{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:46:08Z","timestamp":1792788368980,"version":"4.5.0"},"reference-count":48,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T00:00:00Z","timestamp":1721952000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["CDA-2019-001"],"award-info":[{"award-number":["CDA-2019-001"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Government of Irelands Sl\u00e1intecare Integration Fund 2019","award":["GrantAgreementnumber121"],"award-info":[{"award-number":["GrantAgreementnumber121"]}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Despite growing evidence for the effectiveness of digital cardiac rehabilitation (CR) uptake of this technology remains low. Understanding the factors that influence implementation of digital CR in clinical practice is a growing area of research. The aim of this nested qualitative study was to explore health worker perspectives on factors influencing implementation of a digital CR programme. Methods Using convenience sampling, semi-structured interviews were conducted with health workers, including health care professionals (nurses, dietitians, physiotherapists) and those in administrative and managerial roles who were involved in delivering and referring patients to Cro\u00ed MySl\u00e1inte, a 12-week digital CR intervention delivered during the Coronavirus 2019 pandemic. The updated Consolidated Framework for Implementation Research (CFIR) guided data collection and framework analysis. Results Interviews were conducted with 14 health workers. Factors influencing implementation of Cro\u00ed MySl\u00e1inte were multiple, with some operating independently and others in combination. They related to: (i) characteristics of individuals (e.g., senior leadership support, commitment and motivation of Health workers to meet patient needs, technical capability, workload and perceived fit with role); (ii) features of the programme (e.g., accessibility and convenience for patients, the digital platform, patient self- monitoring tools, the multidisciplinary team and core components); (iii) the external environment (e.g., partnership and connections between organisations, broadband and COVID-19); (iv) the internal environment (e.g., organisational culture, teamwork, resources including funding, digital infrastructure and staffing); and (v) the implementation process (e.g., engaging patients through provision of technical support). Conclusion The study findings suggest that factors influencing implementation of digital CR operate at multiple levels. Therefore, multi-level implementation strategies are required if the true potential of digital health in improving equitable cardiac rehabilitation access, participation and patient outcomes is to be realised.<\/ns3:p>","DOI":"10.12688\/hrbopenres.13929.1","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T03:20:05Z","timestamp":1721964005000},"page":"50","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Factors influencing implementation of digital cardiac rehabilitation: A qualitative analysis of health workers perspectives"],"prefix":"10.12688","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5700-2280","authenticated-orcid":false,"given":"Irene","family":"Gibson","sequence":"first","affiliation":[{"name":"School of Medicine Galway County Galway University of Galway"},{"name":"Galway National Institute for Prevention and Cardiovascular Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5690-6202","authenticated-orcid":false,"given":"Claire","family":"Kerins","sequence":"additional","affiliation":[{"name":"Health Promotion Research Centre Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0773-3712","authenticated-orcid":false,"given":"Louise","family":"Foley","sequence":"additional","affiliation":[{"name":"School of Allied Health Limerick County Limerick University of Limerick"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Hynes","sequence":"additional","affiliation":[{"name":"Galway Cro\u00ed, West of Ireland Cardiac and Stroke Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Byrne","sequence":"additional","affiliation":[{"name":"Health Behaviour Change Research Group Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew William","family":"Murphy","sequence":"additional","affiliation":[{"name":"Health Research Board Primary Care Clinical Trials Network Ireland Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9547-7981","authenticated-orcid":false,"given":"Caitlin Marie","family":"Reardon","sequence":"additional","affiliation":[{"name":"Veteran Affairs (VA) Center for Clinical Management Research Ann Arbor Michigan VA Ann Arbor Healthcare System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John William","family":"McEvoy","sequence":"additional","affiliation":[{"name":"School of Medicine Galway County Galway University of Galway"},{"name":"Galway National Institute for Prevention and Cardiovascular Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oonagh","family":"Meade","sequence":"additional","affiliation":[{"name":"School of Psychology Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"ref-1","article-title":"World Heart Report 2023: Confronting the World\u2019s Number One Killer","year":"2023"},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"460-95","DOI":"10.1177\/2047487320913379","article-title":"Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. 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This work was also supported by Government of Irelands Sl\u00e1intecare Integration Fund 2019, under Grant Agreement number 121. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}