CLINICAL FEATUREPatient-Provider Communication Regarding Referral to Cardiac RehabilitationMitoff, Peter R. BSc1; Wesolowski, Marta BSc2; Abramson, Beth L. MD, FRCP(C), FACC3; Grace, Sherry L. PhD4Author Information 1 Medical student at the University of Toronto, Toronto, ON 2 Health psychology graduate from the University of Toronto 3 Director of the Cardiac Prevention and Rehab Centre & Women’s Cardiovascular Health in the Division of Cardiology at St. Michael’s Hospital and an assistant professor of the Department of Medicine at University of Toronto 4 Affiliate scientist at the University Health Network Women’s Health Program and an assistant professor at York University, Toronto, ON Correspondence: Sherry L. Grace, PhD, affiliated scientist, University Health Network Women’s Health Program, Toronto General Research Institute, Behavioural Sciences and Health Division, Assistant Professor, York University, Kinesiology and Health Science, 368 Bethune, 4700 Keele Street, Toronto, ON M3J 1P3, or via e-mail at firstname.lastname@example.org. Cite this article as: Mitoff, P. R., Wesolowski, M., Abramson, B. L., & Grace, S. L. (2020). Patient-provider communication regarding referral to cardiac rehabilitation. Rehabilitation Nursing, 45(5), 245–251. doi: 10.1097/rnj.0000000000000279 (Original work published in 2005) Rehabilitation Nursing: 9/10 2020 - Volume 45 - Issue 5 - p 245-251 doi: 10.1097/rnj.0000000000000279 Buy Metrics Abstract This study investigated the dynamics of patient-provider communication in the cardiac rehabilitation (CR) referral process, to identify which aspects lead to CR participation. Semi-structured individual interviews were conducted with 31 patients eligible for CR. Questions probed the content and perception of the discussion that patients had with healthcare providers (HCP) regarding CR attendance. The interviews were audiotaped, transcribed, and imported into N6 software for grounded analyses. Key emerging themes were identified: illness perceptions; HCP encouragement; timing of discussion; and ease of referral. CR attenders were apt to self-advocate to ensure their enrollment in CR, whereas nonattenders were more likely to minimize the seriousness of their disease, and less likely to persevere to overcome obstacles in enrolling in a CR program. Surprisingly, the strength of the HCP referral did not influence the decision to attend CR as strongly when compared to the HCP’s ability to facilitate enrollment in a CR program. Copyright © 2020 Association of Rehabilitation Nurses.