{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T03:06:50Z","timestamp":1789873610542,"version":"4.0.1"},"reference-count":41,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Cardio"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Atrial fibrillation (AF) is a prevalent chronic condition with increasing incidence worldwide. AF increases the risks of stroke, heart failure, and myocardial infarction and imposes a substantial burden on the health care system. Cardiac rehabilitation programs, while effective, often have low patient adherence. Recent evidence suggests that cardiac telerehabilitation, where patients are given home monitoring devices, could enhance adherence and outcomes. The program \u201cFuture Patient\u2014Telerehabilitation of Patients with AF\u201d (FP-AF) was created to assess the effects and potential benefits of cardiac telerehabilitation on patients with AF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study is to explore the experiences of patients participating in the FP-AF program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative sub-study is part of the multicenter, randomized controlled FP-AF trial, which included 208 patients. Semi-structured interviews were conducted on 14 patients, randomly selected from participants in the intervention arm of the FP-AF program. The patient interviews, guided by self-determination theory, focused on patients\u2019 experiences with the FP-AF program, including the use of telerehabilitation technologies and a web-based portal called the \u201cHeartPortal.\u201d Interview responses were analyzed using NVivo software (version 14.0; QSR International), with thematic coding based on interview guides and methodological guidance elaborated by Brinkmann &amp; Kvale. The study adhered to ethical guidelines, with informed consent obtained from all participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Based on the interviews, the following themes were identified: the home monitoring devices are viewed positively by the patients; the HeartPortal is a useful digital toolbox; patients develop new coping strategies for living with AF; the measured values are useful for the patients; the community of practice is beneficial; and the FP-AF program creates a sense of security.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participation in the FP-AF program enhanced patients\u2019 sense of security, empowerment, and knowledge about AF. This improvement was due largely to a combination of patients\u2019 use of the HeartPortal and the educational sessions at health care centers. Telerehabilitation for patients with AF may be a useful way of researching this group of patients with a focus on rehabilitation and may be an effective means of offering rehabilitation to this group in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/68663","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T21:20:06Z","timestamp":1747344006000},"page":"e68663-e68663","source":"Crossref","is-referenced-by-count":4,"title":["Patient Perspectives on the \u201cFuture Patient\u201d Telerehabilitation Program for Atrial Fibrillation: Qualitative Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7556-978X","authenticated-orcid":false,"given":"Elisabet Dortea Ragnvaldsd\u00f3ttir","family":"Joensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3046-7739","authenticated-orcid":false,"given":"Andi Eie","family":"Albertsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7098-5699","authenticated-orcid":false,"given":"Helle","family":"Spindler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1507-7383","authenticated-orcid":false,"given":"Katja M\u00f8ller","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9215-9796","authenticated-orcid":false,"given":"Lars","family":"Frost","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3660-6165","authenticated-orcid":false,"given":"Lars","family":"Dittmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8041-9508","authenticated-orcid":false,"given":"Mathushan","family":"Gunasegaram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0053-5649","authenticated-orcid":false,"given":"S\u00f8ren Paaske","family":"Johnsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7729-4359","authenticated-orcid":false,"given":"Mads Rovsing","family":"Jochumsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7555-5364","authenticated-orcid":false,"given":"Dorthe","family":"Svenstrup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5893-9676","authenticated-orcid":false,"given":"Birthe","family":"Dinesen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2023.100786","article-title":"Atrial fibrillation: epidemiology, screening and digital health","volume":"37","author":"Linz","journal-title":"Lancet Reg Health Eur"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2023-077209","article-title":"Temporal trends in lifetime risks of atrial fibrillation and its complications between 2000 and 2022: Danish, nationwide, population based cohort study","volume":"385","author":"Vinter","journal-title":"BMJ"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1453","article-title":"Lifetime risk of atrial fibrillation according to optimal, borderline, or elevated levels of risk factors: cohort study based on longitudinal data from the Framingham