Barriers and facilitators to implementation of a home-based cardiac rehabilitation programme for patients with heart failure in the NHS: a mixed-methods study.
Paulina DawGrace E R WoodAlexander S HarrisonPatrick Joseph DohertyJet J C S Veldhuijzen van ZantenHasnain M DalalRodney S TaylorSamantha B Van BeurdenSinead Teresa Jennifer McDonaghColin J GreavesPublished in: BMJ open (2022)
The findings are highly relevant to healthcare professionals involved in planning, delivering and commissioning of cardiac rehabilitation for patients with heart failure. The study's main output, a refined version of the REACH-HF Service Delivery Guide, can guide the implementation process (eg, designing new care pathways) and provide practical solutions to overcoming common implementation barriers (eg, through early identification of implementation champions).