{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:46:35Z","timestamp":1753883195343,"version":"3.41.2"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,5,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">There has been a focus on alternative cardiac rehabilitation (CR) delivery models aimed at improving CR adherence and completion. We examined pre\u2010 and post\u2010CR health outcomes, reasons for discharge, and predictors of completion using a patient\u2010driven appointment\u2010based CR approach that uses center\u2010scheduled class start times.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Data were used from an urban single\u2010center CR program at Yale New Haven Health (2012\u20132017) that enrolled 2135 patients. We evaluated pre\u2010 and post\u2010CR outcomes (12 weeks) using paired\n              <jats:italic>t<\/jats:italic>\n              tests and used a multivariable logistic regression model to examine predictors of CR completion (\u226536 sessions) for the overall cardiovascular disease population. The mean age of participants was 65\u00b112\u00a0years, 27.9% were women, and 5.1% were Black patients, and patients completed a median of 30 of 36 sessions. Patients achieved significant improvements in health outcomes, including across age and sex subgroups. The primary reason for discharge was completion of all 36 sessions of CR (46.4%). The final logistic regression model contained 12 predictors: age, sex, Black race, marital status, employment, number of physician\u2010reported risk factors, dietary fat intake &gt;30%, obesity, lack of exercise, benign prostatic hyperplasia, and self\u2010reported stress and physical activity.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">We demonstrated that patients participating in an appointment\u2010based CR program achieved significant improvements in health outcomes and across sex\/age subgroups. In addition, older individuals were more likely to complete CR. An appointment\u2010based approach could be a viable alternative CR method to aid in optimizing the dose\u2010response benefit of CR for patients with cardiovascular disease.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.024066","type":"journal-article","created":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T16:45:00Z","timestamp":1651509900000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Implementation of an Appointment\u2010Based Cardiac Rehabilitation Approach: A Single\u2010Center Experience"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7638-4053","authenticated-orcid":false,"given":"Catherine X.","family":"Wright","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Fournier","sequence":"additional","affiliation":[{"name":"Yale New Haven Hospital Heart and Vascular Center New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanhong","family":"Deng","sequence":"additional","affiliation":[{"name":"Yale Center for Analytical Sciences School of Public Health Yale University New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8257-6243","authenticated-orcid":false,"given":"Can","family":"Meng","sequence":"additional","affiliation":[{"name":"Yale Center for Analytical Sciences School of Public Health Yale University New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Hiller","sequence":"additional","affiliation":[{"name":"Yale New Haven Hospital Heart and Vascular Center New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyce M.","family":"Oen\u2010Hsiao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Yale School of Medicine New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2861-1383","authenticated-orcid":false,"given":"Rachel P.","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine New Haven CT"},{"name":"Center for Outcomes Research and Evaluation (CORE)Yale New Haven Health New Haven CT"},{"name":"Department of Biostatistics (Health Informatics) Yale School of Public Health New Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151788.08740.5C"},{"key":"e_1_3_2_3_2","unstructured":"National Heart Lung and Blood Institute (NHLBI) . 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