Centre for Health Research (UCSF), Department 9701, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"2025101814451941000_12.11.e064660.1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328334f42d"},{"key":"2025101814451941000_12.11.e064660.2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq236"},{"key":"2025101814451941000_12.11.e064660.3","doi-asserted-by":"publisher","DOI":"10.1177\/1741826711409326"},{"key":"2025101814451941000_12.11.e064660.4","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3283313592"},{"key":"2025101814451941000_12.11.e064660.5","doi-asserted-by":"publisher","DOI":"10.1177\/2047487316657669"},{"key":"2025101814451941000_12.11.e064660.6","unstructured":"Anbefalinger for tv\u00e6rsektorielle forl\u00f8b for mennesker med hjertesygdom. 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