Heart Study","volume":"BMJ 361","author":"Staerk","journal-title":"Br Med J"},{"issue":"6","key":"R4","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1038\/s41569-022-00820-8","article-title":"Epidemiology and modifiable risk factors for atrial fibrillation","volume":"20","author":"Elliott","journal-title":"Nat Rev Cardiol"},{"issue":"36","key":"R5","doi-asserted-by":"publisher","first-page":"3314","DOI":"10.1093\/eurheartj\/ehae176","article-title":"2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"45","author":"Van Gelder","journal-title":"Eur Heart J"},{"issue":"4","key":"R6","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.jval.2023.12.015","article-title":"The cost of atrial fibrillation: a systematic review","volume":"27","author":"Buja","journal-title":"Value Health"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6590358","article-title":"Patients\u2019 experiences of living with atrial fibrillation: a mixed methods study","volume":"2019","author":"Stridsman","journal-title":"Cardiol Res Pract"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0907-z","article-title":"Conceptualising patient empowerment: a mixed methods study","volume":"15","author":"Bravo","journal-title":"BMC Health Serv Res"},{"key":"R9","unstructured":"World Health Organization. Health promotion glossary. 1998. WHO\/HPR\/HEP\/98.1."},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.pec.2006.09.008","article-title":"Patient empowerment in theory and practice: polysemy or cacophony?","volume":"66","author":"Aujoulat","journal-title":"Patient Educ Couns"},{"issue":"5","key":"R11","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1093\/tbm\/iby064","article-title":"How to empower patients? A systematic review and meta-analysis","volume":"8","author":"Werbrouck","journal-title":"Transl Behav Med"},{"issue":"1","key":"R12","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/s40119-020-00164-9","article-title":"The beneficial effects of cardiac rehabilitation","volume":"9","author":"Bellmann","journal-title":"Cardiol Ther"},{"issue":"9","key":"R13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011197.pub3","article-title":"Exercise-based cardiac rehabilitation for adults with atrial fibrillation","volume":"9","author":"Buckley","journal-title":"Cochrane Database Syst Rev"},{"issue":"11","key":"R14","doi-asserted-by":"publisher","first-page":"32726511","DOI":"10.1111\/ijcp.13629","article-title":"Educational interventions to improve outcomes in patients with atrial fibrillation-a systematic review","volume":"74","author":"Palm","journal-title":"Int J Clin Pract"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.08.120","article-title":"Participation and adherence to cardiac rehabilitation programs. A systematic review","volume":"223","author":"Ruano-Ravina","journal-title":"Int J Cardiol"},{"issue":"12","key":"R16","doi-asserted-by":"publisher","first-page":"1242","DOI":"10.1177\/2047487318781359","article-title":"Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey","volume":"25","author":"Kotseva","journal-title":"Eur J Prev Cardiolog"},{"issue":"10","key":"R17","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007130.pub5","article-title":"Home-based versus centre-based cardiac rehabilitation","volume":"10","author":"McDonagh","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"R18","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1177\/1357633X221085865","article-title":"The effectiveness of cardiac telerehabilitation in comparison to centre-based cardiac rehabilitation programmes: a literature review","volume":"30","author":"Owen","journal-title":"J Telemed Telecare"},{"issue":"1","key":"R19","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1177\/02692155211032372","article-title":"A novel model of home-based, patient-tailored and mobile application-guided cardiac telerehabilitation in patients with atrial fibrillation: a randomised controlled trial","volume":"36","author":"Cai","journal-title":"Clin Rehabil"},{"issue":"12","key":"R20","doi-asserted-by":"publisher","first-page":"38929925","DOI":"10.3390\/jcm13123396","article-title":"Different models of cardiac telerehabilitation for people with coronary artery disease: features and effectiveness: a systematic review and meta-analysis","volume":"13","author":"Pagliari","journal-title":"J Clin Med"},{"issue":"25","key":"R21","doi-asserted-by":"publisher","first-page":"e558","DOI":"10.1161\/CIR.0000000000001107","article-title":"An overview of telehealth in the management of cardiovascular disease: a scientific statement from the American Heart Association","volume":"146","author":"Takahashi","journal-title":"Circulation"},{"issue":"2","key":"R22","doi-asserted-by":"publisher","DOI":"10.2196\/27321","article-title":"The Danish Future Patient Telerehabilitation Program for patients with atrial fibrillation: design and pilot study in collaboration with patients and their spouses","volume":"5","author":"Dinesen","journal-title":"JMIR Cardio"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.2196\/64259","article-title":"Future patient-telerehabilitation of patients with atrial fibrillation: protocol for a multicenter, mixed methods, randomized controlled trial","volume":"14","author":"Dinesen","journal-title":"JMIR Res Protoc"},{"issue":"6","key":"R24","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"key":"R25","volume":"10","author":"Ryan","journal-title":"Eur Health Psychol"},{"key":"R26","unstructured":"Kvale S Brinkmann S . InterViews: Learning the Craft of Qualitative Research Interviewing. 