Family practice
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Randomized Controlled Trial
'DNA' may not mean 'did not participate': a qualitative study of reasons for non-adherence at home- and centre-based cardiac rehabilitation.
Cardiac rehabilitation (CR) has been shown to improve prognosis and function following an acute myocardial infarction or revascularization. However, participation in CR programmes is low and adherence is poor. ⋯ Reasons for non-participation/non-adherence were generally multifactorial and individualistic. Many patients who had not attended or not adhered to their CR programme had participated in rehabilitative activities in other ways. Social characteristics, individual patient needs and preferences and the location of CR programmes need to be taken into account in programme design to maximize participation.