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September 2009 Br J Cardiol 2009;16:250–53

Predicting adherence to phase III cardiac rehabilitation: should we be more optimistic?

Lesley A O’Brien, Morag K Thow, Danny Rafferty

Abstract

Introduction Figure 1. The five stages of the transtheoretical model (adapted from ref. 8) Exercise-based cardiac rehabilitation (CR) is embedded in cardiac care and can reduce cardiovascular mortality by 30% and death from all causes by 20–25%.1,2 Phase III CR is the stage of the patient journey in the UK that is primarily delivered in a hospital setting.3 It is acknowledged that strategies to increase adherence and participation are needed to maximise health gains from participation in CR.3 Predicting uptake and adherence has, to date, focused on traditional measures, e.g. age.3 New aspects are receiving some attention, these include disp

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