Information From the Editor-in-Chief
Featured Article of the Week - Patient Perspectives on Declining to Participate in Home-Based Cardiac Rehabilitation - A Mixed Methods Study
The Veterans Health Administration (VA) has developed home-based programs as an alternative delivery method for individuals who may not otherwise participate in traditional cardiac rehabilitation (CR). While recent investigation into CR programs in VA has shown that the availability of a home-based program has improved participation, enrollment in CR remains suboptimal. The goal of this mixed methods study was to identify barriers related to patients’ decision to decline to participate in CR despite the availability of a home-based CR program. Between 8/2015 and 8/2017, 630 patients at the San Francisco VA Medical Center were offered participation in either home-based or facility-based CR. Of 303 patients who declined to participate CR, 171 (56%) patients completed the 14-item survey regarding their reasons for declining. A lack of understanding of the potential benefits of participating in CR was the primary reason for not participating in CR. Also, many identified competing life priorities that caused them to avoid enrolling in CR. Improvements in the process of educating patients about the benefits of CR may be useful in increasing CR participation among patients in the VA system. This study is limited in that the survey was conducted at a single VA hospital and nearly all of the patients male. Nonetheless, the study does provide insight and context to the as to why VA patients might decline participation in home-based CR.
- JCRP is continuing the celebration of our 40th year by including some special features in Volume 40. In this 5th issue of JCRP Volume 40 are two excellent Invited Reviews (Stroke Patients in CR; Muscular Strength and CVD Update), an Invited Commentary with an update on the Million Hearts Initiatives, a Commentary on the Importance of Moving More during the pandemic, and a number of excellent research papers.
- Please note the Featured Article of the week section above. Our Editorial group provides a brief overview of one article each week to call your attention to some of the key information you can learn from articles in this issue.
- I also call your attention to the Literature Update section with insights from two or our Associate Editors - Dr. Brubaker and Dr. Kalra.
- Plus, this issue includes the abstracts that will be presented at this year's AACVPR Annual Meeting. Two investigators shared the 'best abstract' award and we are pleased to have the full manuscripts of both of these studies in this issue.
- I encourage you to post links to specific articles from this issue on your Facebook page and to tweet the links on your Twitter account (use the icons on our home page for both of these JCRP Social Media accounts). Doing so helps both Clinicians and Researchers to stay current with the latest research in Cardiac Rehabilitation, Pulmonary Rehabilitation, and Prevention. This will ultimately have a positive influence on patients in Cardiopumonary Rehabilitation Programs.
-Lenny Kaminsky, PhD, Editor-in-Chief