{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T01:11:00Z","timestamp":1789953060372,"version":"4.0.1"},"reference-count":21,"publisher":"JMIR Publications Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Cardio"],"abstract":"\n Background<\/jats:title>\n Poor patient uptake of cardiac rehabilitation (CR) remains a challenge for multiple reasons including geographic, time, cultural, cost, and psychological constraints.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We evaluated the impact on CR participation rates associated with the addition of the option of mobile app\u2013based CR (Cardihab) for patients declining conventional CR.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 204 consecutive patients were offered CR following angioplasty; of these, 99 were in cohort 1 (offered conventional CR only) and 105 were in cohort 2 (app-based CR offered to those declining conventional CR). Patients in each cohort were followed throughout a 6-week CR program and participation rates were compared for both groups. Patients in cohort 2 declining both forms of CR were interviewed to assess reasons for nonparticipation.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n CR participation improved from 21% (95% CI 14%-30%) to 63% (95% CI 53%-71%) with the addition of the app (P<.001). Approximately 25% (9\/39) of the group declining the app-based program identified technology issues as the reason for nonparticipation. The remainder declined both CR programs or were ineligible due to frailty or comorbidities.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Providing patients with the additional option of an app-based CR program substantially improved CR participation. Technology and psychological barriers can limit CR participation. Further innovation in CR delivery systems is required to improve uptake.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/24174","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T19:03:31Z","timestamp":1638299011000},"page":"e24174","source":"Crossref","is-referenced-by-count":16,"title":["The Impact of a Mobile App on Participation in Cardiac Rehabilitation and Understanding Barriers to Success: Comparative Cohort Study"],"prefix":"10.2196","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6671-6480","authenticated-orcid":false,"given":"John T","family":"Rivers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-5349","authenticated-orcid":false,"given":"Carla","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9784-0855","authenticated-orcid":false,"given":"Ian","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7593-4049","authenticated-orcid":false,"given":"James","family":"Cameron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2016.06.789"},{"key":"ref2","unstructured":"No second chances: controlling risk in cardiovascular disease20182021-12-30Melbourne, AustraliaBaker Heart and Diabetes Institutehttps:\/\/baker.edu.au\/-\/media\/documents\/impact\/baker-institute_no-second-chances.pdf"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1177\/2047487312462824"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001800.pub3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2013.09.018"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5000"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0269215513481046"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-305783"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MCA.0000000000000938"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.19.0624"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2020.04.007"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4883"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5692"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1177\/1179546820927402"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2196\/16695"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-021908"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/2055207619871729"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1177\/2047487317703827"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e31822f189c"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1071\/AH18028"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.11.142"}],"container-title":["JMIR Cardio"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/cardio.jmir.org\/2022\/1\/e24174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:34:31Z","timestamp":1782840871000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardio.jmir.org\/2022\/1\/e24174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,17]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2196\/24174","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.24174","asserted-by":"object"}]},"ISSN":["2561-1011"],"issn-type":[{"value":"2561-1011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,17]]}}}