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We sought to understand the association between (1) patient characteristics and (2) patient\u2010perceived barriers and referral to exercise rehabilitation. We performed a cross\u2010sectional survey of patients with pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension attending an International PAH meeting. Predictors of referral considered included gender, body mass index, subjective socioeconomic status, insurance type, age, and World Health Organization functional class and perceived barriers assessed using the Cardiac Rehabilitation Barriers Scale. Among 65 participants, those in the lowest subjective socioeconomic status tertile had reduced odds of referral compared to the highest tertile participants (odds ratio 0.22, 95% confidence interval: 0.05\u20130.98, <jats:italic>p<\/jats:italic>\u2009=\u20090.047). Several patient\u2010perceived barriers were associated with reduced odds of referral. For every 1\u2010unit increase in a reported barrier on a five\u2010point Likert scale, odds of referral were reduced by 85% for my doctor did not feel it was necessary; 85% for prefer to take care of my health alone, not in a group; 78% many people with heart and lung problems don\u2019t go, and they are fine; and 78% for I didn\u2019t know about exercise therapy. The lack of perceived need subscale and overall barriers score were associated with a 92% and 77% reduced odds of referral, respectively. These data suggest the need to explore interventions to promote referral among low socioeconomic status patients and address perceived need for the therapy.<\/jats:p>","DOI":"10.1177\/2045894020974926","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T16:43:05Z","timestamp":1604421785000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of patient characteristics and perceived barriers on referral to exercise rehabilitation among patients with pulmonary hypertension in the United States"],"prefix":"10.1002","volume":"10","author":[{"given":"Thomas M.","family":"Cascino","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmel","family":"Ashur","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline R.","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vallerie V.","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199602013340504"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)02012-0"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.161.2.9906015"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.10.031"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201412-572OC"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.00028-2019","article-title":"Physical activity and quality of life in patients with pulmonary hypertension","volume":"53","author":"Cascino TM","year":"2019","journal-title":"Eur Respir J"},{"key":"e_1_2_11_8_1","article-title":"Exercise\u2010based rehabilitation programmes for pulmonary hypertension","volume":"1","author":"Morris NR","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.115.002130"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.01.004"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv317"},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01889-2018","article-title":"Risk stratification and medical therapy of pulmonary arterial hypertension","volume":"53","author":"Gali\u00e8 N","year":"2019","journal-title":"Eur Respir J"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00716-2015"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003903"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.06.1089"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.02.080"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2013.11.007"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000361"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.701466"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2013.09.002"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1479972310393756"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1741826711409326"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","unstructured":"TaylorRS DalalH JollyK et al. 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