3rd ed. Sage Publications; 2015. URL: https:\/\/uk.sagepub.com\/en-gb\/eur\/interviews\/book239402 [Accessed 08-08-2025] ISBN: 9781452275727"},{"issue":"1","key":"R27","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1111\/bjhp.12692","article-title":"Exploring patient experiences of participating in digital cardiac rehabilitation: a qualitative study","volume":"29","author":"Kenny","journal-title":"Br J Health Psychol"},{"issue":"3","key":"R28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247982","article-title":"Patients\u2019 experiences of the complex trust-building process within digital cardiac rehabilitation","volume":"16","author":"Anttila","journal-title":"PLoS ONE"},{"issue":"1","key":"R29","doi-asserted-by":"publisher","DOI":"10.2196\/34294","article-title":"Patients\u2019 experiences of using a smartphone app after cardiac rehabilitation: qualitative study","volume":"9","author":"Lunde","journal-title":"JMIR Hum Factors"},{"issue":"7","key":"R30","doi-asserted-by":"publisher","first-page":"37048034","DOI":"10.3390\/ijerph20075420","article-title":"Patients\u2019 perceptions of exercise-based cardiac telerehabilitation after a myocardial infarction\u2014a qualitative study","volume":"20","author":"Nilsson","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"R31","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/s12875-025-02757-6","article-title":"Patient participation in self-monitoring regarding healthcare of heart failure: an integrated systematic review","volume":"26","author":"Olofsson","journal-title":"BMC Prim Care"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.10.005","article-title":"Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: qualitative process evaluation of a randomized controlled trial","volume":"57","author":"Su","journal-title":"Heart Lung"},{"issue":"3","key":"R33","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1111\/pace.14188","article-title":"Effect of a virtual self-management intervention for atrial fibrillation during the outbreak of COVID-19","volume":"44","author":"Rosman","journal-title":"Pacing Clin Electrophysiol"},{"issue":"10","key":"R34","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1089\/tmj.2018.0219","article-title":"A randomized controlled trial comparing telehealth self-management to standard outpatient management in underserved black and Hispanic patients living with heart failure","volume":"25","author":"Pekmezaris","journal-title":"Telemed J E Health"},{"issue":"2","key":"R35","doi-asserted-by":"publisher","DOI":"10.2196\/diabetes.7128","article-title":"The effect of telehealth on quality of life and psychological outcomes over a 12-month period in a diabetes cohort within the whole systems demonstrator cluster randomized trial","volume":"2","author":"Hirani","journal-title":"JMIR Diabetes"},{"issue":"3","key":"R36","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1097\/HCR.0000000000000580","article-title":"Identifying reasons for nonattendance and noncompletion of cardiac rehabilitation","volume":"41","author":"Vonk","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"1","key":"R37","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1089\/tmr.2021.0025","article-title":"The role of social support in telehealth utilization among older adults in the united states during the COVID-19 pandemic","volume":"2","author":"Chung","journal-title":"Telemed Rep"},{"issue":"12","key":"R38","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1097\/MLR.0000000000001639","article-title":"Examining patients\u2019 capacity to use patient portals: insights for telehealth","volume":"59","author":"McAlearney","journal-title":"Med Care"},{"issue":"1","key":"R39","doi-asserted-by":"publisher","first-page":"100724","DOI":"10.1016\/j.hlpt.2023.100724","article-title":"The impact of digital competence on telehealth utilization","volume":"12","author":"Le","journal-title":"Health Policy Technol"},{"issue":"2","key":"R40","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.70420","article-title":"Technological and socio-demographic factors influencing telemedicine literacy in Trinidad and Tobago: a cross-sectional study using multidimensional approach","volume":"8","author":"Ezinne","journal-title":"Health Sci Rep"},{"issue":"2","key":"R41","doi-asserted-by":"publisher","DOI":"10.1093\/jamiaopen\/ooaf019","article-title":"Barriers to telehealth uptake and use: a scoping review","volume":"8","author":"Kemp","journal-title":"JAMIA Open"}],"container-title":["JMIR Cardio"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/cardio.jmir.org\/2025\/1\/e68663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:55:35Z","timestamp":1782842135000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardio.jmir.org\/2025\/1\/e68663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,19]]},"references-count":41,"URL":"https:\/\/doi.org\/10.2196\/68663","relation":{},"ISSN":["2561-1011"],"issn-type":[{"value":"2561-1011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,19]]},"article-number":"v9i6e68663"}}