Key result
High HBCR uptake correlates with strong leadership, available resources, knowledge access, and active local champions.
Why the study?
Cardiac rehabilitation programs benefit patients with cardiovascular disease but are not universally available, prompting the evaluation of barriers and facilitators to site-level implementation of a national home-based program.
Population
16 VHA facilities
Comparison
High uptake vs low uptake HBCR programs
Design
Convergent parallel mixed-methods implementation study
Authors
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May guide targeted implementation efforts for home-based cardiac rehabilitation; hypothesis-generating and requires prospective trials before practice change.
Observational (n=16)
Yes
Consistent clinical and administrative leadership, along with effective use of available resources and external facilitation, are critical for the successful implementation and sustained adoption of home-based cardiac rehabilitation programs.
Wakefield et al. (2019) conducted an observational in Cardiovascular disease (eligible for cardiac rehabilitation) (n=16). Home-based cardiac rehabilitation (HBCR) program implementation vs. Low uptake sites was evaluated on Barriers and facilitators associated with site-level implementation of HBCR (high vs. low uptake). High uptake of home-based cardiac rehabilitation programs was significantly associated with strong leadership engagement, available resources, access to knowledge, and active local champions compared to low uptake sites.