{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:31:29Z","timestamp":1778139089678,"version":"3.51.4"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,9,2]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Although telehealth cardiac rehabilitation (CR) may improve access, there are concerns about its long\u2010term effectiveness and impact on equity as compared with in\u2010person CR. Our objective was to tailor a patient\u2010centered telehealth CR program for diverse populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">CR patients and caregivers were recruited between January and September 2023 from 4 US academic medical centers. Participants engaged in human\u2010centered design sessions to iteratively refine a telehealth CR program. Sessions had planned topics, but there was variation across sites to account for site\u2010specific needs and participant feedback. Sessions were qualitatively analyzed using rapid template analysis with preselected behavioral science constructs and other emergent codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">The study included 21 participants (71% aged \u226560\u2009years, 48% women, 62% non\u2010Hispanic White individuals; 90% CR patients, 10% CR caregivers). Participants thought that telehealth CR could be helpful for personalized support at home and convenience but recognized that technology is not always easy to use. Some expressed concerns about the safety of telehealth CR, especially at the beginning, and desired monitoring through a mobile device or video observation of exercise. Safety protocols and technology training were developed, which addressed concerns about telehealth CR. Opportunities for social support with telehealth CR were also desired. From these findings, an implementation toolkit was developed, including a graphic program description, safety plan, home exercise plan for during and after CR, and scripts for technology training and individual and group telehealth visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">A patient\u2010centered telehealth CR program and implementation toolkit were systematically tailored to address the needs of diverse populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.124.040711","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T05:22:24Z","timestamp":1755926544000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Human\u2010Centered Design to Tailor Telehealth Cardiac Rehabilitation to Diverse Populations: The MCNAIR Study"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4839-5246","authenticated-orcid":false,"given":"Rae Denise","family":"Oanesa","sequence":"first","affiliation":[{"name":"University of California, San Francisco","place":["San Francisco, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1944-8123","authenticated-orcid":false,"given":"Namratha","family":"Atluri","sequence":"additional","affiliation":[{"name":"University of Michigan","place":["Ann Arbor, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alisa","family":"Boyd","sequence":"additional","affiliation":[{"name":"University of California, San Francisco","place":["San Francisco, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6904-4587","authenticated-orcid":false,"given":"Shireen R.","family":"Khoury","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine","place":["Baltimore, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Legeza","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine","place":["Pittsburgh, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9155-0035","authenticated-orcid":false,"given":"J. 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