{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T15:46:07Z","timestamp":1792251967666,"version":"4.4.0"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:00Z","timestamp":1727913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["203308"],"award-info":[{"award-number":["203308"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psychological difficulties are prevalent in patients undergoing Cardiac Rehabilitation (CR). Recent guidelines recommend that practitioners inquire and address patients\u2019 psychological concerns during CR. Therefore, Study One aimed to explore practitioners\u2019 understanding of patients\u2019 psychological needs, their confidence in supporting those needs, and their views on whether current CR meets patients\u2019 needs. Study Two aimed to validate Study Ones\u2019 findings among a wider sample of CR practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study consisted of two interrelated qualitative interviews. Study One utilised qualitative interview data from the PATHWAY trial (REC Reference:15\/NW\/0163), while Study Two utilised new interview data collected as part of the PATHWAY Beacons study (REC Reference: 22\/HRA\/2220). In Study One semi-structured interviews with six CR practitioners were analysed using thematic analysis. In Study Two, 11 CR practitioners across England were interviewed using member-checking principles. Transcripts were coded systematically using the codes developed in Study One and, through constant comparative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four main themes were identified: staff\u2019s awareness of mental health problems, CR patients\u2019 needs, staff\u2019s self-efficacy to support patients\u2019 psychological needs, and current psychological provision in CR. The main themes and 11 subthemes were transferable to a wider range of CR practitioners, thereby indicating the trustworthiness of the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Practitioners described that patients experience a range of psychological concerns, including adjustment difficulties, anxiety, and cardiac and noncardiac worries. Most practitioners normalise patient concerns and offer relaxation techniques. However, practitioners have noted that patients often have complex psychological needs, but practitioners\u2019 confidence in discussing and supporting psychological concerns varies. Practitioners expressed the need for training to support patients\u2019 psychological needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1434779","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:37:06Z","timestamp":1727915826000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Cardiac Rehabilitation practitioners\u2019 views on patients\u2019 psychological needs: a qualitative 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